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The effect of vaccination on children's physical and cognitive development in the Philippines

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  • David E. Bloom
  • David Canning
  • Erica S. Shenoy

Abstract

We use data from the Cebu Longitudinal Health and Nutrition Survey (CLHNS) in the Philippines to link vaccination in the first 2 years of life with later physical and cognitive development in children. We use propensity score matching to estimate the causal effect of vaccination on child development. We find no effect of vaccination on later height or weight, but full childhood vaccination for measles, polio, Tuberculosis (TB), Diphtheria, Pertussis and Tetanus (DPT) significantly increases cognitive test scores relative to matched children who received no vaccinations. The size of the effect is large, raising test scores, on average, by about half an SD.

Suggested Citation

  • David E. Bloom & David Canning & Erica S. Shenoy, 2012. "The effect of vaccination on children's physical and cognitive development in the Philippines," Applied Economics, Taylor & Francis Journals, vol. 44(21), pages 2777-2783, July.
    • Handle: RePEc:taf:applec:v:44:y:2012:i:21:p:2777-2783
    DOI: 10.1080/00036846.2011.566203
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    Cited by:

    1. Elizabeth T Cafiero-Fonseca & Andrew Stawasz & Sydney T Johnson & Reiko Sato & David E Bloom, 2017. "The full benefits of adult pneumococcal vaccination: A systematic review," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-23, October.
    2. Das, Sumit Kumar & Mishra, Udaya S. & Das, Milan & Das, Pritilata, 2022. "Perceptions of gender norms and sex-typed cognitive abilities among Indian adolescents – A study of Andhra Pradesh and Telangana," Children and Youth Services Review, Elsevier, vol. 135(C).
    3. Aline Bütikofer & Kjell G Salvanes, 2020. "Disease Control and Inequality Reduction: Evidence from a Tuberculosis Testing and Vaccination Campaign," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 87(5), pages 2087-2125.
    4. Salvanes, Kjell G & Løken, Katrine, 2018. "Infant Health Care and Long-Term," CEPR Discussion Papers 13064, C.E.P.R. Discussion Papers.
    5. Aline Bütikofer & Katrine V. Løken & Kjell G. Salvanes, 2019. "Infant Health Care and Long-Term Outcomes," The Review of Economics and Statistics, MIT Press, vol. 101(2), pages 341-354, May.
    6. Bütikofer, Aline & Loken, Katrine Vellesen & Salvanes, Kjell G., 2015. "Long-Term Consequences of Access to Well-Child Visits," IZA Discussion Papers 9546, Institute of Labor Economics (IZA).
    7. Cansu OYMAK & Jean-François MAYSTADT, 2024. "Can refugees improve native children's health?: evidence from Turkey," JODE - Journal of Demographic Economics, Cambridge University Press, vol. 90(3), pages 521-551, September.
    8. Ozawa, Sachiko & Laing, Sarah K. & Higgins, Colleen R. & Yemeke, Tatenda T. & Park, Christine C. & Carlson, Rebecca & Ko, Young Eun & Guterman, L. Beryl & Omer, Saad B., 2022. "Educational and economic returns to cognitive ability in low- and middle-income countries: A systematic review," World Development, Elsevier, vol. 149(C).
    9. Osorio Rivas, Rene & Brito, Steve & Corbacho, Ana, 2013. "Does Birth Underregistration Reduce Childhood Immunization?: Evidence from the Dominican Republic," IDB Publications (Working Papers) 4660, Inter-American Development Bank.
    10. J. Driessen & A. Razzaque & D. Walker & D. Canning, 2015. "The effect of childhood measles vaccination on school enrolment in Matlab, Bangladesh," Applied Economics, Taylor & Francis Journals, vol. 47(55), pages 6019-6040, November.
    11. Nandi, Arindam & Summan, Amit & Ngô, Thoại D. & Bloom, David E., 2024. "Childhood vaccinations and the demand for children: Long-term evidence from India," World Development, Elsevier, vol. 182(C).
    12. Liang, Yinhe & Peng, Xiaobo & Sun, Meiping Aggie, 2025. "Long-term impacts of growth and development monitoring: Evidence from routine health examinations in early childhood," Journal of Health Economics, Elsevier, vol. 101(C).
    13. Kumar Gautam, Santosh, 2024. "The Effects of Childhood Immunization Program on Health and Education: Micro-Evidence from India," IZA Discussion Papers 17083, Institute of Labor Economics (IZA).
    14. Oskorouchi, Hamid R. & Sousa-Poza, Alfonso & Bloom, David E., 2024. "The long-term cognitive and schooling effects of childhood vaccinations in China," China Economic Review, Elsevier, vol. 88(C).
    15. Mario Cesare Nurchis & Alberto Lontano & Domenico Pascucci & Martina Sapienza & Eleonora Marziali & Francesco Castrini & Rosaria Messina & Luca Regazzi & Francesco Andrea Causio & Andrea Di Pilla & Gi, 2022. "COVID-19 Vaccination Campaign among the Health Workers of Fondazione Policlinico Universitario Agostino Gemelli IRCCS: A Cost–Benefit Analysis," IJERPH, MDPI, vol. 19(13), pages 1-10, June.
    16. Nandi, Arindam & Summan, Amit & Ngô, D. Thoai & Bloom, David E., 2022. "Childhood Vaccinations and Demographic Transition: Long-Term Evidence from India," IZA Discussion Papers 15508, Institute of Labor Economics (IZA).
    17. Yinhe Liang & Xiaobo Peng & Meiping Aggie Sun, 2024. "Long-Term Impacts of Growth and Development Monitoring: Evidence from Routine Health Examinations in Early Childhood," CESifo Working Paper Series 10912, CESifo.
    18. Pajaron, Marjorie & Latinazo, Cara T. & Trinidad, Enrico G., 2020. "The children are alright: Revisiting the impact of parental migration in the Philippines," GLO Discussion Paper Series 507, Global Labor Organization (GLO).
    19. Nandi, Arindam & Kumar, Santosh & Shet, Anita & Bloom, David E. & Laxminarayan, Ramanan, 2020. "Childhood vaccinations and adult schooling attainment: Long-term evidence from India's Universal Immunization Programme," Social Science & Medicine, Elsevier, vol. 250(C).
    20. Salvanes, Kjell G, 2018. "Disease Control and Inequality Reduction: Evidence from a Tuberculosis Testing and Vaccination Program," CEPR Discussion Papers 13061, C.E.P.R. Discussion Papers.
    21. McGovern, Mark E. & Canning, David, 2015. "Vaccination and All Cause Child Mortality 1985-2011: Global Evidence from the Demographic and Health Surveys," Working Paper 227741, Harvard University OpenScholar.
    22. Vikram, Kriti & Chindarkar, Namrata, 2020. "Bridging the gaps in cognitive achievement in India: The crucial role of the integrated child development services in early childhood," World Development, Elsevier, vol. 127(C).

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