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Community-based health programs and child vaccinations: Evidence from Madagascar

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  • Herrera-Almanza, Catalina
  • Rosales-Rueda, Maria F.
Abstract
Vaccinations are a cost-effective tool to prevent child mortality and morbidity; however, their access and take-up remain low in developing countries. We analyze the effects on child vaccinations of a large-scale community-based health worker program that aimed to reach remote areas distant from public health facilities in Madagascar. We identify these effects using a triple-difference design that leverages the time and geographic variation in the program rollout and the geocoded household distance to the closest health facility. Our findings indicate that, on average, the program did not improve the vaccination uptake in treated areas; however, the community health workers component had an additional effect on children’s vaccinations in the most remote areas from the closest health facility. Despite this improvement, we find that mothers’ religious affiliation might constitute a barrier for the vaccination uptake of the most remote and vulnerable children.

Suggested Citation

  • Herrera-Almanza, Catalina & Rosales-Rueda, Maria F., 2023. "Community-based health programs and child vaccinations: Evidence from Madagascar," World Development, Elsevier, vol. 170(C).
    • Handle: RePEc:eee:wdevel:v:170:y:2023:i:c:s0305750x23001407
    DOI: 10.1016/j.worlddev.2023.106322
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    1. Sara Lowes & Eduardo Montero, 2021. "The Legacy of Colonial Medicine in Central Africa," American Economic Review, American Economic Association, vol. 111(4), pages 1284-1314, April.
    2. David Stifel & Marcel Fafchamps & Bart Minten, 2011. "Taboos, Agriculture and Poverty," Journal of Development Studies, Taylor & Francis Journals, vol. 47(10), pages 1455-1481.
    3. Menon, Nidhiya & McQueeney, Kathleen, 2020. "Christianity and girl child health in India," World Development, Elsevier, vol. 136(C).
    4. Herrera-Almanza, Catalina & Rosales-Rueda, Maria F., 2020. "Reducing the Cost of Remoteness: Community-Based Health Interventions and Fertility Choices," Journal of Health Economics, Elsevier, vol. 73(C).
    5. Adrienne M. Lucas & Nicholas L. Wilson, 2018. "Can At-Scale Drug Provision Improve the Health of the Targeted in Sub-Saharan Africa?," American Journal of Health Economics, University of Chicago Press, vol. 4(3), pages 358-382, Summer.
    6. Friedman, Willa Helterline, 2018. "Antiretroviral drug access and behavior change," Journal of Development Economics, Elsevier, vol. 135(C), pages 392-411.
    7. Joseph P. Newhouse, 2021. "An Ounce of Prevention," Journal of Economic Perspectives, American Economic Association, vol. 35(2), pages 101-118, Spring.
    8. Pamela Jakiela, 2021. "Simple Diagnostics for Two-Way Fixed Effects," Department of Economics Working Papers 2021-05, Department of Economics, Williams College.
    9. Damian Clarke & Joseph P. Romano & Michael Wolf, 2020. "The Romano–Wolf multiple-hypothesis correction in Stata," Stata Journal, StataCorp LP, vol. 20(4), pages 812-843, December.
    10. Martina Björkman Nyqvist & Andrea Guariso & Jakob Svensson & David Yanagizawa-Drott, 2019. "Reducing Child Mortality in the Last Mile: Experimental Evidence on Community Health Promoters in Uganda," American Economic Journal: Applied Economics, American Economic Association, vol. 11(3), pages 155-192, July.
    11. Masia, Neal A. & Smerling, Jonathan & Kapfidze, Tendayi & Manning, Richard & Showalter, Mark, 2018. "Vaccination and GDP Growth Rates: Exploring the Links in a Conditional Convergence Framework," World Development, Elsevier, vol. 103(C), pages 88-99.
    12. Athias, Laure & Macina, Moudo, 2022. "Demand for vaccination in Sub-Saharan Africa: The vertical legacy of the slave trade," Social Science & Medicine, Elsevier, vol. 293(C).
    13. Achyuta Adhvaryu & Anant Nyshadham, 2015. "Return to Treatment in the Formal Health Care Sector: Evidence from Tanzania," American Economic Journal: Economic Policy, American Economic Association, vol. 7(3), pages 29-57, August.
    14. Andreas Olden & Jarle Møen, 2022. "The triple difference estimator [Semiparametric difference-in-differences estimators]," The Econometrics Journal, Royal Economic Society, vol. 25(3), pages 531-553.
    15. Omar Karlsson, 2019. "Religion and Child Health in West and Central Africa," Population and Development Review, The Population Council, Inc., vol. 45(4), pages 707-738, December.
    16. Lucas, Adrienne M. & Chidothe, Margaret & Wilson, Nicholas L., 2019. "Effects of adult health interventions at scale on children’s schooling: Evidence from antiretroviral therapy in Zambia," Economics of Education Review, Elsevier, vol. 72(C), pages 107-120.
    17. Tania Barham, 2012. "Enhancing Cognitive Functioning: Medium-Term Effects of a Health and Family Planning Program in Matlab," American Economic Journal: Applied Economics, American Economic Association, vol. 4(1), pages 245-273, January.
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    Cited by:

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    More about this item

    Keywords

    Vaccinations; Child health; Community health workers; Africa;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

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