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When Sterilizations Lower Immunizations: The Emergency Experience in India (1975-77)

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Listed:
  • Charlotte Pelras

    (Paris School of Economics)

  • Andrea Renk

    (Center for Research in the Economics of Development, University of Namur)

Abstract

In the 1970s in India, an aggressive family-planning program resulted in more than eight million sterilizations. We study whether this campaign affected demand for health services, specifically children's immunization and hospital births. We show that excessive sterilizations led to a substantial decrease in the use of these services, especially vaccination. If half of the sterilizations in a state were excessive (compared to none), the probabilities of receiving any vaccine and the triple antigen vaccine were respectively 17% and 34% lower for children born after the event as compared to their older siblings or older children in the same village. We find evidence suggesting the mechanism is a decline in trust rather than a change in health supply or valuation of children.

Suggested Citation

  • Charlotte Pelras & Andrea Renk, 2022. "When Sterilizations Lower Immunizations: The Emergency Experience in India (1975-77)," DeFiPP Working Papers 2206, University of Namur, Development Finance and Public Policies.
    • Handle: RePEc:nam:defipp:2206
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    File URL: https://defipp.unamur.be/wp/defipp_wp_2022_6.pdf
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    References listed on IDEAS

    as
    1. Sur, Pramod Kumar, 2021. "Why is the Vaccination Rate Low in India?," AGI Working Paper Series 2021-03, Asian Growth Research Institute.
    2. Pramod Kumar Sur, 2021. "Understanding Vaccine Hesitancy: Empirical Evidence from India," Papers 2103.02909, arXiv.org, revised Feb 2023.
    3. Grant Miller & Kimberly Singer Babiarz, 2016. "Family Planning Program Effects: Evidence from Microdata," Population and Development Review, The Population Council, Inc., vol. 42(1), pages 7-26, March.
    4. Sara Lowes & Eduardo Montero, 2021. "The Legacy of Colonial Medicine in Central Africa," American Economic Review, American Economic Association, vol. 111(4), pages 1284-1314, April.
    5. Alberto Abadie & Susan Athey & Guido W Imbens & Jeffrey M Wooldridge, 2023. "When Should You Adjust Standard Errors for Clustering?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 138(1), pages 1-35.
    6. Tom Bundervoet & Philip Verwimp & Richard Akresh, 2009. "Health and Civil War in Rural Burundi," Journal of Human Resources, University of Wisconsin Press, vol. 44(2).
    7. Grant Miller and Kimberly Singer Babiarz, 2016. "Family Planning Program Effects: A Review of Evidence from Microdata - Working Paper 422," Working Papers 422, Center for Global Development.
    8. A. Colin Cameron & Douglas L. Miller, 2015. "A Practitioner’s Guide to Cluster-Robust Inference," Journal of Human Resources, University of Wisconsin Press, vol. 50(2), pages 317-372.
    9. Abhijit Banerjee & Arun G. Chandrasekhar & Suresh Dalpath & Esther Duflo & John Floretta & Matthew O. Jackson & Harini Kannan & Francine N. Loza & Anirudh Sankar & Anna Schrimpf & Maheshwor Shrestha, 2021. "Selecting the Most Effective Nudge: Evidence from a Large-Scale Experiment on Immunization," NBER Working Papers 28726, National Bureau of Economic Research, Inc.
    10. Calvi, Rossella & Mantovanelli, Federico G., 2018. "Long-term effects of access to health care: Medical missions in colonial India," Journal of Development Economics, Elsevier, vol. 135(C), pages 285-303.
    11. Monica Martinez-Bravo & Andreas Stegmann, 2022. "In Vaccines We Trust? The Effects of the CIA’s Vaccine Ruse on Immunization in Pakistan," Journal of the European Economic Association, European Economic Association, vol. 20(1), pages 150-186.
    12. Bellows, John & Miguel, Edward, 2009. "War and local collective action in Sierra Leone," Journal of Public Economics, Elsevier, vol. 93(11-12), pages 1144-1157, December.
    13. Matthew Connelly, 2006. "Population Control in India: Prologue to the Emergency Period," Population and Development Review, The Population Council, Inc., vol. 32(4), pages 629-667, December.
    14. Marianna Battaglia & Nina Pallarés, 2020. "Family Planning and Child Health Care: Effect of the Peruvian Programa de Salud Reproductiva y Planificación Familiar, 1996–2000," Population and Development Review, The Population Council, Inc., vol. 46(1), pages 33-64, March.
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