No Jab, No Pay

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No Jab No Pay is an Australian policy initiative which withholds three state payments โ€“ Child Care Benefit, the Child Care Rebate and a portion of the fortnightly Family Tax Benefit part A per child โ€“ for parents of children under 20 years of age who are not fully immunised or on a recognised catch-up schedule.[1] No Jab No Play is a related policy that disallows unvaccinated children from attending preschool and childcare centres, and imposes fines on childcare centres that admit unvaccinated children.[2][3] The system allows exemptions for children who cannot be safely vaccinated for medical reasons.

History

The policies grew out of a grassroots campaign championed by

pertussis, leading to a backlash of harassment and trolling from anti-vaccination activists.[6][7] Far-right politician Pauline Hanson also opposed the policy, though she later gave in to political pressure and backed the policy.[8] and clarified that she supports vaccination.[9] The campaign was a response to a rise in "conscientious objections", which had reached record levels[10] particularly in the Sunshine Coast area of Queensland,[11] where early attempts to pass legislation were knocked back in 2014.[12] Efforts to circumvent the legislation included the founding of more fake religions, of which the best known, the "Church of Conscious Living", was promoted by anti-vaccine group the Australian Vaccination Network[13][14] (since renamed to Australian Vaccination-risks Network after legal action over its deceptive name),[15] and by anti-vaccination activist Stephanie Messenger.[16]

No Jab No Pay was legislated in 2015,[17] came into effect January 1, 2016, and was expanded in July 2018.[18][19] By July 2016, 148,000 children who had not previously been fully immunised, were meeting the new requirements.[20]

No Jab No Play was introduced at the state level, in

Victoria in 2017,[21] leading to an immediate though small rise in immunisation rates,[22] with Western Australia, which has some of the lowest vaccination rates in the country, following in December 2018.[23]

Impact

Public health researchers have had mixed evaluations of No Jab, No Pay and No Jab, No Play. Removing non-medical exemptions from vaccine requirements have been questioned on ethical grounds, the potential for coercive policies to lead to an increase in anti-vaccination sentiment, and the inequity of policy based on welfare conditionality.[24][25][26] A study on the impact of removing conscientious objection from financial payments and childcare enrolments found that the policies led to a significant increase in childhood vaccination above the pre-intervention trend. The effect of the policies were larger in areas with lower socio-economic status, higher rates of government benefits, and higher pre-intervention coverage rates.[27] A study of adolescent catch-up vaccination found that No Jab No Pay resulted in a large rise in catch up vaccination.[28] A 2022 study examined the effect of No Jab No Play policies on vaccine adherence with a study design that isolated the effect of No Jab No Play policies distinct from federal mandates found that childcare mandate policies had a small positive impact on uptake.[29]

See also

References

  1. ^ Health, Australian Government Department of (18 December 2017). "No Jab No Pay new requirements fact sheet". Retrieved 3 February 2019.
  2. ISSN 0362-4331
    . Retrieved 3 February 2019.
  3. ^ "No Jab No Play, No Jab No Pay". National Centre for Immunisation Research and Surveillance. Retrieved 19 August 2021.
  4. ^ a b "Retreating to the Church of Anti-Vaccination โ€“ CSI". Retrieved 3 February 2019.
  5. ^ Hansen, Jane. "No jab, no play campaign launched to ban unvaccinated kids from childcare centres and preschools". Retrieved 3 February 2019.
  6. ^ "Anti-vaccination lobby stoops to a new low". 16 September 2015. Retrieved 3 February 2019.
  7. ^ "Sick anti-vax trolls attack grieving mum". 25 April 2015. Retrieved 3 February 2019.
  8. ISSN 0261-3077
    . Retrieved 3 February 2019.
  9. ISSN 0261-3077. Retrieved 3 February 2019. {{cite news}}: |last= has generic name (help
    )
  10. ^ Ngo, Cindy (10 January 2014). "Vaccine objectors rise as parents skirt 'no jab, no play' law". Retrieved 3 February 2019.
  11. ^ "Revealed: Worst child vaccination regions". 26 August 2014. Retrieved 3 February 2019.
  12. ^ "Vaccination: Yes or no? Debate continues as rates plummet". Retrieved 3 February 2019.
  13. ^ "Anti-vacc zealots form sham church". 29 May 2013. Retrieved 3 February 2019.
  14. ^ Medew, Julia (28 January 2015). "Anti-vaccination group encourages parents to join fake church". Retrieved 3 February 2019.
  15. ^ "Anti-vaccination group loses appeal". 26 November 2013. Retrieved 3 February 2019.
  16. ISSN 0261-3077
    . Retrieved 3 February 2019.
  17. ^ corporateName=Commonwealth Parliament; address=Parliament House, Canberra. "'No Jab No Pay' and other immunisation measures". Retrieved 3 February 2019.{{cite web}}: CS1 maint: multiple names: authors list (link)
  18. ^ "No Jab, No Pay changes". 4 May 2017. Retrieved 3 February 2019.
  19. ^ "No Jab, No Pay 2018: Changes to vaccination laws begin July 1". Retrieved 3 February 2019.
  20. ISSN 0261-3077
    . Retrieved 3 February 2019.
  21. ^ Lillebuen, Steve (14 November 2017). "Victoria flags tougher 'No Jab No Play' childcare vaccine laws". Retrieved 3 February 2019.
  22. ^ Sati, Wiriya (13 September 2018). "Anti-vax welfare cut leads to increase in vaccinations". Retrieved 3 February 2019.
  23. ^ "WA proceeds with 'no jab, no play' laws". Retrieved 3 February 2019.
  24. S2CID 149897863
    .
  25. S2CID 27439974
    .
  26. PMID 28168768
    .
  27. S2CID 230489130
    .
  28. PMID 32951230
    .
  29. S2CID 248455593
    .
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