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The impact of early-life access to oral polio vaccines on disability: evidence from India

Author

Listed:
  • Mayanka Ambade

    (Indian Institute of Technology)

  • Nidhiya Menon

    (Brandeis University)

  • S. V. Subramanian

    (Harvard T. H. Chan School of Public Health)

Abstract

We evaluate the impact of oral polio vaccines on the incidence of all disabilities (locomotor, hearing, visual, speech, and mental) in India, focusing on polio-related disability, which constitutes the largest fraction of locomotor disabilities. Polio was hyperendemic in India even as recently as the early 1990s, but the country was declared wild polio virus-free in 2014. Intent-to-treat effects from difference-in-differences with multiple time period models that condition on demographic and socio-economic characteristics reveal that access to oral polio vaccines in the year of birth reduced the incidence of any disability, locomotor disability, and polio-related disability by 20.5%, 11.6%, and 7.2%, respectively, signaling substantial gains. Impacts on any disability underline that polio vaccines had positive spillover effects on other disability categories as well. The eradication of polio in India, while relatively late, brought significant health benefits and is a notable health economics success story in a developing context.

Suggested Citation

  • Mayanka Ambade & Nidhiya Menon & S. V. Subramanian, 2024. "The impact of early-life access to oral polio vaccines on disability: evidence from India," Journal of Population Economics, Springer;European Society for Population Economics, vol. 37(1), pages 1-25, March.
  • Handle: RePEc:spr:jopoec:v:37:y:2024:i:1:d:10.1007_s00148-024-01006-x
    DOI: 10.1007/s00148-024-01006-x
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    More about this item

    Keywords

    Polio; Locomotor; Disability; Acute flaccid paralysis; Oral polio vaccines; Early-life; Childhood; Difference-in-differences with multiple time period models;
    All these keywords.

    JEL classification:

    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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