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Immunisation coverage in Lusaka, Zambia; implications of the social setting

Published online by Cambridge University Press:  31 July 2008

Vijayan K. Pillai  and
Mark Conaway
Vijayan K. Pillai
Affiliation:
Department of Sociology and Social Work, University of North Texas, Denton
Mark Conaway
Affiliation:
Department of Family and Community Medicine, Duke University, Durham, NC, USA
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Summary

This paper develops a conceptual framework for examining the process of immunisation and explores the sociodemographic determinants of vaccination in Zambia. About 300 mothers with children under 3 years of age were interviewed in urban Lusaka. The analyses suggest that sociostructural, as well as cultural, processes influence the attrition process and immunisation programmes should focus on the uniqueness of each stage. In addition, programmes to improve women's education and to reduce male gender preferences are needed.

Information

Type
Research Article
Information
Journal of Biosocial Science , Volume 24 , Issue 2 , April 1992 , pp. 201 - 210
Copyright
Copyright © Cambridge University Press 1992

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References

Aldrich, J. & Nelson, R. (1984) Linear Probability, Logit, and Probit Models. Sage, Beverly Hills, California.CrossRefGoogle Scholar
Andersen, R. & Benham, L. (1970) Factors affecting the relationship between family income and medical care consumption. In: Empirical Studies in Health Economics. Edited by Klarman, H. E.. Johns Hopkins University Press, Baltimore, Maryland.Google Scholar
Bertran, M. & Reid, R. S. (1985) The national immunization campaign. Assign. Child. 69/72, 265.Google Scholar
Bhattacharya, B. N, Srivastava, V. K. & Lamba, I. M. S. (1980) Some sex differentials of infant mortality in rural areas. J. fam. Welf. 27, 27.Google Scholar
Bice, T. W. & White, K. L. (1969) Factors related to use of health services: an internationalc omparative study. Med. Care, 7, 124.CrossRefGoogle Scholar
Brown, J., Djogdom, P., Murphy, K., Kesseng, G. & Heymann, D. (1982) Identifying the reasons for low immunization coverage: a case study of Yaounde, United Republic of Cameroon. Rev. D'epid. San. Publiq. 30, 35.Google ScholarPubMed
Caldwell, J. C. & Caldwell, P. (1987) The cultural context of high fertility in sub-Saharan Africa. Popul. Dev. Rev. 13, 150.CrossRefGoogle Scholar
Cochrane, S. (1979) Fertility and Education: What Do We Really Know. Johns Hopkins University Press, Baltimore, Maryland.Google Scholar
De Quadros, C. A. (1983) Immunization: an essential component of primary health care. Chronicles, 3, 7.Google Scholar
Dick, B. (1985) Issues in Immunisation in Developing Countries: An Overview. Evaluation and Planning Centre for Health Care, London School of Hygiene and Tropical Medicine.Google Scholar
Eckholm, E. (1977) The Picture of Health: Environmental Sources of Health. Norton, New York.Google Scholar
Eve, S. B. (1988) A longitudinal study of use of health care services among older women. Geront. med. Sci. 43, 31.CrossRefGoogle ScholarPubMed
Fienberg, S. (1980) The Analysis of Cross Classified Categorical Data. MIT Press, Cambridge, Massachusetts.Google Scholar
Grant, J. P. (1986) The State of the World's Children. Oxford University Press, Oxford.Google Scholar
Grant, J. P. (1988) The State of the World's Children. Oxford University Press, Oxford.Google Scholar
Hobcraft, J. N., Mcdonald, J. W. & Rutstein, S. O. (1984) Socio-economic factors in infant and child mortality: a cross national comparison. Popul. Stud. 38, 193.CrossRefGoogle ScholarPubMed
Horowitz, S., Morgenster, H. & Berkman, L. (1985) The use of pediatric medical care: a critical review. J. chron. Dis. 38, 935.CrossRefGoogle Scholar
Joseph, S. C. (1985) Toward universal child immunisation: lessons learned and questions raised since the 1984 Bellagio Conference. Assig. Child. 69/72, 71.Google Scholar
Kegeles, S. S. (1985) Education for breast self examination—why, who, what, and how. Prev. Med. 14, 702.CrossRefGoogle Scholar
Knodel, J. & Hermalin, A. I. (1984) The effects of birth rank; maternal age, birth interval and sibship size on infant and child mortality; evidence from 18th and 19th century reproductive histories. Am. J. publ. tilth, 74, 1098.CrossRefGoogle ScholarPubMed
Learmonth, A. (1988) Disease Ecology: An Introduction to Ecological Medical Geography. Blackwell, New York.Google Scholar
Markides, K., Levin, J. S., 7 Ray, L. A. (1985) Determinants of physical utilisation among Mexican Americans: a three generation study. Med. Care, 21, 143.Google Scholar
Miller, B. D. (1981) The Endangered Sex: Neglect of Female Children in Rural North India. Cornell University Press, Ithaca.Google Scholar
Nichter, M. (1984) Project community diagnosis: participatory research as a first step toward community involvement on primary health care. Social Sci. Med. 19, 237.CrossRefGoogle ScholarPubMed
Polgar, S. (1963) Health action in cross cultural perspective. In: Handbook of Medical Sociology. Edited by Freeman, H. E., Levine, S. & Reeder, L. G.. Prentice Hall, New Jersey.Google Scholar
Roy, N. L., Mishra, B. & Sharma, V. (1988) Immunisation knowledge of acceptors and practice of family planning. J. fam. Welf. 35, 13.Google Scholar
Sathar, Z. A. (1987) Sex differentials in mortality: a corollary of son preference. Pak. Dev. Rev. 24, 555.CrossRefGoogle Scholar
Shattock, F. M. (1976) Workload vs community good: the concept of the protected child. Emir. Child Hlth, 22, 179.Google Scholar
Srivastava, J. N. (1988) Immunisation of children and its correlates in rural Madhya Pradesh. J. fam. Welf. 35, 22.Google Scholar
Ulin, P. R. & Ulin, R. O. (1981) The use and non use of preventive health services in a southern African village. Int. J. Hlth Educ. 24, 45.Google Scholar
Wolfe, B. (1980) Children's utilisation of medical care. Med. Care, 18, 1196.CrossRefGoogle ScholarPubMed
World Health Organization (1985) Estimated Immunisation Coverage with BCG, DPT, Poliomyelitis, Measles and Tetanus Vaccines. WHO, Geneva.Google Scholar
Xie, Y. U. (1989) Measuring regional variations in sex preference in China: a cautionary note. Social Sci. Res. 8, 305.Google Scholar
Zukin, S. (1990) Socio-spatial prototypes of a new organisation of consumption. Sociology, 24, 37.CrossRefGoogle Scholar