The equity impact vaccines may have on averting deaths and medical impoverishment in developing countries

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Title: The equity impact vaccines may have on averting deaths and medical impoverishment in developing countries
Authors: Chang, AY
Riumallo-Herl, C
Perales, NA
Clark, S
Clark, A
Constenla, D
Garske, T
Jackson, ML
Jean, K
Jit, M
Jones, EO
Li, X
Suraratdecha, C
Bullock, O
Johnson, H
Brenzel, L
Verguet, S
Item Type: Journal Article
Abstract: With social policies increasingly directed toward enhancing equity through health programs, it is important that methods for estimating the health and economic benefits of these programs by subpopulation be developed, to assess both equity concerns and the programs’ total impact. We estimated the differential health impact (measured as the number of deaths averted) and household economic impact (measured as the number of cases of medical impoverishment averted) of ten antigens and their corresponding vaccines across income quintiles for forty-one low- and middle-income countries. Our analysis indicated that benefits across these vaccines would accrue predominantly in the lowest income quintiles. Policy makers should be informed about the large health and economic distributional impact that vaccines could have, and they should view vaccination policies as potentially important channels for improving health equity. Our results provide insight into the distribution of vaccine-preventable diseases and the health benefits associated with their prevention.
Issue Date: 1-Feb-2018
Date of Acceptance: 1-Feb-2018
ISSN: 0278-2715
Publisher: Project HOPE
Start Page: 316
End Page: 324
Journal / Book Title: Health Affairs
Volume: 37
Issue: 2
Copyright Statement: This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt, and build upon this work, for commercial use, provided the original work is properly cited. See
Sponsor/Funder: Bill & Melinda Gates Foundation
Gavi Alliance
Funder's Grant Number: OPP1117543
Keywords: Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Health Policy & Services
Children’s Health
Developing World < International/global health studies
Health Economics
1117 Public Health And Health Services
1402 Applied Economics
Publication Status: Published
Appears in Collections:Faculty of Medicine
Epidemiology, Public Health and Primary Care

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