Immunization in India : An Equity-Adjusted Assessment

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dc.creatorGaudin, Sylvestre
dc.creatorYazbeck, Abdo S.
dc.date2013-06-05T18:54:05Z
dc.date2013-06-05T18:54:05Z
dc.date2006-03
dc.date.accessioned2026-07-01T01:29:43Z
dc.descriptionAn analysis of the 1992-93 National Family and Health Survey (NFHS) revealed wide differences in levels, and distribution of childhood immunization between, and within Indian states. Evidence of total system failure (no immunization for all) in some low performance areas suggested that improvements in immunization levels may come with a worsening of the distribution of immunization based on wealth. Using the latest NFHS data (1998-99), we take a new snapshot of the situation and compare it to 1992-93, focusing on heterogeneities between states, rural-urban differentials, gender differentials, and more specifically on wealth-related inequalities. In order to assess whether improvements in levels were accompanied by distributional improvements (or whether inequalities were reduced at the expense of overall achievement), we use recently developed methodology to calculate an extended achievement index that captures performance both in terms of efficiency (change in overall immunization rates) and equity (distribution by wealth quintiles) for each of the seventeen largest states. Comparing 1992-93 to 1998-99 levels using different degrees of "inequality aversion" provides no evidence that distributional improvements come at the expense of overall performance.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2006/03/6713183/immunization-india-equity-adjusted-assessment
dc.identifierhttps://hdl.handle.net/10986/13795
dc.identifierhttps://doi.org/10.1596/13795
dc.identifier.urihttp://hdl.handle.net/123456789/418602
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationHNP Discussion Paper;
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectABSOLUTE VALUE
dc.subjectCHILD HEALTH
dc.subjectCHILDHOOD
dc.subjectDEVELOPING COUNTRIES
dc.subjectDEVELOPING WORLD
dc.subjectDEVELOPMENT
dc.subjectECONOMIC DEVELOPMENT
dc.subjectECONOMICS
dc.subjectEQUALITY
dc.subjectFAMILIES
dc.subjectGENDER
dc.subjectGINI COEFFICIENT
dc.subjectHEALTH CARE
dc.subjectHEALTH POLICY
dc.subjectHEALTH SERVICES
dc.subjectHUMAN DEVELOPMENT
dc.subjectIMMUNIZATION
dc.subjectIMMUNIZATION LEVELS
dc.subjectINCOME GROUPS
dc.subjectINCREASING INEQUALITY
dc.subjectINEQUALITY AVERSION
dc.subjectINEQUALITY RESULTS
dc.subjectNEGATIVE SIGN
dc.subjectNUTRITION
dc.subjectPOLICY
dc.subjectPOLICY IMPLICATIONS
dc.subjectPOLICY MAKERS
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC SECTOR
dc.subjectREGIONAL INEQUALITIES
dc.subjectRELATIVE POSITION
dc.subjectRURAL AREAS
dc.subjectSTANDARD DEVIATION
dc.subjectURBAN AREAS
dc.subjectURBAN POPULATION
dc.subjectVACCINATION
dc.subjectVULNERABLE GROUPS
dc.subjectWEALTH DISTRIBUTION
dc.titleImmunization in India : An Equity-Adjusted Assessment

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