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Using standardized tools to improve immunization costing data for program planning: the cost of the Colombian
Carlos Castañeda-Orjuela1, Martin Romero, Patricia Arce
1Epidemiology and Public Health Evaluation Group, Universidad Nacional de Colombia, Bogotá, Colombia. cacastanedao@unal.edu.co
Vaccine
|June 20, 2013
Summary
The ProVac CostVac Tool accurately estimates costs for Expanded Programs on Immunization (EPI), finding Colombia
Area of Science:
- Public Health Economics
- Vaccination Program Management
- Health Systems Research
Background:
- Accurate cost data is crucial for economic and financial analysis of Expanded Programs on Immunization (EPI).
- Cost-effectiveness analysis for new vaccine introductions requires reliable EPI cost information.
- Existing methods for EPI costing can be time-consuming and lack accuracy.
Purpose of the Study:
- To introduce and evaluate the ProVac CostVac Tool, a novel spreadsheet-based system for estimating EPI costs.
- To improve the speed, accuracy, and availability of cost data for immunization programs.
- To assess the economic feasibility of immunization programs and new vaccine introductions.
Main Methods:
- Developed the ProVac CostVac Tool, a user-friendly spreadsheet incorporating program inputs across administrative and service delivery levels.
- Piloted the tool in Colombia, collecting data from central, departmental, municipal levels, and 112 health facilities.
- Estimated total EPI costs, cost per vaccine dose, and cost per fully immunized child using the tool and facility surveys.
Main Results:
- The ProVac CostVac Tool was validated as a user-friendly and comprehensive EPI costing methodology.
- Total EPI costs in Colombia were US$107.8 million in 2009, with US$153.62 per fully immunized child.
- Vaccines/supplies (58%), personnel (21%), and cold chain (18%) were major cost components; central administration incurred most costs (62%).
Conclusions:
- The ProVac CostVac Tool is a valuable resource for researchers and health officials to accurately estimate national immunization program costs.
- Personnel, cold chain, and transportation are significant cost drivers in EPI and require careful estimation.
- Accurate cost analysis is essential for informed decision-making, especially when considering the introduction of new vaccines.
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