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By the year 2030, roughly two thirds of the world’s population living in extreme poverty could be in fragile settings. Innovations for Poverty Action’s Peace & Recovery Program (P&R) aims to improve outcomes for conflict- and crisis-affected populations by building the evidence base on reducing violence and fragility, promoting peace, and preventing, managing, and recovering from crisis. The program prioritizes studies that develop, illustrate, or test fundamental theories of peace, violence, and recovery, especially those that are highly policy-relevant, challenge common beliefs, pioneer innovative interventions, and produce evidence where little currently exists.

Program area:
Type:
Brief
Date:
December 28, 2021
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In a collective effort bringing together 15 studies, researchers from over 30 institutions surveyed over 20,000 individuals between June 2020 and January 2021 on questions regarding respondents’ vaccine acceptance and hesitancy and their most trusted sources for vaccination advice. During some surveys, results from COVID-19 vaccine clinical trials had yet to be announced, and during later surveys, governments had started approving vaccines for use. The fast-moving nature of COVID-19 information may change people’s perceptions about vaccines by the time they are widely available in low- and middle-income countries (LMICs). Over the past six months, the body of evidence demonstrating the safety and efficacy of available COVID-19 vaccines, which have been given to millions of people, has become clearer. At the same time, severe, but rare, side effects may have undermined public confidence.

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Type:
Brief
Date:
July 19, 2021
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Widespread acceptance of COVID-19 vaccines is crucial for achieving sufficient immunization coverage to end the global pandemic, yet few studies have investigated COVID-19 vaccination attitudes in lower-income countries, where large-scale vaccination is just beginning. We analyze COVID-19 vaccine acceptance across 15 survey samples covering 10 low- and middle-income countries (LMICs) in Asia, Africa and South America, Russia (an upper-middle-income country) and the United States, including a total of 44,260 individuals. We find considerably higher willingness to take a COVID-19 vaccine in our LMIC samples (mean 80.3%; median 78%; range 30.1 percentage points) compared with the United States (mean 64.6%) and Russia (mean 30.4%). Vaccine acceptance in LMICs is primarily explained by an interest in personal protection against COVID-19, while concern about side effects is the most common reason for hesitancy. Health workers are the most trusted sources of guidance about COVID-19 vaccines. Evidence from this sample of LMICs suggests that prioritizing vaccine distribution to the Global South should yield high returns in advancing global immunization coverage. Vaccination campaigns should focus on translating the high levels of stated acceptance into actual uptake. Messages highlighting vaccine efficacy and safety, delivered by healthcare workers, could be effective for addressing any remaining hesitancy in the analyzed LMICs.

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Type:
Published Paper
Date:
July 16, 2021
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This presentation summarizes findings related to the impact of COVID-19 on food security and hunger, based on Round 1 of the RECOVR Survey. Countries surveyed: Burkina Faso, Côte d’Ivoire, Ghana, Rwanda, Sierra Leone, Zambia, Colombia, Mexico, and the Philippines.

Program area:
Topics:
Type:
Report
Date:
November 03, 2020
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In Sierra Leone, we have continued our global tradition of rigorous, applicable research by building foundational research capacity and generating evidence to reduce poverty and achieve the Sustainable Development Goals (SDGs). Examples of our key research findings are outlined in this brief.

Country:
Type:
Brief
Date:
October 09, 2020
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Developing countries are characterized by high rates of mortality and morbidity. A potential contributing factor is the low utilization of health systems, stemming from the low perceived quality of care delivered by health personnel. This factor may be especially critical during crises, when individuals choose whether to cooperate with response efforts and frontline health personnel. We experimentally examine efforts aimed at improving health worker performance in the context of the 2014–15 West African Ebola crisis. Roughly two years before the outbreak in Sierra Leone, we randomly assigned two social accountability interventions to government-run health clinics — one focused on community monitoring and the other gave status awards to clinic staff. We find that over the medium run, prior to the Ebola crisis, both interventions led to improvements in utilization of clinics and patient satisfaction. In addition, child health outcomes improved substantially in the catchment areas of community monitoring clinics. During the crisis, the interventions also led to higher reported Ebola cases, as well as lower mortality from Ebola — particularly in areas with community monitoring clinics. We explore three potential mechanisms: the interventions (1) increased the likelihood that patients reported Ebola symptoms and sought care; (2) unintentionally increased Ebola incidence; or (3) improved surveillance efforts. We find evidence consistent with the first: by improving the perceived quality of care provided by clinics prior to the outbreak, the interventions likely encouraged patients to report and receive treatment. Our results suggest that social accountability interventions not only have the power to improve health systems during normal times, but can additionally make health systems resilient to crises that may emerge over the longer run.

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Type:
Working Paper
Date:
March 06, 2020

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