Although the use of the cluster randomized trial (CRT) design to evaluate vaccines, public health interventions or health systems is increasing, the ethical issues posed by the design are not adequately addressed, especially in low- and middle-income country settings (LMICs). To help reveal ethical challenges, qualitative interviews were conducted…

Research has shown a mixed relationship between education and vaccination rates. In the current analysis, we aimed to determine the relationship between educational level and coronavirus disease 2019 (COVID-19) vaccination rates. We performed a cross-country analysis on data from 133 countries. Correlation analyses showed that higher and better…

This research brief is one of a series of six briefs, which provide an overview of available evidence shown in the Campbell-UNICEF Mega-Map of the effectiveness of interventions to improve child well-being in low- and middle-income countries. Five of these briefs summarize evidence as mapped against the five goal areas of UNICEF's 2018-2021…

Interest and motivation significantly influence achievement; however, interest in immunology remains to be determined. Using a structured questionnaire, the current study assessed for the first time interest in immunology among biomedical graduate students in Ghana after a one-week introduction to immunology course. Our results revealed that…

Studies on developed countries demonstrate that an increase in women legislators leads to a prioritization in health, an increase in social policy spending, and a decrease in poverty. Women representatives could therefore improve development trajectories in developing countries; yet, currently, no cross-national and longitudinal studies explore…

Enormous strides have been made in reducing the number of global under-five child deaths through expanded development and use of vaccines under the auspices of the GAVI Alliance. However such successes have left behind a significant burden of child morbidity and mortality in developing countries from six major tropical diseases, i.e., dengue,…

Background: The dominant theoretical basis of our public health practice originates from a positivist or reductionist paradigm. It fails to take into account the complexity emerging out of public health's multiple influences originating from biological and social worlds. A deeper understanding of the interaction of elements that characterize the…

This dissertation presents the results of three field experiments implemented to evaluate the effectiveness of strategies to improve the health or education of children in developing countries. In Guatemala, community health workers at randomly selected clinics were given patient tracking lists to improve their ability to remind parents when their…

Although it is well known that vaccines against many infectious diseases confer positive economic externalities via indirect protection, analysts have typically ignored possible herd protection effects in policy analyses of vaccination programs. Despite a growing literature on the economic theory of vaccine externalities and several innovative…

This bulletin reports on amendments and recommendations pertaining to the Foreign Assistance Act of 1961. The purpose of the "Universal Child Immunization Act of 1986" is to authorize appropriations of additional foreign assistance funding for the Child Survival Fund and to assure that the additional resources will be directed primarily…

There has been little change in newborn mortality in the past 20 years, even through proven, cost-effective solutions exist to save many of these young lives. This report reviews the most recent data on the newborn, revealing the alarming poor health and quality of health care for mothers and newborns in virtually all impoverished countries. The…

In response to the global debt crisis, international lenders have pressured Third World debtor nations to implement "structural adjustments." Analysis of data from the United Nations, the World Bank, and the International Monetary Fund suggest that externally imposed austerity measures have adversely affected children's survival and…

The health problems of developing nations are very different from those of the industrialized world. Simpler and more extensive care is more effective in these settings than highly specialized technology and practices imported from Western countries. One key to improving general health and stabilizing population grwoth is the prevention of…

Noting that a quarter of a million children in the developing world die each week and that millions more live with ill health and poor growth, this handbook presents practical, low-cost ways of protecting children's lives and health. It is directed to those people who are in the position to communicate this information to families, such as health…

This special UNICEF report documents the range of problems behind the decline of living standards in Africa and describes the practical steps which are being taken to confront the crisis. Discussed are (1) increasing implementation of immunization programs and progress in promoting oral rehydration therapy; (2) the impact on child survival and…