Project Description: As countries drives towards achieving high and equitable coverage of life-saving vaccines, the availability of sustainable, equitable and predictable financing for vaccine delivery is essential. Over the last two decades, great strides have been made in expanding the coverage of routine and new vaccines, in part through better understanding the cost of delivering immunization services. However, gaps in cost evidence remain such as the costs associated with the different delivery strategies, the cost of scaling... As countries drives towards achieving high and equitable coverage of life-saving vaccines, the availability of sustainable, equitable and predictable financing for vaccine delivery is essential. Over the last two decades, great strides have been made in expanding the coverage of routine and new vaccines, in part through better understanding the cost of delivering immunization services. However, gaps in cost evidence remain such as the costs associated with the different delivery strategies, the cost of scaling up, and the upstream drivers of immunization delivery costs. In addition, the data that do exist are often fragmented, of variable quality, and /or difficult to access and use by policymakers, program planners, and other global and country-levels stakeholders. Consequently, historical funding level, rather than cost evidence, are often used to plan and budget immunization programs. Immunization delivery costing study aims to increase the visibility, availability, understanding and use of evidence information on costing /budgeting of delivering immunization services. The IHI as country research partners to ThinkWell Institute, JSI and policymakers aims to build country capacity around generation, interpretation, and use of cost evidence to work towards sustainable and predictable financing for vaccine delivery. This project focuses on vaccine delivery cost, for the purposes of this project, delivery cost are defined as the components of total immunization program cost, exclusive of vaccine costs. Delivery costs include the costs of vaccine administration (facility based outreach, or other delivery strategy), vaccine collection, distribution and storage and disposal, record-keeping and information systems, supervision, surveillance (AEFI and disease surveillance), training, social mobilization and program management. Delivery cost include the costs of the safe injection and waste disposal. Costs are expressed as financial costs (financial outlays) and valued as economic costs (taking into account the opportunity of health worker time).
Principal Investigator : Fatuma Manzi
Department Name : HSIEP
Time frame: (2017-03-01) - (2019-11-30)