National legislation and spending on vaccines in Latin America and the Caribbean

Journal of Public Health Policy
Volume 38, Issue 1, February 2017
http://link.springer.com/journal/41271/38/1/page/1

Original Article
National legislation and spending on vaccines in Latin America and the Caribbean
Michael McQuestion, Ana Gabriela Felix Garcia…
Abstract
This study examined the dynamics of vaccine spending and vaccine legislation in the Americas Region over the period 1980–2013. Annual vaccine expenditures from thirty-one countries were extracted from the Pan American Health Organization Revolving Fund database. Information on vaccine laws and regulations was provided by the PAHO Family, Gender, and Life Course Unit. Both time series and event history models were estimated. The results show that passing an immunization law led a representative country to increase its vaccine spending, controlling for income, infant mortality, population size, and DPT3 vaccine coverage. Countries with higher vaccine coverage were also more likely to have passed laws. Conversely, higher income countries were less likely to have vaccine laws. Vaccine legislation will likely play a similarly important role in other regions as more countries move towards immunization program ownership