Influence of Women's Empowerment on Childhood Immunization Público

Abstract

Abstract

Influence of Women's Empowerment on Childhood Immunization

By Sara Thorpe

Objective: An estimated 1.5 million children die annually from vaccine preventable diseases, and 17% of deaths among children less than five years of age can be averted through vaccines. Predictors of immunization coverage are well-documented; yet, the risk of under-five mortality persists. Researchers are exploring the complexity of the mother-child relationship through an empowerment framework. The goal of this systematic review is to review the evidence on the relationship between women's agency (a component of empowerment) and vaccine completion among children less than age five in low, lower-middle, and upper-middle income countries.

Methods: We conducted a systematic search of peer-reviewed articles in Socindex, Pubmed, Web of Science and Women's Study International. We focused our review on measures of women's agency, specifically decision-making and freedom of movement. Our initial database search identified 406 articles and abstracts for screening; 12 studies met the final inclusion and exclusion criteria.

Results: Two thirds (67%) of studies included at least one positive association of decision-making and/or freedom of movement with immunization coverage. These relationships varied by geographic location, and the majority of the literature focused on women's decision-making. None of the included studies came from Latin America or the Middle East.

Conclusions: Despite evidence of positive relationships between women's agency, particularly the domain of decision-making, and child immunization coverage, the concept of agency was inconsistently operationalized, which could explain inconsistent findings. Additional research is needed to address the inconsistent findings that are related to the non-standardization of measures.

Table of Contents

Contents

Ch.1 Introduction...............................................p.4

1.1 Background and Rationalie.............................p.4

1.2 Problem Statement.......................................p.5

1.3 Objectives...................................................p.6

1.4 Purpose of Project.........................................p.7

Ch. 2. Literature Review......................................p.7

2.1 Literature Review..........................................p.7

(a) Figure 1. Kabeer Empowerment Framework......p.8

Ch.3 Manuscript.................................................p.24

Ch.4 Discussion, Recomendations and Conlclusion... p.51

4.1 Discussion...................................................p.51

4.2 Public Health Implications...............................p.51

4.3 Conlcusions..................................................p.56

References........................................................p.58

List of Tables and Figures (Ch.3 Manuscript)............p.60

Appendix...........................................................p.61

About this Master's Thesis

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School	Rollins School of Public Health
Department	Hubert Department of Global Health
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health
Palavra-chave	Childhood Immunization Women's Empowerment Women's Agency
Committee Chair / Thesis Advisor	Yount, Kathryn, Emory University
Partnering Agencies	Does not apply (no collaborating organization)

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