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Cost of providing the expanded programme on immunization: findings from a facility-based study in Viet Nam, 2005
Minh Van Hoang1, Thi Bach Yen Nguyen, Bao Giang Kim
1Faculty of Public Health, Hanoi Medical University, Hanoi, Viet Nam. hvminh71@yahoo.com
Objective:
To estimate and analyse the costs for providing the expanded programme on immunization (EPI) in a rural community in the north of Viet Nam in 2005.
Methods:
An ingredient approach was used to collect cost data from the perspective of the service providers.
Findings:
The total annual cost of EPI in Bavi district was US$58,460 [purchasing power parity (PPP) 282,076]. Vaccines and supplies were the largest cost category (33%), followed by personnel costs (30.2%). The largest share of the total cost was due to activities at commune level (38%). The average cost per fully vaccinated child (FVC) was US$4.81 (PPP 23.21), much lower than the figure of US$15 that is generally accepted as the cost-effective threshold for EPI in developing countries.
Conclusion:
This empirical study indicates that EPI has been implemented efficiently in rural Viet Nam, but that opportunities exist to make it even more efficient.
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