Título
Effect of the conditional cash transfer program Oportunidades on vaccination coverage in older Mexican people
Autor
BETTY SOLEDAD MANRIQUE ESPINOZA
Aaron Salinas
Nivel de Acceso
Acceso Abierto
Materias
Resumen o descripción
Background: Immunization is one of the most effective ways of preventing illness, disability death from
infectious diseases for older people. However, worldwide immunization rates are still low, particularly for the most
vulnerable groups within the elderly population. The objective of this study was to estimate the effect of the
Oportunidades an incentive based poverty alleviation program on vaccination coverage for poor rural older
people in Mexico.
Methods: Cross sectional study, based on 2007 Oportunidades Evaluation Survey, conducted in low income
households from 741 rural communities (localities with <2,500 inhabitants) of 13 Mexican states. Vaccination
coverage was defined according to three individual vaccines: tetanus, influenza pneumococcal, for
complete vaccination schedule. Propensity score matching linear probability model were used in order to
estimate the Oportunidades effect.
Results: 12,146 older people were interviewed, 7% presented cognitive impairment. Among remaining, 4,628 were
matched. Low coverage rates were observed for the vaccines analyzed. For Oportunidades non Oportunidades
populations were 46% 41% for influenza, 52% 45% for pneumococcal disease, 79% 71% for tetanus,
respectively. Oportunidades effect was significant in increasing the proportion of older people vaccinated: for complete
schedule 5.5% (CI95% 2.8 8.3), for influenza 6.9% (CI95% 3.8 9.6), for pneumococcal 7.2% (CI95% 4.3 10.2), for tetanus
6.6% (CI95% 4.1 9.2).
Conclusions: The results of this study extend the evidence on the effect that conditional transfer programs exert on
health indicators. In particular, Oportunidades increased vaccination rates in the population of older people. There is a
need to continue raising vaccination rates, however, particularly for the most vulnerable older people.
Fecha de publicación
9 de febrero de 2018 9 de febrero de 2018 16 de agosto de 2017 2013
Tipo de publicación
Artículo
Recurso de información
http://repositorio.insp.mx:8080/jspui/handle/20.500.12096/6854
http://doi.org/DOI: 10.1186/1472-698X-13-30
siid.insp.mx:1001-1
Formato
application/pdf
application/pdf
Idioma
Español
Cobertura
Internacional
Repositorio Orígen
Repositorio Institucional Abierto de Conocimiento en Salud Pública
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