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New Incentives’ All Babies program operates in northern Nigeria (Zamfara, Jigawa, Katsina, Sokoto, and Bauchi 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.
Infants served by the program
Cash transfers issued after verifying vaccinations
Retention rate through vaccination cycle
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.
The program is conducted with the approval of and in close collaboration with the Governments of Zamfara, Katsina, Jigawa, Sokoto, and Bauchi States in northern Nigeria.
According to the 2018 Nigeria Demographic and Health Survey, North West, Nigeria, is the region with the lowest vaccination coverage in Nigeria with only around one quarter of the infants getting fully immunized, leaving a large population of infants vulnerable to disease outbreaks.