A study on the effects of health insurance coverage on the vaccination status of children aged 12 to 32 months
Date
2019-12-10
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Abstract
This paper identifies the significant factors that affect maternal vaccination decision and children’s vaccination status with particular emphasis on health insurance coverage. The researchers arranged cross sectional data from 1,628 households consisting of children aged 12 to 23 months with mothers from the corresponding households in the Philippines in 2017. Multinomial logistic regression is used in order to reveal the relationship between various variables and vaccination status of the child. Stepwise analysis is used to track any significant changes in the results given additional set of parameters grouped by household characteristics, maternal information, and child information. The results demonstrated that public health insurance is positively associated with full vaccination status; and private insurance is negatively associated on the other hand. With this, public health insurance must widen their provision of vaccination
coverage to encourage the completion of all age-appropriate basic vaccines. Other striking
predictors of getting fully vaccinated are wealth index, educational attainment of the mother, and
her exposure to media. Results affirm that both health insurance coverage and maternal
characteristics have a great impact on the vaccination status of the child; thus, public and private
health care facilities must prioritize mothers with socio-economic barriers and concerns to be able
to address the vaccination coverage of children.
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Keywords
health insurance, vaccination, childhood immunization