EconPapers    
Economics at your fingertips  
 

Vaccination and All Cause Child Mortality 1985-2011: Global Evidence from the Demographic and Health Surveys

Mark McGovern and David Canning ()

PGDA Working Papers from Program on the Global Demography of Aging

Abstract: Based on models with calibrated parameters for infection, case fatality rates, and vaccine efficacy, basic childhood vaccinations have been estimated to be highly cost effective. In this paper, we estimate the association of vaccination with mortality directly from survey data. Using 149 cross-sectional Demographic and Health Surveys, we determine the relationship between vaccination coverage and under five mortality at the survey cluster level. Our data include approximately one million children in 68,490 clusters in 62 countries. We consider the childhood measles, Bacille Calmette-Gu´erin (BCG), Diphtheria-PertussisTetanus (DPT), Polio, and maternal tetanus vaccinations. Using modified Poisson regression to estimate the relative risk of child mortality in each cluster, we also adjust for selection bias caused by the vaccination status of dead children not being reported. Childhood vaccination, and in particular measles and tetanus vaccination, is associated with substantial reductions in childhood mortality. We estimate that children in clusters with complete vaccination coverage have relative risk of mortality 0.73 (95% Confidence Interval: 0.68, 0.77) that of children in a cluster with no vaccination. While widely used, basic vaccines still have coverage rates well below 100% in many countries, and our results emphasize the effectiveness of increasing their coverage rates in order to reduce child mortality JEL Codes: J10, I10

Keywords: Vaccinations; Child Mortality; Missing Data; Measles; Bacille Calmette-Gu´erin; DiphtheriaPertussis-Tetanus; Polio; Tetanus (search for similar items in EconPapers)
New Economics Papers: this item is included in nep-hea
Date: 2016-10
References: View references in EconPapers View complete reference list from CitEc
Citations: Track citations by RSS feed

Downloads: (external link)
https://cdn1.sph.harvard.edu/wp-content/uploads/si ... McGovern_Canning.pdf (application/pdf)

Related works:
Working Paper: Vaccination and All Cause Child Mortality 1985-2011: Global Evidence from the Demographic and Health Surveys (2015) Downloads
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gdm:wpaper:12515

Access Statistics for this paper

More papers in PGDA Working Papers from Program on the Global Demography of Aging
Bibliographic data for series maintained by Cinzia Smothers (). This e-mail address is bad, please contact .

 
Page updated 2019-12-02
Handle: RePEc:gdm:wpaper:12515