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Improving Childhood Immunization through Maternal Support: Evidence from a Randomized Intervention in Pakistan / Adeline L. Delavande, Areeba Shahab, Javed Younas, Basit Zafar.

NBER Working papers Available online

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Format:
Book
Author/Creator:
Delavande, Adeline L.
Contributor:
Shahab, Areeba.
Younas, Javed.
Zafar, Basit.
National Bureau of Economic Research.
Series:
Working Paper Series (National Bureau of Economic Research) no. w33559.
NBER working paper series no. w33559
Language:
English
Physical Description:
1 online resource: illustrations (black and white);
Place of Publication:
Cambridge, Mass. National Bureau of Economic Research 2025.
Summary:
We evaluate the effectiveness of randomized interventions aimed at alleviating psychological barriers (maternal stress and difficulty visualizing the future) and addressing information frictions on early childhood immunization uptake in a sample of 2,145 mothers of infants in Pakistan. A phone-delivered intervention providing psychological support and visualization techniques to mothers increases the total number of vaccines received by young children by 0.3, or 7% of the control mean, one year after baseline. The impacts are larger for lower-income households. We also find that the intervention improves maternal knowledge, attitudes, and perceived returns to vaccination, highlighting the role of psychological support in shaping health behaviors. However, supplementing this intervention with vaccination-related information from influencers does not yield additional benefits.
Notes:
March 2025.
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