Evaluating the Impact of Demand-Side Incentives (DSI) on Zero Dose Burden and Immunisation Coverage in Nigeria

Summary

The goal of this cluster Randomised Controlled Trial (cRCT) is to evaluate the impact and effectiveness of demand-side incentives (DSIs) in improving immunisation coverage and reducing the burden of zero-dose children between the age of 12-23months in Nigeria.

The study seeks to answer the following questions

1. What is the impact of demand-side incentives on increasing immunization coverage in the selected subnational regions of Nigeria?
2. What is the effect of demand-side incentives on reducing the zero-dose burden in selected subnational regions in Nigeria?
3. What is the effect of various demand-side incentive schemes on improving the timeliness of vaccination among children aged 0 to 23 months in the selected subnational regions of Nigeria?
4. What is the impact of different demand-side incentive schemes on enhancing the immunization knowledge and perception of caregivers with children aged 0 to 23 months in the selected subnational regions Nigeria by December 2025.

Conditions

• Incentives

Interventions

OTHER

Transportation Voucher, Comunity engagement and microplannnig support

Transportation vouchers will be provided to caregivers of eligible children after vaccination at designated routine immunisation health facilities. This is in addition to support for microplaning (technical assistance) for these routine immunisation health facilities and comunity engagement at their catchment areas.

OTHER

Direct Facility Funding, Community Engagement, and Microplaning Support

Direct funding will be provided to designated routine immunisation health facilities monthly, in addition to weekly performance monitoring and quarterly financial capacity building. Also, there will be support for microplaning (technical assistance) for these routine immunisation health facilities and comunity engagement at their catchment areas.

OTHER

Transportation Voucher, Direct Facility Funding, Community engagement and Microplanning support

Transportation vouchers will be provided to caregivers of eligible children after vaccination at designated routine immunisation health facilities. Direct funding will be provided to designated routine immunisation health facilities monthly, in addition to weekly oerformance monitoring and quarterly financial capacity building. Also, there will be support for microplaning (technical assistance) for these routine immunisation health facilities and comunity engagement at their catchment areas.

Sponsors & Collaborators

• Kwara State Primary Healthcare Development Agency

  collaborator UNKNOWN

• Oyo State Primary Healthcare Board

  collaborator UNKNOWN

• Corona Management Systems

  lead OTHER

Principal Investigators

• Obinna Ebirim, MSc · Corona Management Systems

• Chijioke Kaduru, MPH · Corona Management Systems

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

0 Days

Max Age

23 Months

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2024-08-29

Primary Completion

2025-10-04

Completion

2025-12-31

Countries

• Nigeria

Study Locations