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New Evidence on the Impact of Large-scale Conditional Cash Transfers on Child Vaccination Rates: The Case of a Clustered-Randomized Trial in Indonesia

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  • Kusuma, Dian
  • Thabrany, Hasbullah
  • Hidayat, Budi
  • McConnell, Margaret
  • Berman, Peter
  • Cohen, Jessica

Abstract

Despite recent progress, millions of children still die every year from vaccine-preventable diseases. One strategy is Conditional Cash Transfers (CCTs), which provide cash payments to poor households in exchange for compliance with health-related conditionalities including child vaccination. Using a randomized trial, we provide new evidence on the impact of large-scale CCTs on child vaccination rates in Indonesia by investigating the Program Keluarga Harapan (PKH) with a sample of over four thousand children under two years old. After two years of implementation from 2007 to 2009, difference-in-differences (DID) estimates show that PKH significantly increases child vaccination rates for all basic vaccine types by up to 30% compared to the control group means among children aged less than 12months old but PKH shows modest effects among children aged 12–23months old. There is also evidence that PKH is equity enhancing by increasing child vaccination rates for most vaccine types by up to 52% among children aged less than 12months old living with less educated mothers (below six years). All this underscores the ability of cash transfers to reach poor children for whom health systems supply-side-oriented strategies have been less successful.

Suggested Citation

  • Kusuma, Dian & Thabrany, Hasbullah & Hidayat, Budi & McConnell, Margaret & Berman, Peter & Cohen, Jessica, 2017. "New Evidence on the Impact of Large-scale Conditional Cash Transfers on Child Vaccination Rates: The Case of a Clustered-Randomized Trial in Indonesia," World Development, Elsevier, vol. 98(C), pages 497-505.
    • Handle: RePEc:eee:wdevel:v:98:y:2017:i:c:p:497-505
    DOI: 10.1016/j.worlddev.2017.05.007
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    References listed on IDEAS

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    1. Ebenezer Owusu-Addo & Ruth Cross, 2014. "The impact of conditional cash transfers on child health in low- and middle-income countries: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(4), pages 609-618, August.
    2. Kusuma, Dian & Cohen, Jessica & McConnell, Margaret & Berman, Peter, 2016. "Can cash transfers improve determinants of maternal mortality? Evidence from the household and community programs in Indonesia," Social Science & Medicine, Elsevier, vol. 163(C), pages 10-20.
    3. Adato, Michelle & Roopnaraine, Terry & Becker, Elisabeth, 2011. "Understanding use of health services in conditional cash transfer programs: Insights from qualitative research in Latin America and Turkey," Social Science & Medicine, Elsevier, vol. 72(12), pages 1921-1929, June.
    4. Grossman, Michael, 2000. "The human capital model," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 7, pages 347-408, Elsevier.
    5. Ariel Fiszbein & Norbert Schady & Francisco H.G. Ferreira & Margaret Grosh & Niall Keleher & Pedro Olinto & Emmanuel Skoufias, 2009. "Conditional Cash Transfers : Reducing Present and Future Poverty," World Bank Publications - Books, The World Bank Group, number 2597.
    6. Barham, Tania & Maluccio, John A., 2009. "Eradicating diseases: The effect of conditional cash transfers on vaccination coverage in rural Nicaragua," Journal of Health Economics, Elsevier, vol. 28(3), pages 611-621, May.
    7. Natalie Carvalho & Naveen Thacker & Subodh S Gupta & Joshua A Salomon, 2014. "More Evidence on the Impact of India's Conditional Cash Transfer Program, Janani Suraksha Yojana: Quasi-Experimental Evaluation of the Effects on Childhood Immunization and Other Reproductive and Chil," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-13, October.
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    Cited by:

    1. Barnish, Maxwell S. & Tan, Si Ying & Robinson, Sophie & Taeihagh, Araz & Melendez-Torres, G.J., 2023. "A realist synthesis to develop an explanatory model of how policy instruments impact child and maternal health outcomes," Social Science & Medicine, Elsevier, vol. 339(C).
    2. Yuliani, Efi & Nasrudin, Rus'an, 2024. "The effects of the Indonesian conditional cash transfer program on transition out of agriculture," World Development, Elsevier, vol. 173(C).
    3. Suah, Jing Lian, 2021. "Cash, and "Drops": Boosting vaccine registrations," MPRA Paper 110912, University Library of Munich, Germany.

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