Immunization Equity

Am J Prev Med. 2015 Dec;49(6 Suppl 4):S399-405. doi: 10.1016/j.amepre.2015.04.018. Epub 2015 Aug 15.


Health inequities are the unjust differences in health among different social groups. Unfortunately, inequities are the norm, both in terms of health status and access to, and use of, health services. Childhood immunizations reduce the incidence of vaccine-preventable diseases and represent a cost-effective way to foster health equity. This paper reflects a 2015 review of data from surveys conducted in developing countries from 2005 to 2011 that show significant inequities in immunization coverage and discusses several initiatives currently underway (including Gavi, the Vaccine Alliance) that are directed at increasing childhood immunizations or reducing or abolishing overall health inequities. These initiatives have already had a significant impact on disease burden and childhood mortality and give rise to optimism that health disparities may further be reduced and health equity achieved as a result of investments made in immunization.

MeSH terms

  • Child Nutrition Disorders / epidemiology
  • Child, Preschool
  • Contraception / statistics & numerical data
  • Delivery, Obstetric / statistics & numerical data
  • Developing Countries / statistics & numerical data*
  • Diphtheria-Tetanus-acellular Pertussis Vaccines / administration & dosage*
  • Global Health*
  • Health Care Surveys
  • Health Surveys
  • Healthcare Disparities / statistics & numerical data*
  • Humans
  • Infant
  • Prenatal Care / statistics & numerical data
  • Vaccination / statistics & numerical data*


  • Diphtheria-Tetanus-acellular Pertussis Vaccines