Social Dimensions of Inequalities in East Africa

Vaccination coverage

Vaccination covers the majority of the population across wealth quintiles. From Table 8 and Table 9 below, which examine BCG (a vaccine for tuberculosis) and polio-3 immunization coverage, two trends are visible. The first is that polio vaccine coverage for the poorest 20 per cent, for example, improved from between 56 per cent (Uganda) and 82 per cent (Rwanda) in the earlier surveys

to between 61 per cent (Uganda) and 97 per cent (Rwanda) more recently. Secondly, the gap in coverage between the rich and poor has closed between the earliest and more recent surveys. In Rwanda, the most recent survey shows that polio coverage was higher among the poorest 20 per cent of the population than the wealthiest 20 per cent, by six percentage points.

Table 7. Coverage of the Polio-3 vaccine by wealth status (%)

Country

Latest Survey

Previous Survey

  Richest 20% Poorest 20% Richest 20% Poorest 20%
Tanzania

90

81

88

74

Kenya

91

78

73

58

Uganda

64

61

61

56

Rwanda

91

97

83.7

82.3

Burundi

88

85

No data

No data

Source: Demographic and Health Surveys of individual East African countries, various years

Coverage of the BCG vaccine shows similar trends of both improved coverage for both the poorest and richest quintiles, as well as a closing of the coverage gap between them.

Table 8. Coverage of BCG vaccine by wealth status (%)

Country

Latest Survey

Previous Survey

  Richest 20% Poorest 20% Richest 20% Poorest 20%
Tanzania

96

96

97

87

Kenya

97

93

96

70

Uganda

96

95

88

94

Rwanda

100

99

99

96

Burundi

100

98

No data

No data

Source: Demographic and Health Surveys of individual East African countries, various years

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