The influence of gender on immunisation: Using an ecological framework to examine intersecting inequities and pathways to change

Marta Feletto, Alyssa Sharkey

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

There is still a substantial knowledge gap on how gender mediates child health in general, and child immunisation outcomes in particular. Similarly, implementation of interventions to mitigate gender inequities that hinder children from being vaccinated requires additional perspectives and research. We adopt an intersectional approach to gender and delve into the social ecology of implementation, to show how gender inequities and their connection with immunisation are grounded in the interplay between individual, household, community and system factors. We show how an ecological model can be used as an overarching framework to support more precise identification of the mechanisms causing gender inequity and their structural complexity, to identify suitable change agents and interventions that target the underlying causes of marginalisation, and to ensure outcomes are relevant within specific population groups.

Original languageEnglish (US)
Article numbere001711
JournalBMJ Global Health
Volume4
Issue number5
DOIs
StatePublished - Sep 1 2019
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health
  • Health Policy

Keywords

  • health systems
  • immunisation
  • public health

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