2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'The availability of maternity leave might remove barriers to improved
|
|
|
|
|
|
|
|
|
|
vaccination coverage by increasing the likelihood that parents are
|
|
|
|
|
|
|
|
|
|
available to bring a child to the clinic for immunizations. Using
|
|
|
|
|
|
|
|
|
|
information from 20 low-and-middle-income countries (LMICs) we estimated
|
|
|
|
|
|
|
|
|
|
the effect of paid maternity leave policies on childhood vaccination
|
|
|
|
|
|
|
|
|
|
uptake. We used birth history data collected via Demographic and Health
|
|
|
|
|
|
|
|
|
|
Surveys (DHS) to assemble a multilevel panel of 258,769 live births in
|
|
|
|
|
|
|
|
|
|
20 countries from 2001 to 2008; these data were merged with longitudinal
|
|
|
|
|
|
|
|
|
|
information on the number of full-time equivalent (FTE) weeks of paid
|
|
|
|
|
|
|
|
|
|
maternity leave guaranteed by each country. We used Logistic regression
|
|
|
|
|
|
|
|
|
|
models that included country and year fixed effects to estimate the
|
|
|
|
|
|
|
|
|
|
impact of increases in FTE paid maternity leave policies in the prior
|
|
|
|
|
|
|
|
|
|
year on the receipt of the following vaccines: Bacillus Calmette-Guerin
|
|
|
|
|
|
|
|
|
|
(BCG) commonly given at birth, diphtheria, tetanus, and pertussis (DTP,
|
|
|
|
|
|
|
|
|
|
3 doses) commonly given in clinic visits and Polio (3 doses) given in
|
|
|
|
|
|
|
|
|
|
clinic visits or as part of campaigns. We found that extending the
|
|
|
|
|
|
|
|
|
|
duration of paid maternity leave had a positive effect on immunization
|
|
|
|
|
|
|
|
|
|
rates for all three doses of the DTP vaccine; each additional FTE week
|
|
|
|
|
|
|
|
|
|
of paid maternity leave increased DTP1, 2 and 3 coverage by 1.38 (95\%
|
|
|
|
|
|
|
|
|
|
CI = 1.18, 1.57), 1.62 (CI = 1.34, 1.91) and 2.17 (CI = 1.76, 2.58)
|
|
|
|
|
|
|
|
|
|
percentage points, respectively. Estimates were robust to adjustment for
|
|
|
|
|
|
|
|
|
|
birth characteristics, household-level covariates, attendance of skilled
|
|
|
|
|
|
|
|
|
|
health personnel at birth and time-varying country-level covariates. We
|
|
|
|
|
|
|
|
|
|
found no evidence for an effect of maternity leave on the probability of
|
|
|
|
|
|
|
|
|
|
receiving vaccinations for BCG or Polio after adjustment for the
|
|
|
|
|
|
|
|
|
|
above-mentioned covariates. Our findings were consistent with the
|
|
|
|
|
|
|
|
|
|
hypothesis that more generous paid leave policies have the potential to
|
|
|
|
|
|
|
|
|
|
improve DTP immunization coverage. Further work is needed to understand
|
|
|
|
|
|
|
|
|
|
the health effects of paid leave policies in LMICs. (C) 2015 Elsevier
|
|
|
|
|
|
|
|
|
|
Ltd. All rights reserved.'
|
|
|
|
|
affiliation: 'Hajizadeh, M (Corresponding Author), Dalhousie Univ, Sch Hlth Adm, 5161
|
|
|
|
|
George St,Suite 700, Halifax, NS B3J 1M7, Canada.
|
|
|
|
|
|
|
|
|
|
Hajizadeh, Mohammad, Dalhousie Univ, Sch Hlth Adm, Halifax, NS B3J 1M7, Canada.
|
|
|
|
|
|
|
|
|
|
Heymann, Jody, Univ Calif Los Angeles, Fielding Sch Publ Hlth, Los Angeles, CA 90024
|
|
|
|
|
USA.
|
|
|
|
|
|
|
|
|
|
Strumpf, Erin, McGill Univ, Dept Econ, Montreal, PQ H3A 2T5, Canada.
|
|
|
|
|
|
|
|
|
|
Strumpf, Erin; Harper, Sam; Nandi, Arijit, McGill Univ, Dept Epidemiol Biostat \&
|
|
|
|
|
Occupat Hlth, Montreal, PQ H3A 2T5, Canada.
|
|
|
|
|
|
|
|
|
|
Nandi, Arijit, McGill Univ, Inst Hlth \& Social Policy, Montreal, PQ H3A 2T5, Canada.'
|
|
|
|
|
author: Hajizadeh, Mohammad and Heymann, Jody and Strumpf, Erin and Harper, Sam and
|
|
|
|
|
Nandi, Arijit
|
|
|
|
|
author-email: m.hajizadeh@dal.ca
|
|
|
|
|
author_list:
|
|
|
|
|
- family: Hajizadeh
|
|
|
|
|
given: Mohammad
|
|
|
|
|
- family: Heymann
|
|
|
|
|
given: Jody
|
|
|
|
|
- family: Strumpf
|
|
|
|
|
given: Erin
|
|
|
|
|
- family: Harper
|
|
|
|
|
given: Sam
|
|
|
|
|
- family: Nandi
|
|
|
|
|
given: Arijit
|
|
|
|
|
da: '2023-09-28'
|
|
|
|
|
doi: 10.1016/j.socscimed.2015.07.008
|
|
|
|
|
files: []
|
|
|
|
|
issn: 0277-9536
|
|
|
|
|
journal: SOCIAL SCIENCE \& MEDICINE
|
|
|
|
|
keywords: Maternity leave; Childhood vaccination; Low-and-middle-income countries
|
|
|
|
|
keywords-plus: 'HEALTH-CARE USE; IMMUNIZATION COVERAGE; PARENTAL PERCEPTIONS; CHILDREN;
|
|
|
|
|
|
|
|
|
|
WORK; DETERMINANTS; POPULATION; EMPLOYMENT; BARRIERS; PROGRAM'
|
|
|
|
|
language: English
|
|
|
|
|
month: SEP
|
|
|
|
|
number-of-cited-references: '52'
|
|
|
|
|
orcid-numbers: 'Harper, Sam/0000-0002-2767-1053
|
|
|
|
|
|
|
|
|
|
Hajizadeh, Mohammad/0000-0002-4591-8531
|
|
|
|
|
|
|
|
|
|
Heymann, Jody/0000-0003-0008-4198'
|
|
|
|
|
pages: 104-117
|
|
|
|
|
papis_id: 351a274c56fd2da1902916d36ee33ab8
|
|
|
|
|
ref: Hajizadeh2015paidmaternity
|
|
|
|
|
researcherid-numbers: 'Harper, Sam/A-3406-2008
|
|
|
|
|
|
|
|
|
|
'
|
|
|
|
|
times-cited: '44'
|
|
|
|
|
title: 'Paid maternity leave and childhood vaccination uptake: Longitudinal evidence
|
|
|
|
|
from 20 low-and-middle-income countries'
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000360253600012
|
|
|
|
|
usage-count-last-180-days: '0'
|
|
|
|
|
usage-count-since-2013: '17'
|
|
|
|
|
volume: '140'
|
|
|
|
|
web-of-science-categories: 'Public, Environmental \& Occupational Health; Social Sciences,
|
|
|
|
|
|
|
|
|
|
Biomedical'
|
|
|
|
|
year: '2015'
|
