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Estimating the cost of vaccination in southeastern Iran
Reza Goudarzi1, Mohammad Tasavon Gholamhoseini2, Saeed Amini3
1Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences , Kerman, Iran.
Insights
Estimating childhood vaccination costs in southeastern Iran revealed significant expenses, with salaries comprising the largest portion. These findings are crucial for national budget planning and resource allocation for immunization programs.
Area of Science:
- Public Health
- Health Economics
- Healthcare Management
Background:
- Childhood vaccination programs require substantial national budgets for sustained operation.
- Public funding for health initiatives faces scrutiny, particularly under economic sanctions.
- Accurate cost estimations are vital for effective budget projections and resource allocation in public health.
Purpose of the Study:
- To estimate the total and per-dose cost of childhood vaccination in southeastern Iran.
- To inform policymakers about the financial requirements for maintaining national immunization programs.
- To provide data for future cost-benefit and cost-effectiveness analyses of vaccination strategies.
Main Methods:
- A bottom-up costing approach was employed, analyzing human resources, consumption, and overhead costs.
- Data were collected from 52 healthcare centers across 10 cities in southeastern Iran using quota sampling.
- Sensitivity analyses were conducted to assess the impact of population changes and inflation rates.
Main Results:
- The estimated overall vaccination cost for the region in 2015 was approximately $5,984,000 USD.
- Salaries constituted the largest cost component (64%), while vaccine and equipment costs were lower (22%).
- The average cost per vaccine dose administered was $40.94 USD.
Conclusions:
- Maintaining vaccination programs incurs significant financial costs.
- The study's findings support evidence-based budget planning and resource allocation for national immunization efforts.
- Accurate cost data are essential for evaluating new vaccine introductions and optimizing program efficiency.
Abstract:
Background: Specification of vaccination cost of children would help policymakers in determining the nation-wide budget needed for the maintenance of the vaccination program. The budget came these days under scrutiny due to the imposed sanctions tightening the public funds. This study aims at estimating the cost of vaccination in southeastern Iran for obtaining more accurate budget projections. Methods: Fifty-two healthcare centers from 10 cities in south-east Iran participated in using a quota sampling method for their selection. A bottom-up method determined the human resource use, the consumption, and the overhead costs to estimate the cost of vaccination. Data collection used a standard tool that was adjusted to local conditions. Sensitivity analyses were performed. Results: The overall vaccination cost for the region was estimated at around 5,984,000 USD for the year 2015. Salaries took the largest part of the cost estimate (64%), while vaccine cost and its equipment were much lower (22%). The average cost per vaccine dose administrated was 40.94 USD. Sensitivity analysis of the population and inflation rate indicates that the vaccination cost may fluctuate between 37% and 53% over 6 years (2021) from the data of 2015. Conclusion: Maintaining vaccination has a substantial cost. The results of the study will support the budget planning and decision making and will define more precisely the resource allocation needed for maintaining the vaccination at a high level across the country. It may also help to facilitate the assessment of cost-benefit and cost-effectiveness analysis when new vaccines should be introduced.
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