Scenario and key determinants of immunization uptake (6–12 years) in Bodoland

The “Janani Suraksha Yojana (JSY)” is a premier initiative introduced in 2005 that was designed to improve “maternal and child health” outcomes, thereby reducing “maternal and infant mortality rates”. The “Janani Suraksha Yojana” in the “Bodoland Territorial Council” aims to enhance “maternal and child health” outcomes in a region facing unique challenges. Considering this context, the present research focuses on investigating two objectives. Initially, the immunization situation in BTC was examined, and then, the social, economic, and demographic elements impacting child immunization for those aged 6–12 years in BTC were identified. The research applies multiple correspondence analysis to create two original indices—mothers’ autonomy indices and mothers’ awareness and perception indices. Logistic regression was used to determine the key factors influencing child immunization in the previously mentioned group. The empirical analysis of the study is facilitated mainly by novel data collected through field surveys. The empirical results indicate that a “mother’s autonomy,” her awareness and perception of the program, and her educational level positively affect child immunization. In contrast, the order of birth, gender, and number of children lower the chances of a child being fully immunized. The study revealed that, to achieve universal immunization, enhancing “mothers’ autonomy” and informing them about initiatives such as the JSY is crucial. Additionally, maternal education plays a critical role, highlighting the necessity of focusing on educating mothers. This research emphasizes the constraints and potential directions for future investigations.