Can Vaccination Incentives Backfire?

dc.creatorSeitz, William
dc.creatorYamada, Eiji
dc.creatorShimizutani, Satoshi
dc.date2023-03-15T15:58:11Z
dc.date2023-03-15T15:58:11Z
dc.date2023-03
dc.date.accessioned2026-07-01T00:36:25Z
dc.descriptionThis paper studies the effect of proposing a monetary incentive for vaccination intentions, with a survey-based randomized controlled experiment conducted separately in three countries, Tajikistan, Uzbekistan, and Kazakhstan. Respondents from nationally representative surveys were randomly assigned to a control group (for which no incentive was proposed) or to one of several treatment groups with varying levels of hypothetical compensation. Offering incentives markedly reduced overall vaccination intentions —all three counties. Country-level results ranged from no meaningful effect on vaccination intentions (Tajikistan) to a decline of up to 22 percent (Uzbekistan and Kazakhstan). In follow-up questions, most respondents said they disapprove of offering financial incentives for vaccination, and especially in contexts with strong negative effects in the experiment. The results contrast with the well-established efficacy of monetary incentives to influence vaccination behavior in other settings, but they are consistent with findings from the behavioral literature in which incentive payments signal inferiority or disutility. The findings suggest that policy makers and practitioners should use caution when considering extrinsic incentives for vaccination and other health interventions where effects have not been tested.
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dc.identifierhttp://documents.worldbank.org/curated/en/099452203092332479/IDU0016740ca0e87b0431a08cf406f5b7aeae50b
dc.identifierhttps://openknowledge.worldbank.org/handle/10986/39536
dc.identifier10.1596/1813-9450-10349
dc.identifier.urihttp://hdl.handle.net/123456789/407194
dc.languageEnglish
dc.languageen
dc.publisherWorld Bank, Washington, DC
dc.relationPolicy Research Working Papers; 10349
dc.rightsCC BY-NC 3.0 IGO
dc.rightsWorld Bank, Washington, DC
dc.subjectCOVID-19 PANDEMIC
dc.subjectVACCINATION INCENTIVE
dc.subjectMONETARY INCENTIVE
dc.subjectVACCINATION EXPERIMENT
dc.subjectPUBLIC HEALTH PROMOTION RESEARCH
dc.titleCan Vaccination Incentives Backfire?
dc.titleExperimental Evidence That Offering Cash Incentives Can Reduce Vaccination Intentions in Some Contexts
dc.typeWorking Paper

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