"No jab, no pay" policy increases vaccination uptake
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"No jab, no pay" policy increases vaccination uptake Linking childhood vaccination status to family assistance payments under a "No jab, no pay" policy increases catchup vaccination rates in children and adolescents in Australia, according to findings of a study published in the Medical Journal of Australia. Data from the Australian Immunisation Register were used to investigate catch-up rates of measles mumps and rubella vaccine first dose (MMR1) and DTaP vaccine third dose (DTaP3) in children 5–6 years of age during the first two years of "No jab, no pay" (December 2015–December 2017) compared with the two years prior to introduction of "No jab, no pay" (2013–2014); and catch-up rates of the DTaP3 and the second dose of MMR (MMR2) in children aged 7–9 years and 407 332 patients aged 10–19 years during the "No jab, no pay" period. The proportion of incompletely vaccinated children aged 5–6 years who received catch-up DTaP3 increased from 9.4% during the baseline period to 15.5% under "No jab, no pay," but the catch-up rate of MMR1 was similar during the two periods (13.6% and 12.9%. respectively). The proportion of children aged 7–9 years who received catch-up DTaP3 and MM2 by December 2017 was 12.5% and 22%, respectively. During the first two years of "No jab, no pay," only 8.8% of incompletely vaccinated patients 10–19 years of age received catch-up DTap3, but 17.6% received catch-up MMR2 and the overall MMR2 coverage rate increased to 89.0%. In this age group, MMR2 catch-up rates were greater in areas with the lowest versus highest socioeconomic status (29.1% vs 7.6%), and in Indigenous versus non-Indigenous patients (35.8% vs 17.1%). "A considerable degree of catch-up vaccination activity followed the introduction of "No jab, no pay" in Australia . . . Our findings suggest that, while monetary sanctions are effective in promoting catch-up vaccination, their impact varies with socio-economic disadvantage," concluded the authors. Hull BP, et al. "No jab, no pay": catch-up vaccination activity during its first two years. Medical Journal of Australia : 19 Sep 2020. Available from: URL: http:// doi.org/10.5694/mja2.50780
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PharmacoEconomics & Outcomes News 3 Oct 2020 No. 863
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