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), Diphther...

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Bibliographic Details
Main Authors:	Barham, Tania, Brenzel, Logan, Maluccio, John A.
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2013
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 http://hdl.handle.net/10986/13743

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Summary:	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

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

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