Countries with well-baby clinics integrated into the health systems had fewer vaccination coverage inequities.
Key Evidence: In a study of equity in vaccine uptake by socioeconomic group in four Nordic countries, Denmark, the country with the largest percentage point difference between the highest and lowest socio-economic groups (14%- compared to 1-4% points in the other countries) and where vaccines are administered by general practitioners, had the lowest MMR coverage among children <2 years of age (83%). Countries, where preschool children are vaccinated in ‘well-baby’ clinics, had a higher overall MMR coverage at 91-94%, with a more equal distribution between socioeconomic groups.
Key Evidence: In a review of studies from Europe and Australia, researchers found evidence that primary care models which utilize well-baby clinics had fewer gaps in vaccination coverage associated with socioeconomic inequities compared to similar countries which did not make use of these types of clinics.
From the VoICE Editors: All countries included in the review were high-income countries; the authors note potential limitations in translation of findings to low- and middle-income countries.