IDEAS home Printed from https://ideas.repec.org/p/iza/izadps/dp17083.html
   My bibliography  Save this paper

The Effects of Childhood Immunization Program on Health and Education: Micro-Evidence from India

Author

Listed:
  • Kumar, Santosh

    (University of Notre Dame)

Abstract

Exploiting cohort and spatial variation in the exposure to the "Universal Immunization Program", I estimate the program's effects on child mortality and educational attainment in India. Results show that exposure to the program reduced infant mortality by 0.4 percentage points and under-five child mortality by 0.5 percentage points. While the program clearly reduced mortality, it had mixed effects on children's educational outcomes due to changes in the composition of children in the population. I find it had a negative impact on primary school completion, but a positive impact on secondary school completion. The negative effect at low levels of schooling may be due to lower average health among marginal surviving children or a quantity-quality trade-off where the unanticipated survival of children induces families to under-invest in each child. The greater propensity to complete secondary school on the other hand may be due to improved health among children who are farther away from the margin of survival.

Suggested Citation

  • Kumar, Santosh, 2024. "The Effects of Childhood Immunization Program on Health and Education: Micro-Evidence from India," IZA Discussion Papers 17083, Institute of Labor Economics (IZA).
  • Handle: RePEc:iza:izadps:dp17083
    as

    Download full text from publisher

    File URL: https://docs.iza.org/dp17083.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. Jonathan Gruber & Phillip Levine & Douglas Staiger, 1999. "Abortion Legalization and Child Living Circumstances: Who is the "Marginal Child"?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 114(1), pages 263-291.
    4. Edward Miguel & Michael Kremer, 2004. "Worms: Identifying Impacts on Education and Health in the Presence of Treatment Externalities," Econometrica, Econometric Society, vol. 72(1), pages 159-217, January.
    5. Joshua D. Angrist & Victor Lavy, 1999. "Using Maimonides' Rule to Estimate the Effect of Class Size on Scholastic Achievement," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 114(2), pages 533-575.
    6. Owen Ozier, 2018. "Exploiting Externalities to Estimate the Long-Term Effects of Early Childhood Deworming," American Economic Journal: Applied Economics, American Economic Association, vol. 10(3), pages 235-262, July.
    7. Tomas J. Philipson & William H. Dow & Xavier Sala-i-Martin, 1999. "Longevity Complementarities under Competing Risks," American Economic Review, American Economic Association, vol. 89(5), pages 1358-1371, December.
    8. Oster, Emily, 2009. "Does increased access increase equality? Gender and child health investments in India," Journal of Development Economics, Elsevier, vol. 89(1), pages 62-76, May.
    9. Hoyt Bleakley, 2010. "Malaria Eradication in the Americas: A Retrospective Analysis of Childhood Exposure," American Economic Journal: Applied Economics, American Economic Association, vol. 2(2), pages 1-45, April.
    10. Sun, Liyang & Abraham, Sarah, 2021. "Estimating dynamic treatment effects in event studies with heterogeneous treatment effects," Journal of Econometrics, Elsevier, vol. 225(2), pages 175-199.
    11. Leonid Azarnert, 2006. "Child mortality, fertility, and human capital accumulation," Journal of Population Economics, Springer;European Society for Population Economics, vol. 19(2), pages 285-297, June.
    12. Randall Olsen, 1980. "Estimating the effect of child mortality on the number of births," Demography, Springer;Population Association of America (PAA), vol. 17(4), pages 429-443, November.
    13. Seema Jayachandran & Adriana Lleras-Muney, 2009. "Life Expectancy and Human Capital Investments: Evidence from Maternal Mortality Declines," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(1), pages 349-397.
    14. Alberto Palloni & Hantamala Rafalimanana, 1999. "The effects of infant mortality on fertility revisited: new evidence from latin america," Demography, Springer;Population Association of America (PAA), vol. 36(1), pages 41-58, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Santosh, Kumar, 2009. "Childhood Immunization, Mortality and Human Capital Accumulation: Micro-Evidence from India," MPRA Paper 27127, University Library of Munich, Germany.
    2. Sonia Bhalotra & Thomas Pogge, 2012. "Ethical and Economic Perspectives on Global Health Interventions," The Centre for Market and Public Organisation 12/286, The Centre for Market and Public Organisation, University of Bristol, UK.
    3. Janet Currie & Tom Vogl, 2013. "Early-Life Health and Adult Circumstance in Developing Countries," Annual Review of Economics, Annual Reviews, vol. 5(1), pages 1-36, May.
    4. Peter Hull & Michal Kolesár & Christopher Walters, 2022. "Labor by design: contributions of David Card, Joshua Angrist, and Guido Imbens," Scandinavian Journal of Economics, Wiley Blackwell, vol. 124(3), pages 603-645, July.
    5. Anett John & Kate Orkin, 2022. "Can Simple Psychological Interventions Increase Preventive Health Investment?," Journal of the European Economic Association, European Economic Association, vol. 20(3), pages 1001-1047.
    6. Nandi, Arindam & Kumar, Santosh & Shet, Anita & Bloom, David E. & Laxminarayan, Ramanan, 2020. "Childhood vaccinations and adult schooling attainment: Long-term evidence from India's Universal Immunization Programme," Social Science & Medicine, Elsevier, vol. 250(C).
    7. 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.
    8. Leonid V. Azarnert, 2009. "Abortion And Human Capital Accumulation: A Contribution To The Understanding Of The Gender Gap In Education," Scottish Journal of Political Economy, Scottish Economic Society, vol. 56(5), pages 559-579, November.
    9. Rossi, Pauline & Villar, Paola, 2020. "Private health investments under competing risks: Evidence from malaria control in Senegal," Journal of Health Economics, Elsevier, vol. 73(C).
    10. Chen, Simiao & Kuhn, Michael & Prettner, Klaus & Bloom, David E. & Wang, Chen, 2021. "Macro-level efficiency of health expenditure: Estimates for 15 major economies," Social Science & Medicine, Elsevier, vol. 287(C).
    11. Maria Kuecken & Josselin Thuilliez & Marie-Anne Valfort, 2013. "Large-scale health interventions and education: Evidence from Roll Back Malaria in Africa," Documents de travail du Centre d'Economie de la Sorbonne 13075r, Université Panthéon-Sorbonne (Paris 1), Centre d'Economie de la Sorbonne, revised Jun 2015.
    12. Bloom, David E. & Kuhn, Michael & Prettner, Klaus, 2018. "Health and Economic Growth," IZA Discussion Papers 11939, Institute of Labor Economics (IZA).
    13. Aparajita Dasgupta & Anisha Sharma, 2024. "How does a ban on sex‐selective abortions affect child health?," Health Economics, John Wiley & Sons, Ltd., vol. 33(2), pages 280-309, February.
    14. Barteska, Philipp & Dobkowitz, Sonja & Olkkola, Maarit & Rieser, Michael, 2023. "Mass vaccination and educational attainment: Evidence from the 1967–68 Measles Eradication Campaign," Journal of Health Economics, Elsevier, vol. 92(C).
    15. Mohammad Mainul Hoque & Elizabeth M. King & Claudio E. Montenegro & Peter F. Orazem, 2019. "Revisiting the relationship between longevity and lifetime education: global evidence from 919 surveys," Journal of Population Economics, Springer;European Society for Population Economics, vol. 32(2), pages 551-589, April.
    16. Hoque, Mohammad Mainul & King, Elizabeth M. & Montenegro, Claudio E. & Orazem, Peter F., 2020. "Life Expectancy at Birth and Lifetime Education and Earnings," ISU General Staff Papers 202009010700001121, Iowa State University, Department of Economics.
    17. Dora L. Costa, 2015. "Health and the Economy in the United States from 1750 to the Present," Journal of Economic Literature, American Economic Association, vol. 53(3), pages 503-570, September.
    18. Hoque,Mohammad Mainul & King,Elizabeth M. & Montenegro,Claudio E. & Orazem,Peter F., 2017. "Longevity and lifetime education : global evidence from 919 surveys," Policy Research Working Paper Series 8175, The World Bank.
    19. repec:pri:rpdevs:currie_vogl_ar is not listed on IDEAS
    20. Silvia Helena Barcellos & Leandro S. Carvalho & Adriana Lleras-Muney, 2014. "Child Gender and Parental Investments in India: Are Boys and Girls Treated Differently?," American Economic Journal: Applied Economics, American Economic Association, vol. 6(1), pages 157-189, January.
    21. McNamara, Paul E. & Ulimwengu, John M. & Leonard, Kenneth L., 2010. "Do health investments improve agricultural productivity? Lessons from agricultural household and health research," IFPRI discussion papers 1012, International Food Policy Research Institute (IFPRI).

    More about this item

    Keywords

    immunization; health; schooling; India;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I2 - Health, Education, and Welfare - - Education
    • J18 - Labor and Demographic Economics - - Demographic Economics - - - Public Policy
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration
    • O22 - Economic Development, Innovation, Technological Change, and Growth - - Development Planning and Policy - - - Project Analysis

    NEP fields

    This paper has been announced in the following NEP Reports:

    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:iza:izadps:dp17083. 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.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with 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: Holger Hinte (email available below). General contact details of provider: https://edirc.repec.org/data/izaaade.html .

    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.