Rapid Assessments

Rapid Assessments are conducted in accordance with state ethical approvals and data protection regulations.

Media consent is obtained for all photos used

Pictured: Amina and Hafsa

Table of Contents

Overview of Randomized Controlled Trial - [Slide 3]

​

Overview of Rapid Assessments - [Slide 6]

​

Rapid Assessment Results - [Slide 13]

Questions are welcomed throughout the presentation!

2

• A randomized controlled trial (RCT) is a study where people are placed randomly from the same eligible population into two groups: one receives the program (treatment group), and the other doesn’t (control group). �
• RCTs are considered the gold standard in research design due to their ability to establish cause-and-effect relationships.

What is a RCT?

3

Media consent is obtained for all photos used

• RCT was a stand-alone exercise with the objective of measuring the change in vaccine coverage after the introduction of the cash incentives.�
• RCT was conducted by an independent organization, IDInsight, and it allowed us to measure the impact of the intervention on BCG, Penta 1, and Measles 1 coverage, without any external influences prior to scaling up the program. �
• The duration for RCT was July 2017 → February 2020.�

Randomized Controlled Trial

4

Media consent is obtained for all photos used

RCT Outcome

• Katsina, Zamfara, and Jigawa States �
• 167 clinics: 83 clinics in control group and 84 in treatment group�
• Started programming in these clinics in early 2018. RCT window began in July 2018.�
• Endline survey started in December 2019, after at least 17 months of operations.

5

In areas where NI-ABAE is considering expanding to:

• Inform expansion decisions
• Capture a baseline of RI coverage for comparison after NI-ABAE starts operations

In areas where NI-ABAE operates to:

• Monitor the reach of the CCTs for RI Program
• Identify areas that may need additional support
• Inform operational decision making

6

Rapid Assessment Objectives

What are Rapid Assessments?

7

OBJECTIVES

• Measure caregiver-reported coverage of routine childhood immunizations�
• Measure community attitudes toward and knowledge about immunizations

COMPONENTS

• ‘Compact segment sampling’ to select households for surveying�
• 2 part household survey:�A) Eligibility screening;�B) Routine immunization survey

PARTICIPANTS

• Caregivers of 6-12 month old infants

Rapid Assessment Timeline

8

Rapid Assessment Timeline

9

Rapid Assessment Timeline

10

Primary Questions

#2

#1

#3

#4

What is the caregiver-reported coverage of the following routine childhood immunizations among 6-12 month olds at the first follow-up in the state-LGA cohort: BCG, any Pentavalent (Penta) vaccine, Measles 1 vaccine, and full vaccination (loose)?

What is the difference in the caregiver-reported coverage of the following routine childhood immunizations among 6-12 month olds between baseline and 12 months follow-up in the state-LGA cohort: BCG, any Penta vaccine, Measles 1 vaccine, and full vaccination?

At the first follow-up in the state-LGA cohort, what percentage of 6-12 month olds have BCG scars?

What is the difference in the percentage of 6-12 month olds in the state-LGA cohort that have BCG scars between baseline and follow-up?

11

* ”Full vaccination (loose)” refers to a child who has received BCG, at least one Penta vaccine dose, and Measles 1 vaccine.

Secondary Questions

#2

#1

What is the caregiver-reported coverage of the following routine childhood immunizations among 6-12 month olds at the first follow-up in the state-LGA cohort: BCG, Penta 1 vaccine, Penta 2 vaccine, Penta 3 vaccine, and Measles 1 (strict)?

At the first follow-up in the state-LGA cohort, what are caregivers’ motivations to (not) seek vaccination for their infants?

12

* ”Full vaccination (strict)” refers to a child who has received BCG, all three Penta doses, and Measles 1 vaccine.

Rapid Assessments

*Cohort 6 also includes

Gusau LGA in Zamfara State.

13

# of surveys

Dates

Cohort 4

14

• Kware
• Sokoto North
• Sokoto South
• Wamakko

Cohort 4

15

Cohort 4

16

Cohort 4

17

Cohort 6

18

• Bodinga
• Dange Shuni
• Shagari
• Silame
• Tambuwal

*Cohort 6 also includes

Gusau LGA in Zamfara State.

Cohort 6

19

Cohort 6

20

Cohort 6

21

Cohort 9

22

• Binji
• Gwadabawa
• Illela
• Wurno
• Yabo

Cohort 9

23

Cohort 9

24

Cohort 9

25

Caregiver Perceptions

26

Overview

27

Access to Reports

NEWINCENTIVES.ORG/RA

​

28

NEWINCENTIVES.ORG

Pictured: Khadija and Mohammad

Media consent is obtained for all photos used