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The study aims to evaluate persistent inequities in immunization coverage using the modified Tanahashi framework.

April 10, 2026Vaccine XOpen Access

Persistent immunization inequities – a review and analysis of country immunization coverage and equity assessments using the modified Tanahashi model

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Review analyzes immunization inequities in 13 countries, revealing major access and supply issues.

The study aims to evaluate persistent inequities in immunization coverage using the modified Tanahashi framework.
Secondary analysis of 11 Coverage and Equity Assessment (CEA) reports from 2021 to 2024.
Systematic coding of reports to identify patterns in immunization inequities.
Classification of codes using UNICEF's Tanahashi effective coverage model.
Access and supply barriers are the primary drivers of immunization inequities.
Demand-side challenges include socio-cultural factors like gender norms and vaccine hesitancy.
Quality issues in immunization services vary, especially between government and rural facilities.

Siddique et al. (2026) studied this question.

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