title: Measuring government commitment to vaccination.
abstract: Vaccination is among the most cost-effective health interventions and has attracted ever greater levels of funding from public and private donors. However, some countries, mainly populous lower-middle income countries, are lagging behind on vaccination financing and performance. In this paper, we discuss the rationale for investing in vaccination and construct a metric to measure government commitment to vaccination that could promote accountability and better tracking of performance. While noting the limitations of available data, we find that populous middle-income countries, which stand to gain tremendously from increased vaccination uptake, perform poorly in terms of their vaccination outcomes.
authors.affiliation: Center for Global Development, 1800 Massachusetts Avenue NW, Washington, DC 20036, USA. aglassman@cgdev.org
authors.forename: Amanda
authors.initials: A
authors.lastname: Glassman
authors.forename: Juan Ignacio
authors.initials: JI
authors.lastname: Zoloa
authors.forename: Denizhan
authors.initials: D
authors.lastname: Duran
mesh_terms: D003140:Communicable Disease Control; D003625:Data Collection / Q000592:standards; D003906:Developing Countries; D005380:Financing, Government / Q000191:economics; D006076:Government; D017048:Health Care Costs; D006801:Humans; D011634:Public Health / Q000191:economics; D012106:Research / Q000191:economics; D012941:Social Responsibility; D014611:Vaccination / Q000191:economics*