Abstract
In 2022, childhood immunization in the Sindh province of Pakistan was disrupted by the worst floods in Pakistan's history and by vaccinator strikes. We use weekly data on all vaccinations from 12 of the lowest immunization districts in Sindh, strike timing, and satellite flood data to examine 2.5-month impacts. Despite intensive catchup efforts by the government and the international community, immunizations declined 19 percent more in flooded towns than nonflooded towns postfloods, and 11,500 children missed vaccinations as result of the floods. Immunizations in strike towns were 48 percent lower than in nonstrike towns, with 15,300 lost immunizations over the entire postperiod.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
