Spatial access inequities and childhood immunisation uptake in Kenya.

ABSTRACT:

Background

Poor access to immunisation services remains a major barrier to achieving equity and expanding vaccination coverage in many sub-Saharan African countries. In Kenya, the extent to which spatial access affects immunisation coverage is not well understood. The aim of this study was to quantify spatial accessibility to immunising health facilities and determine its influence on immunisation uptake in Kenya while controlling for potential confounders.

Methods

Spatial databases of immunising facilities, road network, land use and elevation were used within a cost friction algorithim to estimate the travel time to immunising health facilities. Two travel scenarios were evaluated; (1) Walking only and (2) Optimistic scenario combining walking and motorized transport. Mean

SUBMITTER: Joseph NK 

PROVIDER: S-EPMC7493983 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature