Varsha Venugopal

They don't want to deal with a crying child.

They don't want to take the bus to go somewhere for vaccination.

So all reasons which possibly by small nudges in the margins could be addressed.

Yes, and this is exactly where it's really important to reinforce that it's very different from COVID vaccine hesitancy or other kinds of vaccine hesitancy that may exist somewhere, which is possibly far more complicated and involves issues of trust.

I mean, here we know because they've come in for the birth dose and at least one other dose that they broadly trust the vaccines and believe it's a public good.

but for a myriad of reasons are then dropping off because of just being overwhelmed with their daily lives.

Yeah, and that's the kind of areas where some of these nudge kind of mechanisms seem to have the most impact, right?

And I think Duflo and Banerjee, of course, have talked more about it.

And Cass Sunstein in your podcast has done the whole research on it.

And the different ways one can nudge people in the margin for something like this, where they broadly trust the intervention, but have not gotten around to completing it.

Yeah, and the UK government, I think, has been quite good at embracing some of this.

And they have a whole team set up, BIT, I think.

Exactly.

That's also been quite influential in how we should be responding to COVID.

And I remember early on, there was this research on whether organ donation should be a default on your license.

And I think putting that on as a default...

dramatically increased the number of people who then chose organ donation just because it wasn't something you had to check out versus checking in.

I think the questions you ask when you're trying to scale up an intervention are quite different from those in a research study.

So while we are quite excited with the intervention and its impact, we do have some questions which are all around how can we scale this rapidly, right?

So we already pivoted to a remote version, but we still have some open questions.