The national ‘no jab, no pay’ policy has been associated with substantial catch-up vaccination activity in lower socioeconomic status areas, according to research published in the Medical Journal of Australia.
Introduced on 1 January 2016, the “no jab, no pay” policy extended the existing vaccination requirements for receiving federal family assistance payments by expanding the immunisation assessment age from 5 to 19 years, removing non-medical (conscientious objection) exemptions and tightening guidelines for medical exemptions.
Findings suggest while monetary sanctions are effective in promoting catch-up vaccination, their impact varies with socio-economic disadvantage,concluded the authors, led by Dr Frank Beard.
Many factors contribute to incomplete vaccination; a comprehensive suite of measures, particularly for reducing barriers to access and incorporating systematic reminders, is therefore essential for improving coverage. Requirements alone are not enough, noted Professor Julie Leask.
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