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| Research News |
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| Tuesday, December 08, 2009 |
Alternatives to national average income data as eligibility criteria for international subsidies: a social justice perspective
SIRINE
SHEBAYA
1
,
ANDREA
SUTHERLAND
1
,
ORIN
LEVINE
2
AND
RUTH
FADEN
3
1
Johns Hopkins Berman Institute of Bioethics and the Georgetown University Kennedy Institute of Ethics
2
Johns Hopkins Bloomberg School of Public Health, and Emory University in Atlanta
3
Johns Hopkins Berman Institute of Bioethics
ABSTRACT
Current strategies to address global inequities in access to life-saving vaccines use averaged national income data to determine eligibility. While largely successful in the lowest income countries, we argue that this approach could lead to significant inefficiencies from the standpoint of justice if applied to middle-income countries, where income inequalities are large and lead to national averages that obscure truly needy populations. Instead, we suggest alternative indicators more sensitive to social justice concerns that merit consideration by policy-makers developing new initiatives to redress health inequities in middle-income countries.
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