Implementing No Jab, No Pay

Policy considerations
Friday 27 July, 1115 – 1135


Professor Ilan Katz
Social Policy Research Centre, University of New South Wales

The No Jab, No Pay 2015 Budget measure was introduced amongst a great deal of controversy. The Measure included a package of policies aimed at increasing vaccination rates, primarily by withholding certain payments from families whose children are not fully vaccinated. The policy has been very controversial for using sanctions rather than rewards for increasing vaccination rates, and for increasing conditionality in public health. The measure has been hailed as a success by the government and others, but the evidence base in this area of policy is still limited and there are questions as to the long term implications for public health of measures such as No Jab No Pay. The paper outlines the policy design and discusses the broader implications of this for policies designed to change the behaviour of populations. The paper highlights some of the challenges associated with assessing the impact of the Measure.