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Improving childhood immunization through maternal support

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We evaluate the effectiveness of randomized interventions aimed at alleviating behavioral barriers — such as maternal stress and psychological strain, limited future-oriented thinking, and information frictions — for early childhood immunization uptake in a sample of Pakistani mothers with infants. A phone-delivered intervention providing light psychological support as well as visualization and planning techniques increases the total number of vaccines received by young children by 0.3, or 7% of the control mean, one year after baseline. We also find that the intervention improves maternal knowledge, attitudes, and perceived returns to vaccination. However, supplementing this intervention with vaccination-related information from influencers does not yield additional benefits in this context.

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Publisher Copyright: © 2026 The Authors

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Childhood immunization Information frictions Maternal mental health Subjective expectations Development Economics and Econometrics SDG 3 - Good Health and Well-being

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