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How It Works
Our Model
New Incentives’ mission is to save lives in a way that does the most good per dollar. Guided by evidence, we provide cash incentives to increase childhood vaccination rates.
New Incentives’ All Babies program operates in northern Nigeria (Zamfara, Jigawa, Katsina, Sokoto, Bauchi, Gombe, Kano, Kaduna, and Kebbi States), a remote, poor region with one of the lowest childhood vaccination rates in the world. In partnership with local government partners, we provide small cash transfers to caregivers when their infants receive each of four vaccines: BCG (against tuberculosis), Penta (against diphtheria, tetanus, whooping cough, hepatitis B, and Haemophilus influenzae type b), PCV (against pneumococcal disease), and MCV (against measles). These vaccinations are part of the routine schedule for infant immunizations in Nigeria and are provided at no cost to the caregiver through government-supported clinics. In addition, New Incentives addresses other barriers to immunization coverage, supporting partners to increase vaccine supply and increase awareness of the benefits of vaccines. We are constantly using data and evidence to inform our model and our daily operations.
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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
Visit
Vaccines
Cash
₦ 1,000
Tetanus
Pertussis
Hepatitis B
HIB
₦ 1,000
Tetanus
Pertussis
Hepatitis B
HIB
₦ 1,000
Tetanus
Pertussis
Hepatitis B
HIB
₦ 1,000
₦ 1,000
₦ 1,000
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₦ 1,000
At birth or soon after
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BCG
OPV
Hep B
At 6, 10, and 14 weeks
+ ₦500
+ ₦500
Pertussis, Hepatitis B, and HIB
PENTA
PCV
OPV, 1 dose IPV
At 9 months
MCV
YF
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Program Activities Supported by New Incentives
Verify infants have received the appropriate vaccinations (condition) and disburse the predefined cash transfer
Raise awareness of the benefits of vaccination and increase demand for immunization services
Improve vaccine supply by identifying and addressing bottlenecks in the vaccine supply chain
Our program is conducted with the approval of and in close collaboration with the Governments of Zamfara, Katsina, Jigawa, Sokoto, Bauchi, Gombe, Kano, Kebbi, and Kaduna States in northern Nigeria.
With only around one-fourth of their infants getting fully immunized, North West and North East, Nigeria, are the regions with the lowest vaccination coverage in the country (source). This leaves the population vulnerable to disease outbreaks.
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