Effective Health Aid: Evidence from Gavi's Vaccine Program

• 成果类型: Article
• 署名作者: Shastry, Gauri Kartini; Tortorice, Daniel L.
• 署名单位: Wellesley College; College of the Holy Cross
• 刊物名称: AMERICAN ECONOMIC JOURNAL-ECONOMIC POLICY
• ISSN/ISSBN: 1945-7731
• DOI: 10.1257/pol.20230036
• 发表日期: 2025
• 页码: 540-574
• 关键词: foreign-aid; Development assistance; systematic analysis; immunization; mortality; GROWTH; IMPACT; policies

摘要

Gavi, the Vaccine Alliance has provided over US$16 billion in funding for vaccination in low- and middle-income countries since 1999. We exploit differential timing across countries and vaccines to estimate the effects of this public health initiative. We find that Gavi's support for a vaccine increased coverage rates by 2-5 percentage points across all vaccines and by 10-20 percentage points for newer vaccines. We also find that Gavi's support reduced child mortality from related causes by 1 child per 1,000 live births. We estimate these improvements saved around 1.5 million lives at a cost of about US$9,000 per life saved. (JEL F35, F53, I12, I15, I18, J13, O15)