Steven Mitchell|Neil Andersson|Noor M Ansari|Khalid Omer|José Legorreta Soberanis|Anne Cockcroft
Equity and vaccine uptake: a cross-sectional study of measles vaccination in Lasbela District, Pakistan
Canadian Institute for Energy Training|Autonomous University of Guerrero|Autonomous University of Guerrero
achieving equity means increased uptake health services need poorest families continue poorest service pakistan large numbers children access vaccination measles despite national governments effort achieve universal coverage crosssectional study random sample 23 rural 9 urban communities lasbela district south pakistan explored knowledge attitudes discussion around measles vaccination several socioeconomic variables allowed examination role inequities vaccination uptake 2479 mothers provided information 4007 children aged 10 59 months mantelhaenszel stratification analysis without adjustment clustering clarified determinants measles vaccination urban rural areas high proportion mothers appropriate knowledge positive attitudes vaccination many discussed vaccination one half children aged 1059 months accessed vaccination urban areas educated mother discussing vaccinations correct knowledge vaccinations living community government vaccination facility within 5 km living houses better roofs associated vaccination uptake adjusting effect variables clustering maternal education equity factor even among good access rural areas combination roof quality access vaccination post within 5 km along discussion vaccines knowledge vaccines effect uptake stagnating rates vaccination coverage may related increasing inequities hopeful finding discussion vaccines knowledge vaccines positive effect independent negative effect inequity urban rural areas least short term strategy seems reason expect intervention increasing knowledge discussion vaccination district might increase uptake