Are Vaccination Campaigns Misinformed? Experimental Evidence from COVID-19 in Low- and Middle-Income Countries

Routine immunization coverage estimated in surveys often substantially differs from figures reported in administrative records, presenting a dilemma for researchers and policy makers. Using high-frequency phone surveys and administrative records from government sources in 36 low- and middle-income c...

Full description

Bibliographic Details
Main Author: Markhof, Yannick
Other Authors: Zezza, Alberto, Wollburg, Philip
Format: eBook
Language:English
Published: Washington, D.C The World Bank 2023
Subjects:
Online Access:
Collection: World Bank E-Library Archive - Collection details see MPG.ReNa
LEADER 02854nmm a2200361 u 4500
001 EB002177014
003 EBX01000000000000001314548
005 00000000000000.0
007 cr|||||||||||||||||||||
008 231006 ||| eng
100 1 |a Markhof, Yannick 
245 0 0 |a Are Vaccination Campaigns Misinformed?  |h Elektronische Ressource  |b Experimental Evidence from COVID-19 in Low- and Middle-Income Countries  |c Yannick Markhof 
260 |a Washington, D.C  |b The World Bank  |c 2023 
300 |a 43 pages 
653 |a COVID Vaccine Survey 
653 |a Public Health Promotion 
653 |a Health Policy and Management 
653 |a Communicable Diseases 
653 |a Health, Nutrition and Population 
653 |a Disease Control and Prevention 
653 |a Immunization Administrative Data Discrepancy 
653 |a Public Health Policy 
653 |a COVID-19 Pandemic 
653 |a Immunizaiton 
653 |a COVID Vaccination Promotion 
700 1 |a Zezza, Alberto 
700 1 |a Wollburg, Philip 
041 0 7 |a eng  |2 ISO 639-2 
989 |b WOBA  |a World Bank E-Library Archive 
028 5 0 |a 10.1596/1813-9450-10443 
856 4 0 |u http://elibrary.worldbank.org/doi/book/10.1596/1813-9450-10443  |x Verlag  |3 Volltext 
082 0 |a 330 
520 |a Routine immunization coverage estimated in surveys often substantially differs from figures reported in administrative records, presenting a dilemma for researchers and policy makers. Using high-frequency phone surveys and administrative records from government sources in 36 low- and middle-income countries, this paper shows that such misalignment has also been common in the case of COVID-19. Across the sample, survey estimates exceed administrative figures by 47 percent on average, at times suggesting markedly different policy conclusions depending on the data source consulted. This pattern is particularly stark and consistent in Sub-Saharan Africa. To investigate the sources of this discrepancy, the paper presents results from six methodological experiments that vary survey design choices and documents their effect on estimated COVID-19 vaccine coverage. The results show that design choices matter, in particular the selection of respondents to be interviewed. However, phone survey estimates prove remarkably robust to several commonly claimed biases. After accounting for observed errors of representation and measurement in the survey data, there remains a nonnegligible, unexplained residual gap with administrative records. The paper provides indicative evidence of flaws and weaknesses in administrative data recording and reporting that affect reported vaccination rates and could contribute to this gap. The findings matter for past research on COVID-19 vaccination, future immunization efforts, and the design of robust data production systems on health topics