123 lines
4.1 KiB
YAML
123 lines
4.1 KiB
YAML
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abstract: 'The availability of maternity leave might remove barriers to improved
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vaccination coverage by increasing the likelihood that parents are
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available to bring a child to the clinic for immunizations. Using
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information from 20 low-and-middle-income countries (LMICs) we estimated
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the effect of paid maternity leave policies on childhood vaccination
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uptake. We used birth history data collected via Demographic and Health
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Surveys (DHS) to assemble a multilevel panel of 258,769 live births in
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20 countries from 2001 to 2008; these data were merged with longitudinal
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information on the number of full-time equivalent (FTE) weeks of paid
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maternity leave guaranteed by each country. We used Logistic regression
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models that included country and year fixed effects to estimate the
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impact of increases in FTE paid maternity leave policies in the prior
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year on the receipt of the following vaccines: Bacillus Calmette-Guerin
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(BCG) commonly given at birth, diphtheria, tetanus, and pertussis (DTP,
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3 doses) commonly given in clinic visits and Polio (3 doses) given in
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clinic visits or as part of campaigns. We found that extending the
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duration of paid maternity leave had a positive effect on immunization
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rates for all three doses of the DTP vaccine; each additional FTE week
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of paid maternity leave increased DTP1, 2 and 3 coverage by 1.38 (95\%
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CI = 1.18, 1.57), 1.62 (CI = 1.34, 1.91) and 2.17 (CI = 1.76, 2.58)
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percentage points, respectively. Estimates were robust to adjustment for
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birth characteristics, household-level covariates, attendance of skilled
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health personnel at birth and time-varying country-level covariates. We
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found no evidence for an effect of maternity leave on the probability of
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receiving vaccinations for BCG or Polio after adjustment for the
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above-mentioned covariates. Our findings were consistent with the
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hypothesis that more generous paid leave policies have the potential to
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improve DTP immunization coverage. Further work is needed to understand
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the health effects of paid leave policies in LMICs. (C) 2015 Elsevier
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Ltd. All rights reserved.'
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affiliation: 'Hajizadeh, M (Corresponding Author), Dalhousie Univ, Sch Hlth Adm, 5161
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George St,Suite 700, Halifax, NS B3J 1M7, Canada.
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Hajizadeh, Mohammad, Dalhousie Univ, Sch Hlth Adm, Halifax, NS B3J 1M7, Canada.
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Heymann, Jody, Univ Calif Los Angeles, Fielding Sch Publ Hlth, Los Angeles, CA 90024
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USA.
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Strumpf, Erin, McGill Univ, Dept Econ, Montreal, PQ H3A 2T5, Canada.
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Strumpf, Erin; Harper, Sam; Nandi, Arijit, McGill Univ, Dept Epidemiol Biostat \&
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Occupat Hlth, Montreal, PQ H3A 2T5, Canada.
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Nandi, Arijit, McGill Univ, Inst Hlth \& Social Policy, Montreal, PQ H3A 2T5, Canada.'
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author: Hajizadeh, Mohammad and Heymann, Jody and Strumpf, Erin and Harper, Sam and
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Nandi, Arijit
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author-email: m.hajizadeh@dal.ca
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author_list:
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- family: Hajizadeh
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given: Mohammad
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- family: Heymann
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given: Jody
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- family: Strumpf
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given: Erin
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- family: Harper
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given: Sam
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- family: Nandi
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given: Arijit
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da: '2023-09-28'
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doi: 10.1016/j.socscimed.2015.07.008
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files: []
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issn: 0277-9536
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journal: SOCIAL SCIENCE \& MEDICINE
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keywords: Maternity leave; Childhood vaccination; Low-and-middle-income countries
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keywords-plus: 'HEALTH-CARE USE; IMMUNIZATION COVERAGE; PARENTAL PERCEPTIONS; CHILDREN;
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WORK; DETERMINANTS; POPULATION; EMPLOYMENT; BARRIERS; PROGRAM'
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language: English
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month: SEP
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number-of-cited-references: '52'
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orcid-numbers: 'Harper, Sam/0000-0002-2767-1053
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Hajizadeh, Mohammad/0000-0002-4591-8531
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Heymann, Jody/0000-0003-0008-4198'
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pages: 104-117
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papis_id: 351a274c56fd2da1902916d36ee33ab8
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ref: Hajizadeh2015paidmaternity
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researcherid-numbers: 'Harper, Sam/A-3406-2008
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'
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times-cited: '44'
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title: 'Paid maternity leave and childhood vaccination uptake: Longitudinal evidence
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from 20 low-and-middle-income countries'
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type: Article
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unique-id: WOS:000360253600012
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usage-count-last-180-days: '0'
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usage-count-since-2013: '17'
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volume: '140'
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web-of-science-categories: 'Public, Environmental \& Occupational Health; Social Sciences,
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Biomedical'
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year: '2015'
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