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. 2021 Dec 6;11:23423. doi: 10.1038/s41598-021-02802-1

Table 1.

Review of the literature on the governance-vaccination nexus.

Study Subject of investigation Approach Findings
Effect of corruption on the health sector
Achim et al.27 Effect of corruption on population health

Pooled OLS

185 countries (54 high-income and 131 low-income countries)

Period of the analysis: 2005–2017

Higher levels of corruption are negatively associated with physical health (expressed as life expectancy and Mortality rate) and mental health (expressed by happiness)
Habibov26 Effect of corruption on healthcare satisfaction in transitional countries

OLS regression and two-stage 2SLS regression

Use the “Life in Transition Survey”

Observations: (N = 8655) in 12 post-socialist countries

Negative relationship between corruption and healthcare satisfaction
Hanf et al.24 Effect of corruption on national under-five mortality rate

Multivariate linear regression modelling

178 countries

Cross-sectional

Positive effect of corruption on child mortality

Authors estimate that more than 140,000 annual children deaths could be indirectly attributed to corruption

Holmberg and Rothstein40 Effect of quality of government on population health

Multivariate linear regression

> 120 countries

cross-sectional

Higher levels of the QoG index are positively associated with life expectancy and higher levels of subjective health feelings

Complementary, higher levels of the QoG index were negatively associated with mortality rates for children and mothers

Lio and Lee41 Effect of corruption on five indicators for population health

Ordinary least squares (OLS), fixed-effects

119 countries for the period 2005–2011

Lower levels of corruption are positively associated with:

Longer life expectancy

Lower infant mortality rate

Lower under-five mortality rate

Sommer21 Investigate the effect of the interaction between health expenditure and corruption in the executive and in the public sectors on infant and child mortality

Two-way fixed effects models

90 lowand middle-income countries

timeframe: 1996 to 2012

Panel data

Negative interaction effect of corruption and health expenditure on child and infant mortality
Effect of corruption on the health sector—focus on immunization
Azfar and Gurgur28 Effect of corruption on health outcomes

Random effects, tobit, ordinary-least

Philippines: Survey data

Corruption reduces immunization rates and delays the vaccination of newborns. One standard deviation (≈10%) increase in corruption reduces the immunization rate by approximately 11–19%

Effect of corruption on health outcomes depends on the geography of the regions (rural/urban)

Lower-income strata were more affected by corruption

Factor and Kang29 Developing a theoretical framework for understanding the impact of corruption. Analyzing the effects of corruption on different health indicators such as immunization

Structural equation models

133 countries

Higher corruption is associated with lower levels of health expenditures as a percentage of GDP per capita, and with poorer health outcomes in general

Corruption has negative effect on DPT immunization rates

Goel and Nelson44 Examine socio-economic driver of two dependent variables; administration and delivery efficiency of Covid-19 vaccines

OLS regression

50 States of the United States

Data was collected for two different periods (12. January and 2. February 2021)

Nursing homes per capita, Covid-19 deaths and amount of health workers are positively associated with the delivery efficiency of Covid-19 vaccines

Centralized public health agency is associated with vaccination efficiency

Corruption (5-year average) shows positive effect for both dependent variables but no statistical significance for the variable which captures the dissemination of vaccinations in the second time period (2. February 2021)

Li et al.25 Investigate the effect of corruption on health outcomes/dependent variables were among others DPT immunization and measles immunization Ordinary least squares (OLS), fixed-effects and two-stage least squares (2SLS) estimation methods, ≈ 150 countries/cross-country panel data Negative effect of corruption on health outcomes such as DPT and measles immunization