The Equity Impact Vaccines May Have On Averting Deaths And Medical Impoverishment In Developing Countries

Angela Chang, Carlos Riumallo-Herl, Nicole Perales, Samantha Clark, Andrew Clark, Dagna Constenla, Tini Garske, Michael Jackson, Kévin Jean (), Mark Jit, Edward Jones, Xi Li, Chutima Suraratdecha, Olivia Bullock, Hope Johnson, Logan Brenzel and Stéphane Verguet
Additional contact information
Angela Chang: Harvard T.H. Chan School of Public Health
Carlos Riumallo-Herl: Harvard T.H. Chan School of Public Health
Nicole Perales: Harvard T.H. Chan School of Public Health
Samantha Clark: University of Washington [Seattle]
Andrew Clark: LSHTM - London School of Hygiene and Tropical Medicine
Dagna Constenla: Johns Hopkins Bloomberg School of Public Health [Baltimore] - JHU - Johns Hopkins University
Tini Garske: Imperial College London
Michael Jackson: KPWHRI - Kaiser Permanente Washington Health Research Institute [Seattle]
Kévin Jean: MESuRS - Laboratoire Modélisation, épidémiologie et surveillance des risques sanitaires - CNAM - Conservatoire National des Arts et Métiers [CNAM]
Mark Jit: LSHTM - London School of Hygiene and Tropical Medicine
Edward Jones: LSHTM - London School of Hygiene and Tropical Medicine
Xi Li: Auteur indépendant
Chutima Suraratdecha: Auteur indépendant
Olivia Bullock: Gavi Alliance
Hope Johnson: Gavi Alliance
Logan Brenzel: Bill & Melinda Gates Foundation's Global Health Program - Bill & Melinda Gates Foundation [Seattle]
Stéphane Verguet: Harvard T.H. Chan School of Public Health

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Abstract: With social policies increasingly directed toward enhancing equity through health programs, it is important that methods for estimating the health and economic benefits of these programs by subpopulation be developed, to assess both equity concerns and the programs' total impact. We estimated the differential health impact (measured as the number of deaths averted) and household economic impact (measured as the number of cases of medical impoverishment averted) of ten antigens and their corresponding vaccines across income quintiles for forty-one low- and middle-income countries. Our analysis indicated that benefits across these vaccines would accrue predominantly in the lowest income quintiles. Policy makers should be informed about the large health and economic distributional impact that vaccines could have, and they should view vaccination policies as potentially important channels for improving health equity. Our results provide insight into the distribution of vaccine-preventable diseases and the health benefits associated with their prevention.

Date: 2018
Note: View the original document on HAL open archive server: https://hal.science/hal-03200172
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Published in Health Affairs, 2018, 37 (2), pp.316-324. ⟨10.1377/hlthaff.2017.0861⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-03200172

DOI: 10.1377/hlthaff.2017.0861

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