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There was also a strong relationship between vaccine coverage and infant death rates (< five years of age).
It is possible that relative changes in household wealth over the study time period could have occurred, influencing the lack of association between vaccine coverage and wealth found here.
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Furthermore, since vaccine acceptance is known to be related to concerns about the safety and long-term effects of vaccines, our findings of possible associations between HPV vaccine coverage and medical history and health services utilization require further study.
We constructed a performance indicator that could quantitatively approximate measures of the susceptibility of immunisation programmes to coverage losses, with an aim to identify correlations between trends in vaccine coverage and socioeconomic factors.
Table 3 presents the results of bivariate Spearman's correlational analysis between private sector Hib vaccine coverage and state-specific socioeconomic factors.
Considerable reductions in coefficients were also observed in associations between private sector Hib vaccine coverage and other socioeconomic factors when per capita GDP was held constant.
A relationship (mathematical function) between varying degrees of vaccine coverage and efficacy in subgroup populations (not restricted to children) and the reduction of influenza transmission (i.e. reduction in probability of infection) in a larger unvaccinated population; b.
We also found a strong association between private sector Hib vaccine coverage and births in private sector heath facilities (r=0.72, p value =0.004), and number of paediatricians per 1000 children (r=0.66, p value =0.01).
Holding per capita GDP constant (see online supplementary appendix), the Spearman's partial correlational analysis found that the bivariate correlation coefficients between private sector Hib vaccine coverage and urbanisation, proportion of schedule caste population and proportion of children receiving primary vaccinations in private sector health facilities, dropped close to zero.
38 39 As the private sector Hib vaccines under analysis were primarily paid through OOP payments, 4 32 we might expect the per capita GDP to modify associations between the private sector Hib vaccine coverage and the other socioeconomic factors.
The primary objective of the study was to assess the productive efficiency of EPI for children aged 0-11 months with respect to vaccine delivery strategy - fixed and outreach - taking into account the differences between the two strategies in terms of vaccine coverage and vaccine wastage.
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