Religion and Vaccination: Evidence from Indonesia
Religion can shape individual preferences and influence health-related decisions. This study examines the relationship between religion and vaccination in the world’s largest Muslim-majority country by investigating the effects of a fatwa, Islamic legal opinion concerning non halal vaccine. We leverage from variation in Islamist influence as proxied by the intensity of Islamic boarding schools (Pesantren) to compare vaccination uptakes before and after the fatwa. We find that children exposed to the fatwa in high Pesantren areas exhibited lower vaccination uptakes. Reduced vaccination rates were associated with higher severe morbidity among these children and a greater likelihood of disease outbreaks in districts with more Pesantren per capita. The evidence points to the strong role of religion in driving vaccine hesitancy, alongside shifts in religious attitudes. These findings highlight the need for public health authorities to consider the role of religion to effectively address vaccine hesitancy.