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“No jab, no pay” pays off

Terence M Nolan
Med J Aust 2020; 213 (8): . || doi: 10.5694/mja2.50796
Published online: 19 October 2020

The policy has been effective, albeit with modest closure of coverage gaps, and without substantial backlash

In April 1998, the Australian government linked the payment of childcare subsidies (Childcare Assistance and Childcare Cash Rebate) and the Maternity Immunisation Allowance to childhood vaccination status.1 To receive these benefits, families needed to show that their child was fully vaccinated according to the National Immunisation Program Schedule.2 Further, the Victorian government passed legislation in 2015 that required childcare proprietors to record and regularly update the vaccination status of each child in their care, and to restrict admission to children who were up to date (“No jab, no play”).3 Other states have since followed suit.


  • 1 Peter Doherty Institute for Infection and Immunity, University of Melbourne, Melbourne, VIC
  • 2 Murdoch Children's Research Institute, Melbourne, VIC


Correspondence: t.nolan@unimelb.edu.au

Competing interests:

No relevant disclosures.

  • 1. Bond L, Nolan T, Lester R. Immunisation uptake, services required and government incentives for users of formal day care. Aust N Z J Public Health 1999; 23: 368–376.
  • 2. Bond L, Davie G, Carlin JB, et al. Increases in vaccination coverage for children in child care, 1997 to 2000: an evaluation of the impact of government incentives and initiatives. Aust N Z J Public Health 2002; 26: 58–64.
  • 3. Department of Health and Human Services (Victoria). No jab no play [website]. 2017. https://www2.health.vic.gov.au/public-health/immunisation/vaccination-children/no-jab-no-play (viewed Sept 2020).
  • 4. Lawrence GL, MacIntyre CR, Hull BP, McIntyre PB. Effectiveness of the linkage of child care and maternity payments to childhood immunisation. Vaccine 2004; 22: 2345–2350.
  • 5. Hull BP, Beard FH, Hendry AJ, et al. “No jab, no pay”: catch‐up vaccination activity during its first two years. Med J Aust 2020; 213: 364–369.
  • 6. Leask J, Danchin M. Imposing penalties for vaccine rejection requires strong scrutiny. J Paediatr Child Health 2017; 53: 439–444.

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