EPIC Immunization Costing

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The first phase of the EPIC project resulted in a coordinated set of immunization costing and financing studies in 2012-2014 in six countries (Benin, Ghana, Uganda, Zambia, Moldova, and Honduras). The phase 1 studies collected data at central, subnational, and facility-level and were notable for their rigor in terms of sample design and comprehensiveness of resource use measurement.

In EPIC phase 2, the team from Harvard T.H. Chan School of Public Health in coordination with an expert advisory panel carried out the work that extends the work of the individual EPIC country studies by conducting analysis of data pooled from all sites; fostering the community of practice; and assessing opportunities to improve the availability and value of immunization cost and financing information. 

In the third phase, the team from Harvard built upon their previous work in the following three major aims:

  • Aim 1: Sustain the Community of Practice and immunizationcosting.org

  • Aim 2: Estimate the marginal cost of immunization program improvements

  • Aim 3: Advance methods for immunization costing research 

The EPIC project was funded by the Bill & Melinda Gates Foundation.

Data collection

EPIC studies followed a common approach notable for the rigor in sample design, comprehensiveness of resource use and productive efficiency measurement, and comparability across settings.

Resource tracking

Information on financial flows from external, government, and other domestic sources are documented and quantified as input for policy dialogue on sustainability and co-financing of new vaccines.

Country reports

Final reports from the country studies are available for download.

Download: BEN | GHA | HON | MOL | UGA | ZAM 

Pooled analysis

Using the pooled dataset from six countries, we analyzed the immunization program cost drivers, marginal cost of scaling up, variation in productive efficiency, and tradeoffs associated with different costing extrapolation methods.

Lessons learned

We reviewed the EPIC study methods and implementation and document lessons learned to inform future approaches to carrying out similar multisite costing studies and improve routine immunization data collection and delivery.

Dissemination

Results of our findings are disseminated in national and international meetings and workshops, focused on developing capacity for cost-efficiency and quality performance measurements.

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