IDEAS home Printed from https://ideas.repec.org/a/bla/popdev/v27y2001i2p283-302.html
   My bibliography  Save this article

Health Interventions and Health Equity: The Example of Measles Vaccination in Bangladesh

Author

Listed:
  • Michael A. Koenig
  • David Bishai
  • Mehrab Ali Khan

Abstract

Although the existence of socioeconomic differentials in infant and childhood mortality in developing countries is well established. little consensus exists as to the most effective approaches to reducing such differentials. This article utilizes longitudinal data from the Matlab study area in rural Bangladesh to investigate the impact of an efficacious child survival intervention—measles vaccination—on reductions in gender and socioeconomic differentials in childhood mortality. The article analyzes data from 16,270 vaccinated children and randomly matched controls, and evaluates their subsequent mortality risks. Proportional hazards analysis demonstrates that unvaccinated children from very poor families face more than a threefold higher risk of subsequent early child mortality, compared to vaccinated children from families of high economic status. While measles vaccination has little impact on mortality risks among children of higher economic status, the improvement in survival among children from poorer households is pronounced. The provision of measles vaccination markedly reduces mortality risks for poorer children—from over three times higher to just over 1.5 times higher relative to vaccinated children from wealthier families. The findings of this study are evaluated in terms of the potential of child survival interventions such as measles vaccination to promote greater health equity.

Suggested Citation

  • Michael A. Koenig & David Bishai & Mehrab Ali Khan, 2001. "Health Interventions and Health Equity: The Example of Measles Vaccination in Bangladesh," Population and Development Review, The Population Council, Inc., vol. 27(2), pages 283-302, June.
  • Handle: RePEc:bla:popdev:v:27:y:2001:i:2:p:283-302
    DOI: 10.1111/j.1728-4457.2001.00283.x
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/j.1728-4457.2001.00283.x
    Download Restriction: no

    File URL: https://libkey.io/10.1111/j.1728-4457.2001.00283.x?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Wagstaff, Adam & Nga Nguyet Nguyen, 2002. "Poverty and survival prospects of Vietnamese children under Doi Moi," Policy Research Working Paper Series 2832, The World Bank.
    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. Deuchert, Eva & Wunsch, Conny, 2010. "Evaluating Nationwide Health Interventions When Standard Before-After Doesn't Work: Malawi's ITN Distribution Program," IZA Discussion Papers 4896, Institute of Labor Economics (IZA).
    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. 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.
    6. Trudy Harpham & Sharon Huttly & Ian Wilson & Thea De Wet, 2003. "Linking public issues with private troubles: panel studies in developing countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(3), pages 353-363.
    7. McGovern, Mark E. & Canning, David, 2015. "Vaccination and All Cause Child Mortality 1985-2011: Global Evidence from the Demographic and Health Surveys," Working Paper 227741, Harvard University OpenScholar.
    8. Naushin Mahmood & Saima Bashir, 2012. "Applying an Equity Lens to Maternal Health Care Practices in Pakistan," PIDE-Working Papers 2012:83, Pakistan Institute of Development Economics.
    9. Adam Wagstaff & Naoko Watanabe, 2003. "What difference does the choice of SES make in health inequality measurement?," Health Economics, John Wiley & Sons, Ltd., vol. 12(10), pages 885-890, October.
    10. Yusuf, Shahid & Nabeshima, Kaoru & Wei Ha, 2007. "What makes cities healthy ?," Policy Research Working Paper Series 4107, The World Bank.
    11. Osorio Rivas, Rene & Brito, Steve & Corbacho, Ana, 2013. "Does Birth Underregistration Reduce Childhood Immunization?: Evidence from the Dominican Republic," IDB Publications (Working Papers) 4660, Inter-American Development Bank.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:popdev:v:27:y:2001:i:2:p:283-302. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www.blackwellpublishing.com/journal.asp?ref=0098-7921 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.