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Evaluating country performance after transitioning from Gavi assistance : an applied synthetic control analysis
ID
Kolesar, Robert John
(
Avtor
),
ID
Spruk, Rok
(
Avtor
),
ID
Tsheten, Tsheten
(
Avtor
)
PDF - Predstavitvena datoteka,
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(2,21 MB)
MD5: CF5123EC2372BDD6AD45912422BA2860
URL - Izvorni URL, za dostop obiščite
https://www.ghspjournal.org/content/11/4/e2200536
Galerija slik
Izvleček
Introduction: Over the past decade, international development assistance for health has slowed. As donors seek to increase domestic cofinancing and ultimately transition countries from donor aid dependence, COVID-19 has severely constrained public budgets. The evaluation of sustainability and longer-term impacts of donor withdrawal is increasingly important. We assess vaccination coverage and post-neonatal mortality to estimate country performance of these outcomes among countries that no longer received assistance from Gavi, the Vaccine Alliance (Gavi) between 2000 and 2018. Methods: Using data from all countries receiving Gavi support between 2000 and 2020, we employed a synthetic control method to generate a pre-transition counterfactual with the same characteristics as the observation of interest to predict a future that empirically never existed. The synthetic unit is constructed from the weighted average of other units with good fit to the unit of interest before transition but did not transition. Results: We found substantial heterogeneity after transitioning from Gavi assistance. China, Guyana, and Turkmenistan overperformed their expected coverage rates; Albania, Bhutan, China, Guyana, and Turkmenistan maintained coverage over 90%; and Bosnia and Herzegovina and Ukraine reported precipitous drop-offs that fell well below their synthetic controls. We also observed a vaccination coverage decline in 2020 for several countries after transitioning and most synthetic controls, which we attribute to COVID-19- related service disruptions. Conclusions: We recommend that Gavi adjust its transition model to systematically assess contextual externalities and risk. In addition, countries that no longer receive Gavi assistance can leverage technical assistance and communities of practice to mutually assist each other and other countries advancing toward transition. This could also foster intracountry accountability after transition. We also recommend that Gavi systematize post-transition assessments and evaluations that leverage the expertise and experience of graduated countries to encourage cross-learning.
Jezik:
Angleški jezik
Ključne besede:
developing countries
,
health care
,
pandemic
,
development aid
Vrsta gradiva:
Članek v reviji
Tipologija:
1.01 - Izvirni znanstveni članek
Organizacija:
EF - Ekonomska fakulteta
Status publikacije:
Objavljeno
Različica publikacije:
Objavljena publikacija
Leto izida:
2023
Št. strani:
14 str.
Številčenje:
Vol. 11, iss. 4
PID:
20.500.12556/RUL-154017
UDK:
614
ISSN pri članku:
2169-575X
DOI:
10.9745/GHSP-D-22-00536
COBISS.SI-ID:
161716739
Datum objave v RUL:
19.01.2024
Število ogledov:
431
Število prenosov:
45
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Objavi na:
Gradivo je del revije
Naslov:
Global health. science and practice
Skrajšan naslov:
Glob. health sci. pract.
Založnik:
U.S. Agency for International Development and Johns Hopkins Bloomberg School of Public Health, Center for Communication Programs
ISSN:
2169-575X
COBISS.SI-ID:
524568345
Licence
Licenca:
CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
Povezava:
http://creativecommons.org/licenses/by/4.0/deed.sl
Opis:
To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.
Sekundarni jezik
Jezik:
Slovenski jezik
Ključne besede:
dežele v razvoju
,
zdravstveno varstvo
,
pandemija
,
razvojna pomoč
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