%0 Journal Article
%T Socioeconomic disparities in coverage of full immunisation among children of adolescent mothers in India, 1990每2006: a repeated cross-sectional analysis
%A Chandan Kumar
%A Lucky Singh
%A Prashant Kumar Singh
%A Rajesh Kumar Rai
%J -
%D 2016
%R 10.1136/bmjopen-2015-009768
%X Objective Studies have highlighted that children of adolescent (aged 15每19ˋyears) mothers are likely to receive relatively poor healthcare. With an unacceptably high adolescent birth rate, India houses the highest number of adolescent mothers globally, putting children at risk of inadequate vaccination. This paper assesses trends and extent of socioeconomic disparities in the coverage of full immunisation among children of adolescent mothers in India.

Design Repeated cross-sectional analytical study.

Data sources 3 consecutive rounds of the National Family Health Survey (NFHS) conducted during 1992每1993, 1998每1999 and 2005每2006 were used. Besides, the required information is also extracted from the 2011 Indian Census.

Participants Children (aged 12每23ˋmonths) of adolescent (aged 15每19ˋyears) mothers. Sample inclusion criteria involved the last child of the adolescent eligible to avail full immunisation.

Setting Nationally representative sample.

Data analysis The Cochran-Armitage test, 聿2 test and binary logistic regression methods were applied to attain the study objective.

Results Between 1990 and 2006, a non-significant increase of 4 percentage points in full immunisation of children of adolescent mothers was estimated. During the same period, a large difference between the probability of children of adolescent mothers receiving full immunisation belonging to the least (predicted probability (PP): 0.196 in 1990每1993, and PP: 0.213 in 2003每2006) and the most (PP: 0.589 in 1990每1993, and PP: 0.645 in 2003每2006) socioeconomically privileged group was estimated, and this disparity persisted over the survey period.

Conclusions During 1990每2006, an insufficient improvement in provision of full immunisation to children born to adolescent mothers was recorded. The study underscored the suboptimum immunisation of rural, illiterate and poor children of adolescent women. The programme and policymakers could focus on district-wise concentration of adolescent women, especially those belonging to the underprivileged groups, to design a targeted intervention to elevate the level of immunisation of children of adolescent mothers
%U https://bmjopen.bmj.com/content/6/8/e009768