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Demand for Immunization, Parental Selection, and Child Survival: Evidence from Rural India


  • Sang-Hyop Lee



This study focuses on the estimation of demand for immunization as well as its technological effect on the survival probability of a child in rural India. Careful attention is paid to the consequences of parental selection on survival technology and demand for health inputs. The results suggest that child mortality is negatively related to the likelihood of purchasing vaccination, but imperfect vaccination substantially reduce the beneficial effect. Results also suggest that a mother who perceives her child faces a risk of higher likelihood of death compensates for their beliefs in a beneficial way. Consequently, estimations that ignore this selection underestimate the impact of immunization on child survival. Mothers also engage in complementary behavior by reinforcing investment when they choose among health inputs. Estimations that ignore the complementarity substantially overstate the impact of prenatal care and delivery care on demand for immunization. The evidence for complementarity among measured inputs also implies that there might be favorable selection between measured and unmeasured inputs, although the adverse selection seems dominant in this study. Copyright Springer Science+Business Media, Inc. 2005

Suggested Citation

  • Sang-Hyop Lee, 2005. "Demand for Immunization, Parental Selection, and Child Survival: Evidence from Rural India," Review of Economics of the Household, Springer, vol. 3(2), pages 171-196, June.
  • Handle: RePEc:kap:reveho:v:3:y:2005:i:2:p:171-196 DOI: 10.1007/s11150-005-0709-x

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    References listed on IDEAS

    1. Strauss, John & Thomas, Duncan, 1995. "Human resources: Empirical modeling of household and family decisions," Handbook of Development Economics,in: Hollis Chenery & T.N. Srinivasan (ed.), Handbook of Development Economics, edition 1, volume 3, chapter 34, pages 1883-2023 Elsevier.
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    Cited by:

    1. Anderberg, Dan & Chevalier, Arnaud & Wadsworth, Jonathan, 2011. "Anatomy of a health scare: Education, income and the MMR controversy in the UK," Journal of Health Economics, Elsevier, vol. 30(3), pages 515-530, May.
    2. Choi, Jin Young & Lee, Sang-Hyop, 2006. "Does prenatal care increase access to child immunization? Gender bias among children in India," Social Science & Medicine, Elsevier, vol. 63(1), pages 107-117, July.
    3. Satis Devkota & Christopher Butler, 2016. "Caste-ethnic disparity in vaccine use among 0- to 5-year-old children in Nepal: a decomposition analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(6), pages 693-699, July.


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