ICAN is working to build country capacity around the generation and use of cost evidence to work towards sustainable and predictable financing for immunization
COUNTRY RESEARCH OVERVIEW:
ICAN’s four-member countries – India, Indonesia, Tanzania, and Vietnam – are working to generate cost information to address challenges that are at the top of the domestic health and immunization financing agenda to ensure program and policy relevance. Each country team includes health economist researchers, immunization managers and planners from Ministries of Health.
Technical facilitators ThinkWell and John Snow Inc. (JSI) are helping guide the country teams in interpretation and translation of cost information so that it is used in country decision-making processes, fundraising and advocacy efforts and routine planning and budgeting processes.
RESEARCH SUMMARY BY COUNTRY:
What is the cost of delivering the measles-rubella vaccine through campaigns in 2018-2019?
The costing information may be used by the Government of India (GOI), international agencies, donors and researchers for planning and budgeting of future measles-rubella and other vaccination campaigns.
What are the average immunization delivery costs per fully immunized child associated with achieving high coverage levels for all required antigens and through the use of different delivery strategies?
The study findings will help District and City Health Offices allocate appropriate levels of operational costs to support immunization programs utilizing different delivery strategies (facility-based, outreach and schools).
What is the average district-level funding for the immunization of children up to 18 months of age associated with current coverage levels and the current mix of delivery strategies in rural and urban areas?
Study findings will help districts budget adequately for immunization programs utilizing a mix of different delivery strategies (facility-based, mobile and outreach), particularly for hard-to-reach populations.
What are the program costs associated with introducing Td vaccination of 7-year-old children and ceasing TT vaccination of women of childbearing age?
Study findings will help the Ministry of Health to understand the budget impact of introducing Td, to develop an expenditure plan for Td and TT vaccination activities, and to calculate the financial sustainability of the EPI immunization package.
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