IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v139y2015icp115-122.html
   My bibliography  Save this article

Comparing the health and social protection effects of measles vaccination strategies in Ethiopia: An extended cost-effectiveness analysis

Author

Listed:
  • Driessen, Julia
  • Olson, Zachary D.
  • Jamison, Dean T.
  • Verguet, Stéphane

Abstract

Vaccination coverage rates often mask wide variation in access, uptake, and cost of providing vaccination. Financial incentives have been effective at creating demand for social services in a variety of settings. Using methods of extended cost-effectiveness analysis, we compare the health and economic implications of three different vaccine delivery strategies for measles vaccination in Ethiopia: i) routine immunization, ii) routine immunization with financial incentives, and iii) mass campaigns, known as supplemental immunization activities (SIAs). We examine annual birth cohorts of almost 3,000,000 births over a ten year period, exploring variation in these outcomes based on economic status to understand how various options may improve equity. SIAs naturally achieve higher levels of vaccine coverage, but at higher costs. Routine immunization combined with financial incentives bolsters demand among more economically vulnerable households. The relative appeal of routine immunization with financial incentives and SIAs will depend on the policy environment, including short-term financial limitations, time horizons, and the types of outcomes that are desired. While the impact of financial incentives has been more thoroughly studied in other policy arenas, such as education, consideration of this approach alongside standard vaccination models such as SIAs is timely given the dialog around measles eradication.

Suggested Citation

  • Driessen, Julia & Olson, Zachary D. & Jamison, Dean T. & Verguet, Stéphane, 2015. "Comparing the health and social protection effects of measles vaccination strategies in Ethiopia: An extended cost-effectiveness analysis," Social Science & Medicine, Elsevier, vol. 139(C), pages 115-122.
    • Handle: RePEc:eee:socmed:v:139:y:2015:i:c:p:115-122
    DOI: 10.1016/j.socscimed.2015.06.018
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953615003500
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2015.06.018?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Salem, A B Z & Mount, T D, 1974. "A Convenient Descriptive Model of Income Distribution: The Gamma Density," Econometrica, Econometric Society, vol. 42(6), pages 1115-1127, November.
    2. Handa, Sudhanshu & Davis, Benjamin, 2006. "The experience of conditional cash transfers in Latin America and the Caribbean," ESA Working Papers 289060, Food and Agriculture Organization of the United Nations, Agricultural Development Economics Division (ESA).
    3. Viscusi, W Kip & Aldy, Joseph E, 2003. "The Value of a Statistical Life: A Critical Review of Market Estimates throughout the World," Journal of Risk and Uncertainty, Springer, vol. 27(1), pages 5-76, August.
    4. David E. Bloom & David Canning & Mark Weston, 2005. "The Value of Vaccination," World Economics, World Economics, 1 Ivory Square, Plantation Wharf, London, United Kingdom, SW11 3UE, vol. 6(3), pages 15-39, July.
    5. Xie, Jipan & Dow, William H., 2005. "Longitudinal study of child immunization determinants in China," Social Science & Medicine, Elsevier, vol. 61(3), pages 601-611, August.
    6. Stéphane Verguet & Ramanan Laxminarayan & Dean T. Jamison, 2015. "Universal Public Finance of Tuberculosis Treatment in India: An Extended Cost‐Effectiveness Analysis," Health Economics, John Wiley & Sons, Ltd., vol. 24(3), pages 318-332, March.
    7. Vijayaraghavan, Maya & Martin, Rebecca M. & Sangrujee, Nalinee & Kimani, Geoffrey N. & Oyombe, Sammy & Kalu, Akpaka & Runyago, Alfred & Wanjau, George & Cairns, Lisa & Muchiri, Steven N., 2007. "Measles supplemental immunization activities improve measles vaccine coverage and equity: Evidence from Kenya, 2002," Health Policy, Elsevier, vol. 83(1), pages 27-36, September.
    8. Sudhanshu Handa & Benjamin Davis, 2006. "The Experience of Conditional Cash Transfers in Latin America and the Caribbean," Development Policy Review, Overseas Development Institute, vol. 24(5), pages 513-536, September.
    9. Margaret Grosh & Carlo del Ninno & Emil Tesliuc & Azedine Ouerghi, 2008. "For Protection and Promotion : The Design and Implementation of Effective Safety Nets," World Bank Publications - Books, The World Bank Group, number 6582, December.
    10. Carol Y. Lin, 2008. "Modeling Infectious Diseases in Humans and Animals by KEELING, M. J. and ROHANI, P," Biometrics, The International Biometric Society, vol. 64(3), pages 993-993, September.
    11. Barham, Tania & Maluccio, John A., 2009. "Eradicating diseases: The effect of conditional cash transfers on vaccination coverage in rural Nicaragua," Journal of Health Economics, Elsevier, vol. 28(3), pages 611-621, May.
    12. repec:reg:rpubli:282 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. James Love-Koh & Susan Griffin & Edward Kataika & Paul Revill & Sibusiso Sibandze & Simon Walker, 2019. "Incorporating concerns for equity into health resource allocation. A guide for practitioners," Working Papers 160cherp, Centre for Health Economics, University of York.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Martin Persson, U. & Alpízar, Francisco, 2013. "Conditional Cash Transfers and Payments for Environmental Services—A Conceptual Framework for Explaining and Judging Differences in Outcomes," World Development, Elsevier, vol. 43(C), pages 124-137.
    2. Gentilini, Ugo & Omamo, Steven Were, 2011. "Social protection 2.0: Exploring issues, evidence and debates in a globalizing world," Food Policy, Elsevier, vol. 36(3), pages 329-340, June.
    3. Rodríguez, Luis C. & Pascual, Unai & Muradian, Roldan & Pazmino, Nathalie & Whitten, Stuart, 2011. "Towards a unified scheme for environmental and social protection: Learning from PES and CCT experiences in developing countries," Ecological Economics, Elsevier, vol. 70(11), pages 2163-2174, September.
    4. Scarlato, Margherita & D'Agostino, Giorgio, 2016. "The political economy of cash transfers: a comparative analysis of Latin American and sub-Saharan African experiences," IDOS Discussion Papers 6/2016, German Institute of Development and Sustainability (IDOS).
    5. Han, Huawei & Gao, Qin, 2019. "Community-based welfare targeting and political elite capture: Evidence from rural China," World Development, Elsevier, vol. 115(C), pages 145-159.
    6. Viviane Azevedo & Marcos Robles, 2013. "Multidimensional Targeting: Identifying Beneficiaries of Conditional Cash Transfer Programs," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 112(2), pages 447-475, June.
    7. Mavis Dako-Gyeke & Razak Oduro, 2013. "Effects of Household Size on Cash Transfer Utilization for Orphans and Vulnerable Children in Rural Ghana," Academic Journal of Interdisciplinary Studies, Richtmann Publishing Ltd, vol. 2, March.
    8. Tatiana Britto, 2008. "Los Desafíos del Programa de Transferencias Monetarias Condicionadas en El Salvador, Red Solidaria," Research Report Spanish (Country Study) 9, International Policy Centre for Inclusive Growth.
    9. Chandralekha Ghosh & Rimita Hom Chaudhury, 2019. "Gender Gap in case of Financial Inclusion: An Empirical Analysis in Indian Context," Economics Bulletin, AccessEcon, vol. 39(4), pages 2615-2630.
    10. Victoria Menil, 2015. "Missed Opportunities in Global Health: Identifying New Strategies to Improve Mental Health in LMICs," Working Papers id:7987, eSocialSciences.
    11. Handa, Sudhanshu & Peterman, Amber & Davis, Benjamin & Stampini, Marco, 2009. "Opening Up Pandora's Box: The Effect of Gender Targeting and Conditionality on Household Spending Behavior in Mexico's Progresa Program," World Development, Elsevier, vol. 37(6), pages 1129-1142, June.
    12. Stephan Klasen & Simon Lange, 2015. "Targeting Performance and Poverty Effects of Proxy Means-Tested Transfers: Trade-offs and Challenges," Ibero America Institute for Econ. Research (IAI) Discussion Papers 231, Ibero-America Institute for Economic Research.
    13. Atul MEHTA & Joysankar BHATTACHARYA, 2019. "What discriminates the welfare outcomes of children in India. A multiple discriminant analysis in selected states," Theoretical and Applied Economics, Asociatia Generala a Economistilor din Romania - AGER, vol. 0(2(619), S), pages 261-276, Summer.
    14. Freire, Debora & Domingues, Edson & Britto, Gustavo, 2018. "Structural impacts of a cash transfer program: an application of a SAM based CGE model for Brazil," Conference papers 332987, Purdue University, Center for Global Trade Analysis, Global Trade Analysis Project.
    15. David E. Bloom & Michael Kuhn & Klaus Prettner, 2022. "Modern Infectious Diseases: Macroeconomic Impacts and Policy Responses," Journal of Economic Literature, American Economic Association, vol. 60(1), pages 85-131, March.
    16. Yi, Fujin & Sun, Dingqiang, 2014. "Grain Subsidy, Liquidity Constraints and Food security—Impact of the Grain Subsidy Program on the Grain-Sown Areas in China," 2014 Annual Meeting, July 27-29, 2014, Minneapolis, Minnesota 169779, Agricultural and Applied Economics Association.
    17. Dee, Thomas S., 2011. "Conditional cash penalties in education: Evidence from the Learnfare experiment," Economics of Education Review, Elsevier, vol. 30(5), pages 924-937, October.
    18. Durr-E-Nayab & Shujaat Farooq, 2014. "Effectiveness of Cash Transfer Programmes for Household Welfare in Pakistan: The Case of the Benazir Income Support Programme," The Pakistan Development Review, Pakistan Institute of Development Economics, vol. 53(2), pages 145-174.
    19. Kitaura, Koji & Miyazawa, Kazutoshi, 2021. "Inequality and conditionality in cash transfers: Demographic transition and economic development," Economic Modelling, Elsevier, vol. 94(C), pages 276-287.
    20. Bauchet, Jonathan & Undurraga, Eduardo A. & Reyes-García, Victoria & Behrman, Jere R. & Godoy, Ricardo A., 2018. "Conditional cash transfers for primary education: Which children are left out?," World Development, Elsevier, vol. 105(C), pages 1-12.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:139:y:2015:i:c:p:115-122. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.