Estimating the Distribution of Morbidity and Mortality of Childhood Diarrhea, Measles, and Pneumonia by Wealth Group in Low- And Middle-Income Countries
作者： Angela Y Chang , Carlos Riumallo-Herl , Joshua A Salomon , Stephen C Resch , Logan Brenzel
DOI: 10.1186/S12916-018-1074-Y
关键词:
摘要: Equitable access to vaccines has been suggested as a priority for low- and middle-income countries (LMICs). However, it is unclear whether providing equitable enough ensure health equity. Furthermore, disaggregated data on outcomes benefits gained across population subgroups are often unavailable. This paper develops model estimate the distribution of childhood disease cases deaths socioeconomic groups, potential three vaccine programs in LMICs. For each country diseases (diarrhea, measles, pneumonia), we estimated distributions that would occur wealth quintiles absence any immunization or treatment programs, using both prevalence relative risk set prognostic factors. Building these baseline estimates, examined what might be impact (first dose pneumococcal conjugate, rotavirus vaccines), under five scenarios based different sets quintile-specific coverage utilization rates. Due higher factors among poor, disproportionately more two lowest all when Country-specific context, including how risks, coverage, currently distributed quintiles, affects policies translate into changes distribution. Our study highlights several substantially contribute unequal diseases, finds merely ensuring equal will not reduce gap quintiles. Such information can inform planning aim improve delivery healthcare services.
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