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Caste-ethnic disparity in vaccine use among 0- to 5-year-old children in Nepal: a decomposition analysis

Author

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  • Satis Devkota

    (University of Minnesota)

  • Christopher Butler

    (University of Minnesota)

Abstract

Objectives To examine what factors, if any, could account for caste/ethnic disparities in vaccine utilization between upper caste and indigenous, and upper caste and low caste (Dalit) groups in Nepal. Methods Using the Institute of Medicine (IOM) approach to calculate disparity, we estimate the disparity between upper caste and indigenous, and between upper caste and Dalit 0- to 5-year-old children in Nepal. Then we use Fairlie’s non-linear regression-based decomposition technique to account for those disparities in immunization. Results Using nationally representative data (the Nepal Living Standard Survey II and III), we construct a pooled cross-sectional series and calculate the disparity between upper caste and indigenous (8.047 %), and between upper caste and Dalit (7.215 %). Both of these comparisons are significant at less than 1 % significance level. Decomposition results show that a major portion of the disparity can be attributed to the difference in access to immunization services, followed by differences in household income and parental education. Conclusions Nepal’s national vaccine programs should increase focus on reaching geographically distant populations, and continue to develop vaccination-related education efforts.

Suggested Citation

  • Satis Devkota & Christopher Butler, 2016. "Caste-ethnic disparity in vaccine use among 0- to 5-year-old children in Nepal: a decomposition analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(6), pages 693-699, July.
    • Handle: RePEc:spr:ijphth:v:61:y:2016:i:6:d:10.1007_s00038-016-0789-9
    DOI: 10.1007/s00038-016-0789-9
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    1. Oaxaca, Ronald, 1973. "Male-Female Wage Differentials in Urban Labor Markets," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 14(3), pages 693-709, October.
    2. Satis Devkota & Mukti Upadhyay, 2013. "Agricultural Productivity and Poverty Reduction in Nepal," Review of Development Economics, Wiley Blackwell, vol. 17(4), pages 732-746, November.
    3. Fairlie, Robert W, 1999. "The Absence of the African-American Owned Business: An Analysis of the Dynamics of Self-Employment," Journal of Labor Economics, University of Chicago Press, vol. 17(1), pages 80-108, January.
    4. Santosh Kumar & Emily A. Dansereau & Christopher J. L. Murray, 2014. "Does distance matter for institutional delivery in rural India?," Applied Economics, Taylor & Francis Journals, vol. 46(33), pages 4091-4103, November.
    5. Borooah, Vani K., 2004. "Gender bias among children in India in their diet and immunisation against disease," Social Science & Medicine, Elsevier, vol. 58(9), pages 1719-1731, May.
    6. Wagstaff, Adam & van Doorslaer, Eddy & Watanabe, Naoko, 2003. "On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam," Journal of Econometrics, Elsevier, vol. 112(1), pages 207-223, January.
    7. repec:mpr:mprres:5096 is not listed on IDEAS
    8. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    9. Kiros, Gebre-Egzbiabher & White, Michael J., 2004. "Migration, community context, and child immunization in Ethiopia," Social Science & Medicine, Elsevier, vol. 59(12), pages 2603-2616, December.
    10. Sang-Hyop Lee, 2005. "Demand for Immunization, Parental Selection, and Child Survival: Evidence from Rural India," Review of Economics of the Household, Springer, vol. 3(2), pages 171-196, June.
    11. Gauri, Varun & Khaleghian, Peyvand, 2002. "Immunization in Developing Countries: Its Political and Organizational Determinants," World Development, Elsevier, vol. 30(12), pages 2109-2132, December.
    12. Alan S. Blinder, 1973. "Wage Discrimination: Reduced Form and Structural Estimates," Journal of Human Resources, University of Wisconsin Press, vol. 8(4), pages 436-455.
    13. Rohini Pande, 2003. "Selective gender differences in childhood nutrition and immunization in rural India: The role of siblings," Demography, Springer;Population Association of America (PAA), vol. 40(3), pages 395-418, August.
    14. Benjamin L. Cook & Thomas McGuire & Jeanne Miranda, "undated". "Measuring Trends in Mental Health Care Disparities, 2000-2004," Mathematica Policy Research Reports 40da36b42b804061aba3ffb32, Mathematica Policy Research.
    15. repec:mpr:mprres:5678 is not listed on IDEAS
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    Cited by:

    1. Arteaga, Irma & Glewwe, Paul, 2019. "Do community factors matter? An analysis of the achievement gap between indigenous and non-indigenous children in Peru," International Journal of Educational Development, Elsevier, vol. 65(C), pages 80-91.
    2. Do Thi Thuy, Thuy & Nguyen, Quang Dung & Nguyen Van, Huy & Thomas-Agnan, Christine & Trinh, Thi-Huong, 2018. "Measuring the progress of the timeliness childhood immunization compliance in Vietnam between 2006-2014: A decomposition analysis," TSE Working Papers 18-920, Toulouse School of Economics (TSE).
    3. Sharma, Hari & Smieliauskas, Fabrice, 2022. "Undernutrition inequality between Dalits and non-Dalits in Nepal – A decomposition analysis," World Development, Elsevier, vol. 159(C).
    4. Madhu Sudhan Atteraya & In Han Song & Nasser B. Ebrahim & Shreejana Gnawali & Eungi Kim & Thakur Dhakal, 2023. "Inequalities in Childhood Immunisation in South Asia," IJERPH, MDPI, vol. 20(3), pages 1-11, January.

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