Micro-costing vs FLUTool; Cost Analysis of Influenza Vaccination for Pregnant Women in Thailand
Presenter: Arthorn RiewpaiboonPoster file: [download]
Seven of eight hospitals provided campaign-based vaccination. One hospital included the service in routine antenatal care clinic (ANC). Number of pregnant women received the vaccine in each district varied from none to thirty-one depending on the size of population in each catchment area and vaccine uptake. Vaccine is delivered on a “first-come-first-served” basis leading to a disproportionate number among the target groups. In addition, due to rumors of AEFI in some areas, pregnant women might be reluctant to be vaccinated. Given these issues, there was no vaccinated pregnant woman in two hospitals. Cost per dose vaccinated was calculated by activity and total cost. Total cost per vaccinated dose was in range of Int$10.8-31.4. The activities included in this study were modified from those of the FLUTool version 3.0 that includes micro planning, training, social and mobilization/introduction/IEC, vaccine procurement, continuing IEC, service delivery, supervision/monitoring/evaluation, other current cost, cold chain supplement and other capital costs. Major difference of this study and that of the tool is objective and scope. The FLUTool is applied for the whole national program in a public health perspective. This study was conducted in a hospital perspective. Therefore, costs of planning and training and others are only costs incurred by the hospitals (not included those of other organizations). When comparing the micro-costing approach in this study to the FLUTool, the FLUTool does not cover mobile delivery service. This might be an input to develop the next version.