Determinants of Child Immunization in Fourless-Developed States of North India

Abstract

Four northern states of India – Bihar, Madhya Pradesh, Rajasthan and Uttar Pradesh – lag far behind the other states of the country regarding demographic transition and socio-economic development. The study described in this article shows the utilization of child immunization services in these states, utilizing data from the National Family Health Survey, India, 1992–3 (IIPS, 1995a, 1995b, 1995c) The study used multivariate logistic regression to correlate the utilization of child immunization. The results showed that children are more likely to receiveimmunization if their parents are a couple, with the father literate andthe mother with at least a middle-school-education level who received antenatal care or delivered in an institutional environment.

Keywords

antenatal care (ANC)child immunization child mortality DPT and polio maternal and child health (MCH)

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References

Bose, A. (1996) ‘Demographic Transition and Demographic Imbalance in India’, Health Transition Review 6 (Suppl.): 89–99.

Caldwell, J.C. and McDonald, P. (1981) ‘Influence of Maternal Education on Infant and Child Mortality: Levels and Causes’, Proceedings of the International Population Conference. Manila: International Union for the Scientific Study of Population.

Caldwell, J.C , Reddy P.H. and Caldwell, P. (1983) ‘The Social Component of Mortality Decline: An Investigation in South India Employing Alternative Methodologies’, Population Studies 37(2): 185–206.

Chatterjee, M. (1990) Indian Women: Their Health and Economic Productivity, World Bank Discussion Papers No.109.

Choe, M.K. , Luther, N.Y. , Pandey, A. , Sahu, D. and Chand, J. (1999) ‘Identifying Children with High Mortality Risk’, National Family Health Survey Bulletin No.12. Mumbai: International Institute for Population Sciences.

International Institute for Population Sciences (1995a) National Family Health Survey (MCH and Family Planning), India 1992–3. Bombay: IIPS.

International Institute for Population Sciences (1995b) National Family Health Survey MCH and Family Planning), Madhya Pradesh, 1992–3. Bombay: IIPS.

International Institute for Population Sciences (1995c) National Family Health Survey (MCH and Family Planning), India Summary Report, 1992–3. Bombay: IIPS.

Khan, M.E. , Prasad, C.V.S. and Quaiser, N. (1987) ‘Reasons for Under Utilization of Health Services – A Case Study of a PHC in a Tribal Area of Bihar’, Demography India 16(2): 177–195.

10.

Kishor, S. (1998) ‘Gender Differentials in Child Mortality: A Review of the Evidence’, in M. Dasgupta et al. (eds) Women’s Health in India – Risk and Vulnerability. Delhi: Oxford University Press.

11.

Mackay, D.M. (1982) ‘Primary Health Care May be Needed But is it Wanted? World Health Forum’, International Journal of Health Development 3(1).

12.

Ministry of Health and Family Welfare (1990) Family Welfare Programme in India, Year Book, 1988–9: 55–56. New Delhi: Department of Family Welfare, MOHFW.

13.

Mosley, W.H. (1983) Will Primary Health Care Reduce Infant and Child Mortality? A Critique of Current Strategies with Special Reference to Africa and Asia, paper to the Seminar on Social Policy, Health Policy and Mortality Prospects, 28 February–4 March. Paris: International Union for the Scientific Study of Population.

14.

Rajaram, S. (2000) ‘Fertility and Child Mortality In India: A District Level Analysis Using Simultaneous Equation’, Demography India 29(1): 53–74.

15.

Registrar General India (1995) Sample Registration Bulletin 29(2).

16.

Sullivan, J.M. , Rutstein, S.O. and Bicego, G.T. (1994) Infant and Child Mortality, DHS Comparative Studies, No. 15. Calverton, MD: Macro International Inc.

17.

UNICEF (1990) Development Goals and Strategies for Children in the 1990s. New York: UNICEF.