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Research ArticleArticles

All-Cause Mortality Reductions from Measles Catchup Campaigns in Africa

Ariel BenYishay and Keith Kranker
Journal of Human Resources, March 2015, 50 (2) 516-547; DOI: https://doi.org/10.3368/jhr.50.2.516
Ariel BenYishay
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Keith Kranker
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Abstract

As recently as 1999, 13 million measles cases and 500,000 measles-related deaths occurred in sub-Saharan Africa per year. Over the past decade, vaccination coverage across the continent has improved dramatically, largely as a result of the Measles Initiative, an international effort coordinating and funding national mass-immunization campaigns. We estimate the reduction in all-cause child mortality after initial countrywide measles vaccination campaigns using variation in the timing of the campaigns across countries and subnational regions. This framework accounts for competing and complementary risks as well as for contemporaneous trends in mortality rates that may have biased case-based estimates. We use birth and death history data compiled from multiple Demographic and Health Surveys for 25 countries and control for country-specific trends in child mortality and time-varying factors that were associated with campaign timing. Our findings show that the Measles Initiative campaigns raised the probability of a child’s survival to 60 months by approximately 2.4 percentage points for cohorts treated by the campaign. The campaigns cost approximately $109 per child life saved, remarkably low in absolute terms as well as relative to other interventions to reduce global child mortality.

  • Received February 2013.
  • Accepted April 2014.
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Journal of Human Resources: 50 (2)
Journal of Human Resources
Vol. 50, Issue 2
31 Mar 2015
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All-Cause Mortality Reductions from Measles Catchup Campaigns in Africa
Ariel BenYishay, Keith Kranker
Journal of Human Resources Mar 2015, 50 (2) 516-547; DOI: 10.3368/jhr.50.2.516

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All-Cause Mortality Reductions from Measles Catchup Campaigns in Africa
Ariel BenYishay, Keith Kranker
Journal of Human Resources Mar 2015, 50 (2) 516-547; DOI: 10.3368/jhr.50.2.516
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  • Article
    • Abstract
    • I. Introduction
    • II. Empirical Approach
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    • IV. Child-Level Analysis
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