Cost-Effectiveness Analysis of Routine immunization and Supplemental immunization Activities for measles immunization to children in Anambra state, South-east,Nigeria

Presenter: Florence Sibeudu

Twitter: '@ftsibeudu

Co-authors: Obinna Onwujekwe,Ijeoma Okoronkwo

Poster file: [download]
Background: Measles immunization is critical for elimination of measles among children to enhance their life prospects and improve economy. However, immunization financing is a serious challenge in Nigeria as gaps exists between available fund and estimated costs. This study aimed to determine the most cost effective strategy to deliver measles immunization to children Method: A cross sectional design was used. Data were collected at six Local Government areas(LGAs) immunization offices and 12 health facilities with immunization costing questionnaire. Ingredient approach to costing was used based on providers’ perspective. The effectiveness measures considered were DALYs averted, cases averted, death averted. One-way sensitivity analysis was used to test the robustness of the initial result. Microsoft excel was used for the data analysis. Result: The Average Cost–effectiveness Ratios for the delivery of Measles Containing Vaccine through Routine Immunization were ₦ 0.34($0.002) per DALYs averted, ₦ 218.66($1.12) per case averted and ₦5,466.59 ($27.93) per death averted. While Average Cost-effectiveness Ratios through Supplemental Immunization Activity were ₦117.23 ($0.599) per DALY averted, ₦315.07 ($1.61) per case averted and ₦7,876.43 ($40.24) per death averted. The Incremental Cost-effectiveness Ratio for the delivery of MCV through SIA was ₦212.02 ($1.083) per DALY averted. The effect of 50% increase in the cost of personnel,50% increase in cost of social mobilization, inclusion of cost for supervision and short training on the initial cost per DALY for the delivery of MCV through Routine Immunization were ₦0.42($0.002),₦ 0.34($0.002), ₦0.44($0.002) , ₦0.47($0.002) and ₦1.50($0.008),. Conclusion: Measles Routine Immunization is more cost effective than Supplemental immunization Activity. Routine immunization could be more cost effective if policy makers consider to strengthen or include activities like training, social mobilization, and supervision in Routine immunization services.