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Gender-responsive language in the National Policy Guidelines for Immunization in Kenya and changes in prevalence of tetanus vaccination among women, 2008–09 to 2014: A mixed methods study
Women's Studies International Forum ( IF 1.5 ) Pub Date : 2021-04-20 , DOI: 10.1016/j.wsif.2021.102476
Tapati Dutta , Jon Agley , Hsien-Chang Lin , Yunyu Xiao

Global evidence suggests that maternal vaccination rates are partly related to intersectional gender-related disparities. Kenya recently eliminated maternal and neonatal tetanus, but previously had low rates of tetanus vaccination in many districts. Examining both national data and gender-responsive language in policies can potentially illuminate this progress. This study used mixed-methods approach: content analysis to identify gender-responsive language in Kenya's National Policy Guidelines for Immunization 2013, and logistic regression to analyze data from the Kenya Demographic and Health Surveys: 2008–09 (pre-policy) and 2014 (post-policy) to determine whether vaccination utilization significantly changed pre- and post-policy. Kenya's vaccine Guidelines highlighted a comprehensive life-cycle approach with several mentions of targeted immunization sensitization interventions for diverse sub-populations of women and gatekeepers. Logistic regression suggested an association between year of survey administration and prevalence of tetanus vaccination, with greater adjusted odds post policy implementation (e.g., 2014). Further in-depth research, like elite interviews, might prove valuable.



中文翻译:

《 2008年肯尼亚国家免疫政策政策与女性破伤风疫苗接种率变化中的性别敏感语言》:混合方法研究

全球证据表明,孕产妇的疫苗接种率部分与性别相关的交叉差异有关。肯尼亚最近淘汰了母婴和新生儿破伤风,但以前在许多地区破伤风疫苗接种率很低。在政策中检查国家数据和对性别敏感的语言都可能说明这一进展。这项研究采用混合方法:内容分析以识别《 2013年肯尼亚国家免疫政策指南》中对性别敏感的语言,逻辑回归分析以分析《肯尼亚人口与健康调查:2008-09年(政策前)和2014年(政策后),以确定疫苗使用率是否显着改变了政策前和政策后。肯尼亚' 《疫苗指南》强调了一种全面的生命周期方法,其中提到了针对妇女和看门人的不同亚人群的针对性免疫敏化干预措施。Logistic回归表明,调查管理年与破伤风疫苗接种率之间存在关联,政策实施后的调整赔率更高(例如,2014年)。进一步的深入研究(如精英访谈)可能会很有价值。

更新日期:2021-04-20
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