We use cash transfers to increase immunization rates in Nigeria

240,000+

Infants enrolled
in the program

930,000+

Cash transfers issued after verifying vaccinations

90.58%

Retention rate through immunization cycle

Immunizations Prevent Infant Deaths

Childhood vaccines prevent an estimated 2 to 3 million deaths every year. They are recognized as one of the most cost-effective child health interventions in low-income countries. Yet, an estimated 19.4 million infants around the world did not receive routine vaccinations in 2018. In Nigeria, 40% of under-five deaths are from vaccine-preventable diseases – low immunisation rates are a significant contributor to its high under-five mortality rate (120 deaths per 1,000 live births). North West Nigeria, where the program operates, is the region with the lowest vaccination coverage in Nigeria.

Conditional Cash Transfer Process

Conditional cash transfer programmes (CCTs) give money to low-income households in return for fulfilling specific behavioural conditions. These conditions include for example children's school attendance, up-to-date vaccinations or regular visits to a health care facility by pregnant women. CCTs have a direct effect on poverty by providing an immediate additional income for the poor. They can make their own choices as to how to spend or save this money. (Source)

New Incentives is a pioneer in a growing movement of giving small incentives to caregivers whose infants get immunized, while increasing awareness of the health benefits of childhood vaccinations.

Verify infant gets vaccinated and meets condition
Caregiver/parent receives cash transfer and information about vaccinations
At birth or soon after
₦500
Tuberculosis
BCG
Polio
OPV
Hepatitis B
Hep B
₦500
At 6, 10 and 14 weeks
₦500
+ ₦500
+ ₦500
Diphtheria, Tetanus,
Pertussis, Hepatitis B and HIB
PENTA
Pneumococcal
PCV
Polio
OPV, 1 dose IPV
₦500 + ₦500 + ₦500
At 9 months
₦2,000
Measles
MCV
Yellow Fever
YF
Meningitis
Men A
₦2,000

What We Value

Evidence and Data-Driven Decisions

Science, evidence, and data drive our program design and implementation

Doing the Most Good

We seek to maximize impact and continuously evaluate methods to deliver the most good per dollar donated

Accountability

We build tracking and verification into everything we do, and have a culture of critical thinking and self-assessment

New Incentives offers conditional cash transfers (CCTs) to incentivize infant vaccination in North West Nigeria. There is strong evidence that expanding vaccination reduces illness and death among young children. CCTs could plausibly be a cost-effective way to increase vaccination rates among children in areas like North West Nigeria where vaccine supply is adequate but uptake is low.

Nancy Birdsall

Founding President of Center for Global Development

I think Conditional Cash Transfer programs are as close as you can come to a magic bullet in development. They are creating an incentive for families to invest in their own children’s futures. Every decade or so, we see something that can really make a difference, and this is one of those things.