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Mobile-based Conditional Cash Transfers - 62.3% vs. 58.4% Full Immunisation

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Strategy researched

Mobile-based conditional cash transfers (mCCT) with varying amounts, schedule, design, and payment method with or without automatic short messaging service (SMS) reminders

Impact achieved

Full immunisation coverage (FIC) was 62.3% (4,980/7,998) for participants receiving any mCCT, compared to 58.4% (934/1,600) for the SMS arm (adjusted odds ratio [OR]:1.18, 95% confidence interval [CI]: 1.05-1.33, p = 0.005). SMS had a marginally statistically significant impact on FIC versus control (OR: 1.16, 95% CI: 1.00-1.35; p = 0.046).

Country of study

Pakistan

Research methodology

7-arm, factorial RCT with 5 mCCT arms, one reminder (SMS)-only arm, and one control arm; 11,197 caregiver-child pairs

Journal

eClinicalMedicine; 2022

Journal paper title and link

Small mobile conditional cash transfers (mCCTs) of different amounts, schedules and design to improve routine childhood immunization coverage and timeliness of children aged 0-23 months in Pakistan: An open label multi-arm randomized controlled trial

Excerpt from Abstract

"FIC at 12 months was statistically significantly higher for any mCCT versus SMS (OR:1.18, 95% CI: 1.05-1.33; p = 0.005). Within the mCCT arms, FIC was statistically significantly higher for high versus low amount (OR: 1.16, 95% CI: 1.04-1.29; p = 0.007), certain versus lottery payment (OR: 1.30, 95% CI: 1.17-1.45; p < 0.001) and airtime versus mobile money (OR: 1.17, 95% CI:1.01-1.36; p = 0.043). There was no statistically significant difference between a flat and increasing schedule (OR: 1.03, 95% CI: 0.93-1.15; p = 0.550). SMS had a marginally statistically significant impact on FIC versus control (OR: 1.16, 95% CI: 1.00-1.35; p = 0.046). Findings were similar for up-to-date coverage of penta-3, measles-1 and measles-2 at 18 months."

Summary at this link