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From Syringes to Stability: The Legitimizing Power of Vaccinations in Fragile and Conflict-Affected States
From Syringes to Stability: The Legitimizing Power of Vaccinations in Fragile and Conflict-Affected States
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202104817
- ISBN
- 9798291548165
- DDC
- 327
- 서명/저자
- From Syringes to Stability: The Legitimizing Power of Vaccinations in Fragile and Conflict-Affected States
- 발행사항
- [Sl] : Indiana University, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 317 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 87-02, Section: A.
- 주기사항
- Advisor: Koren, Ore.
- 학위논문주기
- Thesis (Ph.D.)--Indiana University, 2025.
- 초록/해제
- 요약This dissertation examines how fragile and conflict-affected states can build legitimacy and promote peace through the strategic provision of public services, with a focus on vaccination campaigns as a uniquely feasible and politically salient intervention. While existing literature often emphasizes state capacity as the key driver of peace and stability, this study centers political legitimacy as an equally vital but underexplored mechanism. I develop a theory of how vaccination campaigns, unlike many other forms of service delivery, can build trust, signal responsiveness, and reshape state-society relations, even in low-capacity environments. The theory is informed by existing research and supported by fieldwork conducted in Senegal and Kenya.The first half of the dissertation advances a mediation-based theoretical framework linking vaccination coverage to peace outcomes through legitimacy. Chapter 2 identifies four mechanisms through which vaccinations can improve perceptions of the state: addressing grievances, overcoming hesitancy, bridging social divides, and rebuilding trust. Chapter 3 further theorizes how legitimacy gains enable the state to make credible commitments, reduce support for armed actors, and facilitate negotiated settlements, decreasing the likelihood of civil conflict.The second half tests this framework using a novel cross-national dataset of fragile and conflict-affected states from 1980-2021. Chapter 4 shows that higher vaccination coverage is associated with improved legitimacy outcomes, including greater vertical accountability, lower corruption, and stronger rule of law, when delivery is widespread and equitable. Chapter 5 assesses whether legitimacy mediates the effect of vaccinations on conflict, finding modest but suggestive evidence that improved legitimacy can reduce the likelihood and intensity of civil war. Chapter 6 examines robustness using Heckman selection models and interaction terms, confirming that legitimacy gained through increased vaccinations remains a significant predictor of conflict outcomes across institutional and regional contexts, even when accounting for state capacity.This research contributes to scholarship on statebuilding, civil conflict, and global health by demonstrating how health interventions can bolster state legitimacy and reduce violence. It offers practical insights for policymakers, highlighting the potential of vaccination campaigns not only to prevent disease but also to strengthen the social contract and support long-term peacebuilding in fragile and conflict-affected settings.
- 일반주제명
- Peace studies
- 일반주제명
- Political science
- 일반주제명
- Public administration
- 키워드
- Civil conflict
- 키워드
- Peacebuilding
- 키워드
- State legitimacy
- 기타저자
- Indiana University Political Science
- 기본자료저록
- Dissertations Abstracts International. 87-02A.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■006m o d
■007cr#unu||||||||
■020 ▼a9798291548165
■035 ▼a(MiAaPQ)AAI32168635
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a327
■1001 ▼aKoehnlein, Britt.▼0(orcid)0000-0002-6919-7580
■24510▼aFrom Syringes to Stability: The Legitimizing Power of Vaccinations in Fragile and Conflict-Affected States
■260 ▼a[Sl]▼bIndiana University▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a317 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 87-02, Section: A.
■500 ▼aAdvisor: Koren, Ore.
■5021 ▼aThesis (Ph.D.)--Indiana University, 2025.
■520 ▼aThis dissertation examines how fragile and conflict-affected states can build legitimacy and promote peace through the strategic provision of public services, with a focus on vaccination campaigns as a uniquely feasible and politically salient intervention. While existing literature often emphasizes state capacity as the key driver of peace and stability, this study centers political legitimacy as an equally vital but underexplored mechanism. I develop a theory of how vaccination campaigns, unlike many other forms of service delivery, can build trust, signal responsiveness, and reshape state-society relations, even in low-capacity environments. The theory is informed by existing research and supported by fieldwork conducted in Senegal and Kenya.The first half of the dissertation advances a mediation-based theoretical framework linking vaccination coverage to peace outcomes through legitimacy. Chapter 2 identifies four mechanisms through which vaccinations can improve perceptions of the state: addressing grievances, overcoming hesitancy, bridging social divides, and rebuilding trust. Chapter 3 further theorizes how legitimacy gains enable the state to make credible commitments, reduce support for armed actors, and facilitate negotiated settlements, decreasing the likelihood of civil conflict.The second half tests this framework using a novel cross-national dataset of fragile and conflict-affected states from 1980-2021. Chapter 4 shows that higher vaccination coverage is associated with improved legitimacy outcomes, including greater vertical accountability, lower corruption, and stronger rule of law, when delivery is widespread and equitable. Chapter 5 assesses whether legitimacy mediates the effect of vaccinations on conflict, finding modest but suggestive evidence that improved legitimacy can reduce the likelihood and intensity of civil war. Chapter 6 examines robustness using Heckman selection models and interaction terms, confirming that legitimacy gained through increased vaccinations remains a significant predictor of conflict outcomes across institutional and regional contexts, even when accounting for state capacity.This research contributes to scholarship on statebuilding, civil conflict, and global health by demonstrating how health interventions can bolster state legitimacy and reduce violence. It offers practical insights for policymakers, highlighting the potential of vaccination campaigns not only to prevent disease but also to strengthen the social contract and support long-term peacebuilding in fragile and conflict-affected settings.
■590 ▼aSchool code: 0093.
■650 4▼aPeace studies
■650 4▼aPolitical science
■650 4▼aPublic administration
■653 ▼aCivil conflict
■653 ▼aConflict-affected states
■653 ▼aPeacebuilding
■653 ▼aService provision
■653 ▼aState legitimacy
■653 ▼aVaccination campaigns
■690 ▼a0601
■690 ▼a0563
■690 ▼a0615
■690 ▼a0617
■71020▼aIndiana University▼bPolitical Science.
■7730 ▼tDissertations Abstracts International▼g87-02A.
■790 ▼a0093
■791 ▼aPh.D.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17358972▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
