Journal Article

The Equity Impact Vaccines May Have On Averting Deaths And Medical Impoverishment In Developing Countries

Jackson, Michael L., Constenla, Dagna, Clark, Andrew, Jit, Mark, Jones, Edward O., Bullock, Olivia, Brenzel, Logan, Garske, Tini, Suraratdecha, Chutima, Perales, Nicole A., Clark, Samantha, Li, Xi, Riumallo-Herl, Carlos, Johnson, Hope, Verguet, Stéphane, Chang, Angela Y., Jean, Kévin

2018

Overview

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.

• Publisher: The People to People Health Foundation, Inc., Project HOPE,Project HOPE
• Subject: Antigens / Avoidable / Benefits / Child Health - standards / Cost control / Cost-Benefit Analysis / Costs / Deaths / Developing Countries / Disease / Economic impact / Economics / Economics and Finance / Encephalitis / Estimates / Expenditures / Fairness / Family income / Fatalities / Fever / GDP / Global Health / Gross Domestic Product / Health / Health care expenditures / Health care policy / Health disparities / Health Equity - economics / Health Expenditures / Health services / Health surveys / Hepatitis / Households / Human papillomavirus / Humanities and Social Sciences / Humans / Immunization / Immunization Programs - economics / Immunization Programs - statistics & numerical data / Impact analysis / Income / LDCs / Life Sciences / Low income groups / Measles / Mortality - trends / Policy making / Poverty / Prevention / Purchasing power parity / Quality-Adjusted Life Years / Rotavirus / Rubella / Santé publique et épidémiologie / Streptococcus infections / Sustainable development / Systematic review / Vaccination - economics / Vaccination - statistics & numerical data / Vaccines / Vaccines - economics / Viruses