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Does Childhood Immunization Rebound after Extreme Shocks? Evidence from Floods and Strikes in Pakistan

Author

Listed:
  • Subhash Chandir
  • Rachel Glennerster
  • Maryiam Haroon
  • Edward Jee
  • Danya Arif Siddiqi

Abstract

In 2022, childhood immunization in the Sindh province of Pakistan was disrupted by the worst floods in Pakistan's history and by vaccinator strikes. We use weekly data on all vaccinations from 12 of the lowest immunization districts in Sindh, strike timing, and satellite flood data to examine 2.5-month impacts. Despite intensive catchup efforts by the government and the international community, immunizations declined 19 percent more in flooded towns than nonflooded towns postfloods, and 11,500 children missed vaccinations as result of the floods. Immunizations in strike towns were 48 percent lower than in nonstrike towns, with 15,300 lost immunizations over the entire postperiod.

Suggested Citation

  • Subhash Chandir & Rachel Glennerster & Maryiam Haroon & Edward Jee & Danya Arif Siddiqi, 2023. "Does Childhood Immunization Rebound after Extreme Shocks? Evidence from Floods and Strikes in Pakistan," AEA Papers and Proceedings, American Economic Association, vol. 113, pages 642-646, May.
    • Handle: RePEc:aea:apandp:v:113:y:2023:p:642-46
    DOI: 10.1257/pandp.20231110
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    More about this item

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J52 - Labor and Demographic Economics - - Labor-Management Relations, Trade Unions, and Collective Bargaining - - - Dispute Resolution: Strikes, Arbitration, and Mediation
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration
    • O18 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Urban, Rural, Regional, and Transportation Analysis; Housing; Infrastructure
    • Q54 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Climate; Natural Disasters and their Management; Global Warming

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