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Childhood vaccinations and adult schooling attainment: Long-term evidence from India's Universal Immunization Programme

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  • Nandi, Arindam
  • Kumar, Santosh
  • Shet, Anita
  • Bloom, David E.
  • Laxminarayan, Ramanan
Abstract
Routine childhood vaccines are among the most cost-effective life-saving interventions. In addition, vaccines have been linked with reduced stunting and improved health and other outcomes in later life. However, evidence on such long-term benefits remain inadequate. In this study, we examined the associations between the initiation and implementation of the Universal Immunization Programme (UIP) in India and schooling attainment among adults. We obtained district-level data on the rollout of the UIP in 1985–1990 and matched those with data from the National Family Health Survey of India, 2015–2016. Adults who were born in the five years before and after the rollout period (1980–1995) and always lived in the same location were included in the analysis (n=109,908). We employed household, village or city ward, district, and state fixed-effects linear regression models, which incorporated a wide range of socioeconomic and demographic indicators and community-level infrastructure, amenities, and access to healthcare. We compared schooling attainment in years among individuals who were born during or after the UIP was implemented in their districts (intervention group) with those who were born before UIP implementation (control group). In household fixed-effects analysis, intervention group adults attained 0.18 (95% confidence interval [CI]: 0.02, 0.33; p<0.05) more schooling grades as compared with control group adults from the same household. In village or city ward, district, and state fixed-effects analysis, intervention group adults attained 0.23 (95% CI: 0.13, 0.32; p<0.001), 0.29 (95% CI: 0.19, 0.38; p<0.001), and 0.25 (95% CI: 0.1, 0.39; p<0.01) additional schooling grades, respectively, compared to the control group. In subgroup analyses, positive associations between UIP implementation and schooling grades were observed among women and among rural, urban, and richer households. Our results support the association of vaccines with improved school attainment.

Suggested Citation

  • 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).
  • Handle: RePEc:eee:socmed:v:250:y:2020:i:c:s0277953620301040
    DOI: 10.1016/j.socscimed.2020.112885
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    References listed on IDEAS

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    1. Janet Currie & Tom Vogl, 2013. "Early-Life Health and Adult Circumstance in Developing Countries," Annual Review of Economics, Annual Reviews, vol. 5(1), pages 1-36, May.
    2. 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.
    3. Lin, Ming-Jen & Liu, Elaine M., 2014. "Does in utero exposure to Illness matter? The 1918 influenza epidemic in Taiwan as a natural experiment," Journal of Health Economics, Elsevier, vol. 37(C), pages 152-163.
    4. 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.
    5. Douglas Almond & Janet Currie, 2011. "Killing Me Softly: The Fetal Origins Hypothesis," Journal of Economic Perspectives, American Economic Association, vol. 25(3), pages 153-172, Summer.
    6. Canning, David & Razzaque, Abdur & Driessen, Julia & Walker, Damian G. & Streatfield, Peter Kim & Yunus, Mohammad, 2011. "The effect of maternal tetanus immunization on children's schooling attainment in Matlab, Bangladesh: Follow-up of a randomized trial," Social Science & Medicine, Elsevier, vol. 72(9), pages 1429-1436, May.
    7. Elaine Kelly, 2011. "The Scourge of Asian Flu: In utero Exposure to Pandemic Influenza and the Development of a Cohort of British Children," Journal of Human Resources, University of Wisconsin Press, vol. 46(4), pages 669-694.
    8. Seema Jayachandran & Ilyana Kuziemko, 2011. "Why Do Mothers Breastfeed Girls Less than Boys? Evidence and Implications for Child Health in India," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 126(3), pages 1485-1538.
    9. Barofsky, Jeremy & Anekwe, Tobenna D. & Chase, Claire, 2015. "Malaria eradication and economic outcomes in sub-Saharan Africa: Evidence from Uganda," Journal of Health Economics, Elsevier, vol. 44(C), pages 118-136.
    10. Deon Filmer & Lant Pritchett, 2001. "Estimating Wealth Effects Without Expenditure Data—Or Tears: An Application To Educational Enrollments In States Of India," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 115-132, February.
    11. Hoyt Bleakley, 2010. "Malaria Eradication in the Americas: A Retrospective Analysis of Childhood Exposure," American Economic Journal: Applied Economics, American Economic Association, vol. 2(2), pages 1-45, April.
    12. Santosh, Kumar, 2009. "Childhood Immunization, Mortality and Human Capital Accumulation: Micro-Evidence from India," MPRA Paper 27127, University Library of Munich, Germany.
    13. Sonia Bhalotra & Atheendar Venkataramani, 2011. "The Captain of the Men of Death and His Shadow: Long-Run Impacts of Early Life Pneumonia Exposure," The Centre for Market and Public Organisation 11/273, The Centre for Market and Public Organisation, University of Bristol, UK.
    14. Richard E. Nelson, 2010. "Testing the Fetal Origins Hypothesis in a developing country: evidence from the 1918 Influenza Pandemic," Health Economics, John Wiley & Sons, Ltd., vol. 19(10), pages 1181-1192, October.
    15. Adrienne M. Lucas, 2010. "Malaria Eradication and Educational Attainment: Evidence from Paraguay and Sri Lanka," American Economic Journal: Applied Economics, American Economic Association, vol. 2(2), pages 46-71, April.
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    1. Chuard, Caroline & Schwandt, Hannes & Becker, Alex & Haraguchi, Masahiko, 2022. "Economic vs. Epidemiological Approaches to Measuring the Human Capital Impacts of Infectious Disease Elimination," IZA Discussion Papers 15420, Institute of Labor Economics (IZA).
    2. Oskorouchi, Hamid R. & Sousa-Poza, Alfonso & Bloom, David E., 2020. "The Long-Term Cognitive and Schooling Effects of Childhood Vaccinations in China," IZA Discussion Papers 13106, Institute of Labor Economics (IZA).
    3. Gudrun Østby & Olga Shemyakina & Andreas Forø Tollefsen & Henrik Urdal & Marijke Verpoorten, 2021. "Public Health and Armed Conflict: Immunization in Times of Systemic Disruptions," Population and Development Review, The Population Council, Inc., vol. 47(4), pages 1143-1177, December.
    4. Nandi, Arindam & Haberland, Nicole & Ngo, Thoai D., 2023. "The impact of primary schooling expansion on adult educational attainment, literacy, and health: Evidence from India’s Sarva Shiksha Abhiyan," International Journal of Educational Development, Elsevier, vol. 102(C).

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