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Peer Effects on Vaccination Behavior: Experimental Evidence from Rural Nigeria

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  • Ryoko Sato
  • Yoshito Takasaki

Abstract

Understanding how and why social interactions influence people’s vaccination behavior is important for disease control. This paper conducts the first causal analysis of peer effects on vaccination behavior in developing countries. We created exogenous variations in peers’ vaccination behaviors by randomizing cash incentives for tetanus vaccine take-up among Nigerian women. Vaccine take-up among friends strongly increased women’s take-up. The peer effects among friends are heterogeneous according to a person’s beliefs about vaccination. We find suggestive evidence of mechanisms underlying the positive peer effects that women visit a clinic together as well as share information about the vaccine.

Suggested Citation

  • Ryoko Sato & Yoshito Takasaki, 2019. "Peer Effects on Vaccination Behavior: Experimental Evidence from Rural Nigeria," Economic Development and Cultural Change, University of Chicago Press, vol. 68(1), pages 93-129.
    • Handle: RePEc:ucp:ecdecc:doi:10.1086/700570
    DOI: 10.1086/700570
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    Cited by:

    1. Michael Bailey & Drew M. Johnston & Martin Koenen & Theresa Kuchler & Dominic Russel & Johannes Stroebel, 2020. "Social Networks Shape Beliefs and Behavior: Evidence from Social Distancing During the COVID-19 Pandemic," NBER Working Papers 28234, National Bureau of Economic Research, Inc.
    2. Sasaki, Shusaku & Saito, Tomoya & Ohtake, Fumio, 2022. "Nudges for COVID-19 voluntary vaccination: How to explain peer information?," Social Science & Medicine, Elsevier, vol. 292(C).
    3. Ströbel, Johannes & Bailey, Michael & Johnston, Drew & Koenen, Martin & Kuchler, Theresa & Russel, Dominic, 2020. "Social Distancing During a Pandemic - The Role of Friends," CEPR Discussion Papers 15593, C.E.P.R. Discussion Papers.
    4. Alex Moehring & Avinash Collis & Kiran Garimella & M. Amin Rahimian & Sinan Aral & Dean Eckles, 2023. "Providing normative information increases intentions to accept a COVID-19 vaccine," Nature Communications, Nature, vol. 14(1), pages 1-10, December.
    5. Hirani, Jonas Cuzulan & Wüst, Miriam, 2023. "Reminder Design and Childhood Vaccination Coverage," IZA Discussion Papers 15877, Institute of Labor Economics (IZA).
    6. Basu, Arnab K. & Chau, Nancy H. & Firsin, Oleg, 2023. "Social Connections and COVID-19 Vaccination," IZA Discussion Papers 16307, Institute of Labor Economics (IZA).
    7. Facciani, Matthew & Lazić, Aleksandra & Viggiano, Gracemarie & McKay, Tara, 2023. "Political network composition predicts vaccination attitudes," Social Science & Medicine, Elsevier, vol. 328(C).

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