Geospatial Pattern and Disparity in Immunization Coverage in India

Basant Panda , International Institute for Population Sciences (IIPS)
Gulshan Kumar, International institute for Population Sciences (IIPS)
Suyash Mishra, International Institute for Population Sciences (IIPS)
Nelson Soy, International Institute for Population Sciences (IIPA)

Despite the continued effort, India is far away from achieving universal immunization coverage. This paper found spatial pattern and disparity in full immunization coverage in districts of India. The study used of National Family Health Survey (NFHS-4) data and various spatial and statistics technique for the analysis. Around half of the children in 163 districts were deprived of full immunization. The spatial pattern identified 99 districts as hot spots whereas 111 as cold spots. Districts with lower coverage in immunization significantly linked with coverage of antenatal and postnatal care and skilled birth attendant. The existence of clusters indicates the presence of unevenness in immunization coverage and has several implications that should be addressed for better health of the population. The study found female literacy, female-headed households, antenatal and post-natal care have a significant association with full immunization coverage as well inequality in immunisation coverage in India.

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 Presented in Session 11. Health & Mortality 2