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Behavioral Economics Training

Roundtable Activity

Gastón Gertner

Roundtable activity:

build your own case

What we expect

CASE STUDY Immunization in Rural Guatemala

Identify a policy challenge you've been working with

List stakeholders

and policies in place

General idea

Think how BE can help overcome these

LAST MILE

Identify barriers

Immunization in Rural Guatemala

Based on the study by Busso, Cristia and Humpage "Did you get your shots?"

Immunization in Rural Guatemala

Policy challenge

Policies and programs in place (already) tested

Stakeholders

Expected response

Accomplished?

Exercise #1

Accomplished

Un-accomplished

Policy Challenge

Policy challenge

Boost immunization for children in rural Guatemala

Policy Challenge

POLICIES AND PROGRAMS

Free vaccines

The Coverage Extension Program PEC

Policies & programs

mobile medical teams

once a month

basic clinics

visited by

NGOs operate

Community Health workers

track families and inform on medical visits

used for statistical info but rarely to improve coverage or help community health workers

Electronic medical records

The PEC keeps

RESULTS

low coverage for later vaccines reduces the probability of immunization

Expected response

Stakeholders

Accomplished?

Provide vaccines and information

Stakeholders

Administer vaccines and provide information

Access immunization and get vaccines

Target

BARRIER

BEHAVIORAL BIAS

Barrier with behavioral component?

Exercise #2

Target

Families in rural Guatemala

BARRIER

BEHAVIORAL BIAS

Barrier with behavioral component?

Present bias

Cost-benefit analysis of getting to the clinic

Guatemala

"I don't immunize; nobody does"

(Mis) Perception of social norms

Too many important things to care about. Vaccines are just one more thing

Cognitive overload

Limited access, no transportation every week

Don't know what vaccine to get or when

BE Glossary

Selected barrier(s)

Behavioral Bias(es)

Behavioral Tools

Exercise #3

INTERVENTION

Selected barrier

Present Bias

(Mis)perception of social norms

Guatemala barriers

Cognitive overload

Access barrier

The role of reminders

Information barrier

Selected barrier(s)

Behavioral Bias(es)

Too many things to think about

+ info barrier

Cognitive overload

Behavioral Tools

REMINDERS

Guatemala

INTERVENTION

13.000 children between 1 and 5 years old

Treatment

Control

Health workers received lists of kids that were due for vaccination the following month

Business as usual

"Did you get your shots?"

After 6 months

4.5 pp more vaccines in treatment group and 9.1 pp more for those due a vaccine during intervention

$0.17 per child

BE Glossary

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