Immunization in Developing Countries : Its Political and Organizational Determinants

The authors use cross-national social, political, economic, and institutional data to explain why some countries have stronger immunization programs than others, as measured by diphtheria-tetanus-pertussis (DTP) and measles vaccine coverage rates a...

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Main Authors: Gauri, Varun, Khaleghian, Peyvand
Format: Policy Research Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2013
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2002/01/1687162/immunization-developing-countries-political-organizational-determinants
http://hdl.handle.net/10986/15754
id okr-10986-15754
recordtype oai_dc
spelling okr-10986-157542021-04-23T14:03:19Z Immunization in Developing Countries : Its Political and Organizational Determinants Gauri, Varun Khaleghian, Peyvand ADVERTISING AGENTS ASSURANCE AUTISM BUREAUCRACIES CHILD IMMUNIZATION CHILDHOOD IMMUNIZATION CLINICS COMPETITIVENESS CONSUMERS COVERAGE CURATIVE HEALTH CARE DATA ENTRY DECISIONMAKING DEMOCRACIES DEMOCRACY DIPHTHERIA DISCRIMINATION DISEASES ECONOMICS ELITES EPIDEMICS FAMILIES FAMILY HEALTH HEALTH BELIEFS HEALTH CARE HEALTH EDUCATION HEALTH OUTCOMES HEALTH POLICY HEALTH PROGRAMS HEALTH WORKERS HEPATITIS B ILLITERACY IMMUNIZATION INCOME INFANT MORTALITY INFANTS INFLATION INSTITUTIONALIZATION INSURANCE INTERNATIONAL ORGANIZATIONS LAWS LIFE EXPECTANCY MALARIA MATERNAL AND CHILD HEALTH MATERNAL HEALTH MEASLES MEDICAL CARE MORTALITY MORTALITY RATES MOTHERS MOTIVATION NURSES NUTRITION PARENTS PATIENTS PHYSICIANS POLICY RESEARCH POLIO POLIO ERADICATION POLITICAL PARTICIPATION POLITICAL WILL POPULISM POSTER PROGRAMS PUBLIC HEALTH PUBLIC SECTOR SCHOOLS SCIENTIFIC COMMUNITY SERVICE DELIVERY SMOKING SOCIAL MOBILIZATION SOCIAL POLICY SOCIAL SERVICES STERILIZATION SYRINGES TECHNICAL ASSISTANCE TETANUS TOBACCO URBAN AREAS VACCINATION VACCINATIONS VACCINES VILLAGE HEALTH WORKERS WORKERS IMMUNIZATION VACCINATION TETANUS MEASLES PREVENTION POLICY MAKING POLITICAL CONSTRAINTS IMMUNIZATION PROGRAMS AUTOCRATIC GOVERNMENT COVERAGE DIPHTHERIA HEPATITIS B VIRUS DEMOCRATIC INSTITUTIONS BUREAUCRACY The authors use cross-national social, political, economic, and institutional data to explain why some countries have stronger immunization programs than others, as measured by diphtheria-tetanus-pertussis (DTP) and measles vaccine coverage rates and the adoption of the hepatitis B vaccine. After reveiwing the existing literature on demand- and supply-side side factors that affect immunization programs, the authors find that the elements that most affect immunization programs in low- and middle-income countries involve broad changes in the global policy environment and contact with international agencies. Democracies tend to have lower coverage rates than autocracies, perhaps because bureaucratic elites have an affinity for immunization programs and are granted more autonomy in autocracies, althought this effect is not visible in low-income countries. The authors also find that the quality of a nation's institutions and its level of development are strongly related to immunization rate coverage and vaccine adoption, and that coverage rates are in general more a function of supply-side than demand effects. there is no evidence that epidemics or polio eradication campaigns affect immunization rates one way or another, or that average immunization rates increase following outbreaks of diphtheria, pertussis, or measles. 2013-09-09T22:18:47Z 2013-09-09T22:18:47Z 2002-01 http://documents.worldbank.org/curated/en/2002/01/1687162/immunization-developing-countries-political-organizational-determinants http://hdl.handle.net/10986/15754 English en_US Policy Research Working Paper;No. 2769 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic ADVERTISING
AGENTS
ASSURANCE
AUTISM
BUREAUCRACIES
CHILD IMMUNIZATION
CHILDHOOD IMMUNIZATION
CLINICS
COMPETITIVENESS
CONSUMERS
COVERAGE
CURATIVE HEALTH CARE
DATA ENTRY
DECISIONMAKING
DEMOCRACIES
DEMOCRACY
DIPHTHERIA
DISCRIMINATION
DISEASES
ECONOMICS
ELITES
EPIDEMICS
FAMILIES
FAMILY HEALTH
HEALTH BELIEFS
HEALTH CARE
HEALTH EDUCATION
HEALTH OUTCOMES
HEALTH POLICY
HEALTH PROGRAMS
HEALTH WORKERS
HEPATITIS B
ILLITERACY
IMMUNIZATION
INCOME
INFANT MORTALITY
INFANTS
INFLATION
INSTITUTIONALIZATION
INSURANCE
INTERNATIONAL ORGANIZATIONS
LAWS
LIFE EXPECTANCY
MALARIA
MATERNAL AND CHILD HEALTH
MATERNAL HEALTH
MEASLES
MEDICAL CARE
MORTALITY
MORTALITY RATES
MOTHERS
MOTIVATION
NURSES
NUTRITION
PARENTS
PATIENTS
PHYSICIANS
POLICY RESEARCH
POLIO
POLIO ERADICATION
POLITICAL PARTICIPATION
POLITICAL WILL
POPULISM
POSTER
PROGRAMS
PUBLIC HEALTH
PUBLIC SECTOR
SCHOOLS
SCIENTIFIC COMMUNITY
SERVICE DELIVERY
SMOKING
SOCIAL MOBILIZATION
SOCIAL POLICY
SOCIAL SERVICES
STERILIZATION
SYRINGES
TECHNICAL ASSISTANCE
TETANUS
TOBACCO
URBAN AREAS
VACCINATION
VACCINATIONS
VACCINES
VILLAGE HEALTH WORKERS
WORKERS IMMUNIZATION
VACCINATION
TETANUS
MEASLES PREVENTION
POLICY MAKING
POLITICAL CONSTRAINTS
IMMUNIZATION PROGRAMS
AUTOCRATIC GOVERNMENT
COVERAGE
DIPHTHERIA
HEPATITIS B VIRUS
DEMOCRATIC INSTITUTIONS
BUREAUCRACY
spellingShingle ADVERTISING
AGENTS
ASSURANCE
AUTISM
BUREAUCRACIES
CHILD IMMUNIZATION
CHILDHOOD IMMUNIZATION
CLINICS
COMPETITIVENESS
CONSUMERS
COVERAGE
CURATIVE HEALTH CARE
DATA ENTRY
DECISIONMAKING
DEMOCRACIES
DEMOCRACY
DIPHTHERIA
DISCRIMINATION
DISEASES
ECONOMICS
ELITES
EPIDEMICS
FAMILIES
FAMILY HEALTH
HEALTH BELIEFS
HEALTH CARE
HEALTH EDUCATION
HEALTH OUTCOMES
HEALTH POLICY
HEALTH PROGRAMS
HEALTH WORKERS
HEPATITIS B
ILLITERACY
IMMUNIZATION
INCOME
INFANT MORTALITY
INFANTS
INFLATION
INSTITUTIONALIZATION
INSURANCE
INTERNATIONAL ORGANIZATIONS
LAWS
LIFE EXPECTANCY
MALARIA
MATERNAL AND CHILD HEALTH
MATERNAL HEALTH
MEASLES
MEDICAL CARE
MORTALITY
MORTALITY RATES
MOTHERS
MOTIVATION
NURSES
NUTRITION
PARENTS
PATIENTS
PHYSICIANS
POLICY RESEARCH
POLIO
POLIO ERADICATION
POLITICAL PARTICIPATION
POLITICAL WILL
POPULISM
POSTER
PROGRAMS
PUBLIC HEALTH
PUBLIC SECTOR
SCHOOLS
SCIENTIFIC COMMUNITY
SERVICE DELIVERY
SMOKING
SOCIAL MOBILIZATION
SOCIAL POLICY
SOCIAL SERVICES
STERILIZATION
SYRINGES
TECHNICAL ASSISTANCE
TETANUS
TOBACCO
URBAN AREAS
VACCINATION
VACCINATIONS
VACCINES
VILLAGE HEALTH WORKERS
WORKERS IMMUNIZATION
VACCINATION
TETANUS
MEASLES PREVENTION
POLICY MAKING
POLITICAL CONSTRAINTS
IMMUNIZATION PROGRAMS
AUTOCRATIC GOVERNMENT
COVERAGE
DIPHTHERIA
HEPATITIS B VIRUS
DEMOCRATIC INSTITUTIONS
BUREAUCRACY
Gauri, Varun
Khaleghian, Peyvand
Immunization in Developing Countries : Its Political and Organizational Determinants
relation Policy Research Working Paper;No. 2769
description The authors use cross-national social, political, economic, and institutional data to explain why some countries have stronger immunization programs than others, as measured by diphtheria-tetanus-pertussis (DTP) and measles vaccine coverage rates and the adoption of the hepatitis B vaccine. After reveiwing the existing literature on demand- and supply-side side factors that affect immunization programs, the authors find that the elements that most affect immunization programs in low- and middle-income countries involve broad changes in the global policy environment and contact with international agencies. Democracies tend to have lower coverage rates than autocracies, perhaps because bureaucratic elites have an affinity for immunization programs and are granted more autonomy in autocracies, althought this effect is not visible in low-income countries. The authors also find that the quality of a nation's institutions and its level of development are strongly related to immunization rate coverage and vaccine adoption, and that coverage rates are in general more a function of supply-side than demand effects. there is no evidence that epidemics or polio eradication campaigns affect immunization rates one way or another, or that average immunization rates increase following outbreaks of diphtheria, pertussis, or measles.
format Publications & Research :: Policy Research Working Paper
author Gauri, Varun
Khaleghian, Peyvand
author_facet Gauri, Varun
Khaleghian, Peyvand
author_sort Gauri, Varun
title Immunization in Developing Countries : Its Political and Organizational Determinants
title_short Immunization in Developing Countries : Its Political and Organizational Determinants
title_full Immunization in Developing Countries : Its Political and Organizational Determinants
title_fullStr Immunization in Developing Countries : Its Political and Organizational Determinants
title_full_unstemmed Immunization in Developing Countries : Its Political and Organizational Determinants
title_sort immunization in developing countries : its political and organizational determinants
publisher World Bank, Washington, DC
publishDate 2013
url http://documents.worldbank.org/curated/en/2002/01/1687162/immunization-developing-countries-political-organizational-determinants
http://hdl.handle.net/10986/15754
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