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New Incentives – current states of operationNew Incentives – prospective statesNew Incentives – prospective states
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NigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeria
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InputsunittypeOverallBauchiGombeJigawaKaduna - cohort 17KanoKatsinaKebbiSokotoZamfaraAbiaAdamawaAkwa IbomAnambraBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguFCTImoKadunaKogiKwaraLagosNasarawaNigerNiger -
cohorts 32 & 36
Niger -
cohort 34
OgunOndoOsunOyoPlateauRiversTarabaYobeSourceGW analysis and discussion
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Final cost-effectiveness estimate (pulled from "Main calcs" sheet for visibility)xcashcalc-19.99.918.08.912.516.728.838.331.11.73.91.61.82.63.05.01.52.11.11.51.21.11.41.25.22.22.01.13.27.38.75.32.42.11.21.72.21.56.311.4
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Costs
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7
GiveWell costs
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Grant size$input$1,000,000----------------------------------------Arbitrary value
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10
Cost per child covered
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Cost per infant enrolled in the program$input$16.26----------------------------------------
New Incentives, Summary of Funding Gap Estimates (unpublished)
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Adjustment for repeat enrollments%input10.72%GW analysis
GW's analysis of New Incentives cost per infant immunized
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14
Vaccine efficacy
15
16
Vaccine efficacy rates from meta-analyses
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BCG vaccine efficacy rate from Abubakar et al. 2013%input66%----------------------------------------Abubakar et al. 2013
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DTP vaccine efficacy rate from the LiST meta-analysis (part of the Penta vaccine)%input94%----------------------------------------
Lives Saved Tool (LiST)
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Hib vaccine efficacy rate from Thumburu et al. 2015 (part of the Penta vaccine)%input82%----------------------------------------
Thumburu et al. 2015
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PCV vaccine efficacy rate from the LiST meta-analysis%input48%----------------------------------------
Cutts et al. 2005 and Klugman et al. 2003
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Rotavirus vaccine efficacy rate from the LiST meta-analysis%input46%----------------------------------------
Lives Saved Tool (LiST)
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Measles single dose vaccine efficacy rate from the LiST meta-analysis%input85%----------------------------------------
Lives Saved Tool (LiST)
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Measles two-dose vaccine efficacy rate, adjusted from the LiST meta-analysis%input90%----------------------------------------
Lives Saved Tool (LiST)
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25
Adjustment for geography-specific vaccine efficacy
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Measles vaccine efficacy rate GiveWell infers from the results of IDinsight's biomarkers pilot, assuming the results are entirely explained by vaccine efficacy%input26%----------------------------------------GW analysisGW's analysis of the biomarkers pilot results for Nigeria
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Measles vaccine efficacy rate implied by the results of Fowotade et al. 2015%input69%----------------------------------------
Fowotade et al. 2015
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Measles vaccine efficacy rate from Uzicanin and Zimmerman 2011%input73%----------------------------------------
Uzicanin and Zimmerman 2011
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Weight assigned to the vaccine efficacy rate from the LiST meta-analysis%input20%----------------------------------------GW guesstimate
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Weight assigned to the vaccine efficacy rate GiveWell infers from the results of IDinsight's biomarkers pilot%input10%----------------------------------------GW guesstimate
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Weight assigned to the vaccine efficacy rate implied by the results of Fowotade et al. 2015%input35%----------------------------------------GW guesstimate
32
Weight assigned to the vaccine efficacy rate from Uzicanin and Zimmerman 2011%input35%----------------------------------------GW guesstimate
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Proportion of the adjustment for geography-specific measles vaccine efficacy that applies to other vaccines%input75%----------------------------------------GW guesstimate
34
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Vaccine coverage in trials
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Vaccination coverage rate in the trials informing our vaccine efficacy estimates%input95%----------------------------------------GW guesstimate
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Baseline vaccination coverage
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Populations targeted by New Incentives' coverage surveys
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Number of local government areas (LGAs) within the state#input-2011276443421231417213121823271825121816176272321162013251262018303317231617
Local government areas of Nigeria
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Number of LGAs surveyed by New Incentives' coverage surveys#input-2011236441216141018000000000000018000018126000000910GW analysis
GW's analysis of vaccination coverage found in New Incentives' rapid assessments
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Starting year of New Incentives' coverage surveys#input-2022202220212023202220212023202220220202300000000000002023000020242024202400000020232024
New Incentives, data from coverage surveys
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Ending year of New Incentives' coverage surveys#input-2022202320222023202320222023202220220202300000000000002023000020242024202400000020232024
New Incentives, data from coverage surveys
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Adjustment for higher confidence in coverage survey results%input50%----------------------------------------GW guesstimate
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47
Baseline vaccination coverage found in New Incentives' coverage surveys
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Proportion of children reported to have received the BCG vaccine in New Incentives' coverage surveys%input-55%73%61%64%61%42%40%35%21%-89%-------------77%----66%62%76%------76%63%GW analysis
GW's analysis of vaccination coverage found in New Incentives' rapid assessments
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Proportion of children reported to have received the 1st dose of the Penta vaccine in New Incentives' coverage surveys%input-49%68%57%60%56%39%34%27%14%-86%-------------74%----63%57%75%------73%59%GW analysis
GW's analysis of vaccination coverage found in New Incentives' rapid assessments
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Proportion of children reported to have received the 2nd dose of the Penta vaccine in New Incentives' coverage surveys%input-45%63%52%51%48%37%24%26%13%-79%-------------67%----53%46%65%------66%48%GW analysis
GW's analysis of vaccination coverage found in New Incentives' rapid assessments
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Proportion of children reported to have received the 3rd dose of the Penta vaccine in New Incentives' coverage surveys%input-35%50%40%41%37%30%15%19%9%-70%-------------58%----39%34%50%------56%38%GW analysis
GW's analysis of vaccination coverage found in New Incentives' rapid assessments
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Proportion of children reported to have received the 1st dose of the measles vaccine in New Incentives' coverage surveys%input-35%49%37%32%32%26%23%21%14%-59%-------------54%----36%31%45%------51%35%GW analysis
GW's analysis of vaccination coverage found in New Incentives' rapid assessments
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54
Baseline vaccination coverage found in coverage surveys, adjusted for self-report bias
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Adjustment for self-report bias in New Incentives' coverage surveys%input0.06%----------------------------------------GW analysis
GW's analysis of vaccination coverage found in New Incentives' rapid assessments
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57
Baseline vaccination coverage found in 2021 MICS coverage surveys
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Proportion of children reported to have received the BCG vaccine in the 2021 MICS survey%input-49%59%64%78%60%57%64%34%51%91%84%86%84%79%82%65%93%84%99%92%99%99%95%95%78%92%72%94%79%67%67%67%72%75%93%83%88%90%71%75%
Nigeria MICS report, 2021
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Proportion of children reported to have received the 1st dose of the Penta vaccine in the 2021 MICS survey%input-42%54%61%73%55%53%60%29%45%88%75%86%83%78%81%58%93%81%99%92%95%99%91%94%73%86%66%92%72%62%62%62%67%73%91%76%80%90%72%74%
Nigeria MICS report, 2021
60
Proportion of children reported to have received the 2nd dose of the Penta vaccine in the 2021 MICS survey%input-38%51%56%67%47%47%58%18%35%86%67%82%75%76%75%45%92%76%99%91%94%97%87%93%67%74%64%90%65%50%50%50%58%68%88%64%78%87%65%71%
Nigeria MICS report, 2021
61
Proportion of children reported to have received the 3rd dose of the Penta vaccine in the 2021 MICS survey%input-31%38%49%60%42%41%55%12%25%75%54%73%74%70%63%30%75%70%99%83%85%91%80%89%60%63%55%85%54%39%39%39%41%63%82%57%65%78%52%64%
Nigeria MICS report, 2021
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Proportion of children reported to have received the 1st dose of the PCV vaccine in the 2021 MICS survey%input-42%52%61%72%54%52%60%22%46%89%75%84%83%77%79%54%93%79%99%90%96%99%91%94%72%85%64%92%71%58%58%58%65%72%91%75%79%90%71%72%
Nigeria MICS report, 2021
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Proportion of children reported to have received the 2nd dose of the PCV vaccine in the 2021 MICS survey%input-38%47%56%65%47%44%57%14%36%85%67%82%75%75%71%38%92%73%99%86%90%96%87%91%65%72%61%89%63%50%50%50%57%66%83%63%69%85%62%68%
Nigeria MICS report, 2021
64
Proportion of children reported to have received the 3rd dose of the PCV vaccine in the 2021 MICS survey%input-31%37%48%59%40%39%54%10%27%67%54%71%74%67%56%31%73%69%99%77%83%91%80%86%59%62%53%80%51%40%40%40%40%61%69%57%61%79%50%63%
Nigeria MICS report, 2021
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Proportion of children reported to have received the 1st dose of the measles vaccine in the 2021 MICS survey%input-31%37%56%57%41%44%63%19%46%75%61%72%67%66%68%39%80%73%92%80%95%80%90%75%57%72%64%86%57%55%55%55%56%66%80%61%70%85%65%71%
Nigeria MICS report, 2021
66
Proportion of children reported to have received the 2nd dose of the measles vaccine in the 2021 MICS survey%input-11%18%33%31%14%25%55%19%33%61%31%45%65%57%32%18%53%51%66%49%66%66%46%41%31%57%34%68%27%20%20%20%42%50%54%44%26%54%39%48%
Nigeria MICS report, 2021
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68
Baseline vaccination coverage found in 2017 MICS coverage surveys
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Proportion of children reported to have received the 1st dose of the Penta vaccine in the 2017 MICS survey%input-35%45%20%44%28%28%20%9%15%82%57%80%90%61%68%73%84%76%80%89%87%85%88%88%44%64%71%94%56%36%36%36%71%76%83%69%70%82%36%18%
Nigeria MICS report, 2017
70
Proportion of children reported to have received the 2nd dose of the Penta vaccine in the 2017 MICS survey%input-25%29%9%33%21%18%17%5%10%69%50%73%82%50%60%64%77%64%66%86%80%79%72%72%33%48%61%86%45%31%31%31%59%71%66%65%57%73%20%11%
Nigeria MICS report, 2017
71
Proportion of children reported to have received the 3rd dose of the Penta vaccine in the 2017 MICS survey%input-19%25%7%30%16%12%11%3%9%55%38%68%76%43%57%48%70%57%54%75%72%74%66%66%30%38%49%80%35%20%20%20%52%66%60%54%45%66%16%9%
Nigeria MICS report, 2017
72
Proportion of children reported to have received the BCG vaccine in the 2017 MICS survey%input-41%54%26%51%34%29%23%16%19%87%67%82%89%66%66%81%88%81%83%97%87%93%88%96%51%73%72%93%64%38%38%38%80%83%88%77%80%82%40%16%
Nigeria MICS report, 2017
73
Proportion of children reported to have received the 1st dose of the measles vaccine in the 2017 MICS survey%input-22%32%10%43%24%21%26%10%16%70%49%64%75%52%54%58%74%64%58%86%80%81%76%75%43%65%67%88%50%31%31%31%59%72%67%53%65%71%29%15%
Nigeria MICS report, 2017
74
75
Self-report adjustments for MICS surveys
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Proportion of positive responses that came from self-report in the 2021 MICS survey%input22%----------------------------------------GW analysis
GW's analysis of self-report bias in vaccine coverage sources for New Incentives
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Proportion of positive responses that came from self-report in the 2017 MICS survey%input44%----------------------------------------GW analysis
GW's analysis of self-report bias in vaccine coverage sources for New Incentives
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79
Estimated change in counterfactual vaccination coverage over time
80
Estimated change per year in the proportion of children that are unvaccinated, in the absence of New Incentives%input-5%----------------------------------------GW guesstimate
81
82
Weighting of coverage estimates from different sources for the rotavirus vaccine
83
Weight placed on estimated coverage for the Penta vaccine for estimating rotavirus vaccine coverage%input50%----------------------------------------GW guesstimate
84
Weight placed on estimated coverage for the PCV vaccine for estimating rotavirus vaccine coverage%input50%----------------------------------------GW guesstimate
85
86
Baseline coverage for the rotavirus vaccine
87
Proportion of people under age 5 represented in GBD 2021 disease burden estimates who received the 1st dose of the rotavirus vaccine%input0%----------------------------------------GW guesstimate
88
Proportion of people under age 5 represented in GBD 2021 disease burden estimates who received the 2nd dose of the rotavirus vaccine%input0%----------------------------------------GW guesstimate
89
Proportion of people under age 5 represented in GBD 2021 disease burden estimates who received the 3rd dose of the rotavirus vaccine%input0%----------------------------------------GW guesstimate
90
91
Weighting of vaccination coverage estimates from different sources for the measles vaccine
92
Weight placed on the results of New Incentives' coverage surveys for estimating measles vaccine coverage%input0%----------------------------------------GW guesstimate
93
Weight placed on the results of the 2021 MICS survey for estimating measles vaccine coverage%input100%----------------------------------------GW guesstimate
94
95
Proportion of vaccine efficacy provided by individual doses
96
Proportion of total Penta vaccine efficacy provided by the 1st dose%input35%----------------------------------------GW guesstimate
97
Proportion of total Penta vaccine efficacy provided by the 2nd dose%input55%----------------------------------------GW guesstimate
98
Proportion of total Penta vaccine efficacy provided by the 3rd dose%input10%----------------------------------------GW guesstimate
99
Proportion of total PCV vaccine efficacy provided by the 1st dose%input35%----------------------------------------GW guesstimate
100
Proportion of total PCV vaccine efficacy provided by the 2nd dose%input55%----------------------------------------GW guesstimate