Beyond 80 Percent : Are There New Ways of Increasing Vaccination Coverage? Evaluation of CCT Programs in Mexico and Nicaragua

This study evaluates the impact of the Mexican conditional cash transfer (CCT) program, Oportunidades and the Nicaraguan program, Red de Protección Social, on vaccination coverage for Bacille Calmette-Guérin (vaccine against tuberculosis), Diphtheria-Pertussis-Tetanus Vaccine, Oral Polio Vaccine and Measles-Containing Vaccine in children less than three years of age, using a randomized treatment and control design at the community level. The intent-to-treat effect on vaccination coverage is assessed using a double-difference estimator. This study found that in Mexico and Nicaragua, CCTs significantly contribute to increased vaccination coverage among children, particularly among those not reached by traditional program strategies, such as children living further from health facilities and with mothers having less than primary school

Bibliographic Details

Main Authors:	Barham, Tania, Brenzel, Logan, Maluccio, John A.
Language:	English en_US
Published:	World Bank, Washington, DC 2007-06
Subjects:	ACCESS TO HEALTH CARE, ACCESS TO HEALTH SERVICES, ACQUIRED IMMUNE DEFICIENCY SYNDROME, AGE GROUPS, AGED, ANEMIA, ANTENATAL CARE, BABY, BASIC HEALTH, BASIC HEALTH SERVICES, BCG, CHILD CARE, CHILD HEALTH, CHILD HEALTH CARE, CHILD MEDICAL CARE, CHILD NUTRITION, CHILDHOOD DISEASES, CLINICS, COMMUNITIES, DEMAND FOR SERVICES, DESCRIPTION, DEVELOPING COUNTRIES, DIARRHEA, DIPHTHERIA, DISEASE, DISEASE CONTROL, DISEASE TRANSMISSION, EFFECTIVE VACCINES, ELDERLY, EMPLOYMENT, ETHNIC GROUPS, EXPENDITURES, FAMILIES, FAMILY HEALTH, FAMILY PLANNING, FEMALE, FOOD SECURITY, GENDER, GENDER DIFFERENTIALS, GENERATIONAL TRANSMISSION OF POVERTY, GLOBAL DEVELOPMENT, GLOBAL EFFORT, HEALTH BEHAVIOR, HEALTH CARE, HEALTH CARE FACILITIES, HEALTH CARE PROVIDER, HEALTH CARE PROVIDERS, HEALTH CARE PROVISION, HEALTH CARE SERVICES, HEALTH CARE SYSTEM, HEALTH CARE SYSTEMS, HEALTH CENTERS, HEALTH CLINICS, HEALTH CONDITIONS, HEALTH EDUCATION, HEALTH FACILITIES, HEALTH INSTITUTIONS, HEALTH OUTCOMES, HEALTH POLICY, HEALTH PROVIDERS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH STATUS, HEALTH SYSTEMS, HEALTH SYSTEMS STRENGTHENING, HEPATITIS, HEPATITIS B, HIV, HOMES, HOSPITAL, HOUSEHOLD ASSETS, HOUSEHOLD INCOME, HOUSEHOLD LEVEL, HOUSEHOLD SURVEYS, HUMAN CAPITAL, HUMAN DEVELOPMENT, HUMAN IMMUNODEFICIENCY VIRUS, HYGIENE, ILLNESS, IMMUNE DEFICIENCY, IMMUNIZATION, IMMUNODEFICIENCY, INEQUITIES, INFANT, INFANT MORTALITY, INFANT MORTALITY RATE, INFANTS, INFLUENZA, INTERNATIONAL FOOD POLICY RESEARCH INSTITUTE, INTERVENTION, INTERVENTIONS, ISOLATION, LACK OF AWARENESS, LATIN AMERICAN, LESS EDUCATED MOTHERS, LEVEL OF EDUCATION, LOW-INCOME COUNTRIES, LOW-INCOME COUNTRY, MASS MEDIA, MATERNAL AND CHILD HEALTH, MEASLES, MEDICAL CARE, MEDICINES, MIDDLE EAST, MILLENNIUM DEVELOPMENT GOAL, MILLENNIUM DEVELOPMENT GOALS, MINISTRIES OF HEALTH, MINISTRY OF HEALTH, MOBILE CLINICS, MODERN MEDICINE, MORBIDITY, MORTALITY, MOTHER, MUMPS, NATIONAL CAMPAIGN, NATIONAL GOVERNMENTS, NATIONAL LEVEL, NEIGHBORHOOD, NORTH AFRICA, NUMBER OF CHILDREN, NUTRITION, NUTRITION COMPONENTS, NUTRITIONAL STATUS, OLDER CHILDREN, OPINION LEADERS, ORPHANS, PATIENT, PERTUSSIS, POLICY DECISIONS, POLICY LEVEL, POLICY MAKERS, POLICY RESEARCH, POLIO, POLIO VACCINE, POOR FAMILIES, POOR HOUSEHOLDS, POPULATION CENSUS, POPULATION CENTER, POPULATION GROUPS, POSTPARTUM CARE, POVERTY ALLEVIATION, PRENATAL CARE, PREVENTABLE DISEASES, PREVENTIVE HEALTH CARE, PRIMARY EDUCATION, PRIMARY HEALTH CARE, PRIMARY HEALTH CARE SERVICES, PRIMARY SCHOOL, PROBABILITY, PROGRESS, PUBLIC HEALTH, QUALITY SERVICES, RESOURCE ALLOCATION, RESPECT, RESPIRATORY INFECTIONS, RISK OF INFECTION, RUBELLA, RURAL AREAS, SAFETY, SAFETY NET, SCHOOL ATTENDANCE, SEGMENTS OF SOCIETY, SERVICE DELIVERY, SERVICE PROVIDERS, SEX, SEX OF THE CHILD, SOCIAL MOBILIZATION, SOCIAL RETURNS, SOCIAL SCIENCE, SPILLOVER, SUB-SAHARAN AFRICA, TB, TETANUS, TREATMENT, TROPICAL MEDICINE, TUBERCULOSIS, TV, URBAN AREAS, VACCINATION, VACCINE COVERAGE, VACCINES, VILLAGE LEVEL, VILLAGES, VISION, WORLD HEALTH ORGANIZATION, YOUNG CHILDREN,
Online Access:	http://documents.worldbank.org/curated/en/2007/06/8739491/beyond-80-percent-new-ways-increasing-vaccination-coverage-evaluation-cct-programs-mexico-nicaragua https://hdl.handle.net/10986/13743
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