No child should die of a preventable disease.

Small cash incentives are a proven, cost-effective way to boost vaccination rates and save lives.

689,092

Infants served by the program

2,388,171

Cash transfers issued after verifying vaccinations

87.48%

Retention rate through vaccination cycle

Why Childhood Vaccines in Nigeria?

Childhood vaccines prevent 2 to 3 million deaths every year. They are recognized as one of the most cost-effective child health interventions in the world (source). Yet, globally, an estimated 19.4 million infants did not receive routine vaccinations in 2018.

Nigeria is home to just 3% of the world’s population, yet it accounts for 13% of the world’s mortality of children under five, the second highest rate in the world. Low immunization rates are a significant contributor to its high under-five mortality rate (120 deaths per 1,000 live births) – an estimated 40% of deaths of children under five are from vaccine preventable diseases. North West, Nigeria, where our program operates, is the region with the lowest vaccination coverage in Nigeria.

How Small Cash Incentives Work

The All Babies Program

Poor people living in remote, rural areas often face significant barriers to accessing healthcare. In Nigeria, routine childhood vaccinations are provided at government clinics free of charge, but caregivers often find it difficult to afford transportation and face other challenges to taking their baby to a clinic – often half a day’s trip away or longer. These round-trip journeys to the clinic must be made six times to complete a childhood routine vaccination schedule, all within the first year of a baby’s life.

Offering a monetarily small, yet significant, incentive – which covers the cost of transportation to a clinic plus food – has been proven through a randomized evaluation to provide enough of a “nudge” to double the percentage of infants who get fully vaccinated, with life-saving benefits. This model – New Incentives’ All Babies program – was developed based on evidence from successful immunization programs from around the world and was independently and rigorously evaluated in Nigeria before we began scaling it up. Now, as we expand, we are gathering and using detailed data to monitor and inform our day-to-day operations and strategy – ensuring we continue to make the biggest impact possible per dollar.

New Incentives works within and in close partnership with local government institutions. Our impact would not be possible without our local partners in Nigeria.

Verify infant gets vaccinated and meets condition
Caregiver/parent receives cash transfer and information about vaccinations

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Vaccines

Cash

~$11 USD Total
At Birth or Before
Tuberculosis & Hepatitis B
₦ 500
6 Weeks
Diphtheria, Tetanus, Pertussis, Hepatitis B, HIB, Pneumococcal, & Polio
₦ 500
10 Weeks
Diphtheria, Tetanus, Pertussis, Hepatitis B, HIB, Pneumococcal, & Polio
₦ 500
14 Weeks
Diphtheria, Tetanus, Pertussis, Hepatitis B, HIB, Pneumococcal, & Polio
₦ 500
9 Months
Measles, Yellow Fever, & Meningitis
₦ 2,000
15 Months
Measles
₦ 500
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 Icon

Evidence- and Data-Driven Decisions

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

Doing Good Icon

Doing the Most Good

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

Accountability Icon

Accountability

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

Give Well

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.