Inequalities in child immunization coverage in Togo: an analysis of Decomposition

Abstract Background Child vaccination is recognised as a mechanism to improve child survival and health by reducing child deaths. However, there are significant inequalities in the coverage of different childhood vaccinations in both urban and rural areas. In this article, we examine the inequalities between rural and urban areas in the vaccination of children in Togo. Methods Using data from the 2017 MICS6 Survey, we examine the probability that a child aged 12–59 months will receive the required vaccinations and break down the sources of inequalities in immunisation coverage between rural and urban areas. This is done using the Oaxaca-Blinder decomposition technique, which identifies the sources and factors that explain differences in outcomes between groups. Results Analysis of the results shows that the characteristics of the child, the mother and the household influence the immunization status of the child. For example, children in rural areas are more likely to complete the required vaccinations. We find that a pro urban advantage in characteristics is observed. Conclusion There is also a need to specifically target vulnerable children in urban areas, in order to maintain the focus on women's empowerment and to pay special attention to children from poor households.