ThinkWell is working to build country capacity around the generation and use of cost evidence for sustainable and predictable financing for immunization.

 

Introduction

As more low and middle-income countries transition to self-financed immunization programs and the pressure and need to introduce new vaccines grows, country governments need to understand what it will cost to deliver them long-term.  However, cost data is fragmented across contexts, of variable quality and difficult to access and use by policymakers, program planners, and other global and country-level stakeholders. 

When countries introduce vaccines, they need to provide equitable, high-quality coverage with efficient use of resources. Our goal is to help decision-makers access, understand, and utilize the evidence they need about vaccine delivery costs. 

 

The Immunization Costing Action Network (ICAN)

ThinkWell, along with partner John Snow Inc. (JSI), is supporting the Immunization Costing Action Network (ICAN), a network working to increase the visibility, availability, understanding, and use of immunization delivery cost* information. The ICAN is building country capacity around the generation of cost information to ensure program and policy relevance. The ICAN is also working with countries to improve interpretation and translation of cost information so that it is used in country decision-making processes, and informs routine planning and budgeting. Equipped with relevant and user-friendly cost information, the ICAN believes that immunization managers and policymakers will be empowered in fundraising and advocacy efforts and will make better resource allocation decisions, improving the efficiency and equity of immunization programs. 

The ICAN is supported by The Bill & Melinda Gates Foundation. 

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*We define delivery costs as the costs associated with delivering immunizations to target populations, exclusive of vaccine costs. Delivery costs may include any or all of the following items: paid and volunteer human resources and associated per diem and travel allowances, cold chain equipment and overheads, vehicles, transport and fuel, program management, training and capacity building, social mobilization and advocacy, adverse event following immunization (AEFI) and disease surveillance, buildings, utilities, other overheads and shared costs, vaccine supplies, waste management, other supplies and recurrent costs and other costs. For more information, please see the definitions list in Annex 1 in the companion Methodology Note.

 

Immunization Delivery Cost CaTALOGUE (IDCC)

 A health worker administers the polio vaccine to a child during the crowded Sonepur Cattle Fair (Malegaon Mela) in Bihar, India.

A health worker administers the polio vaccine to a child during the crowded Sonepur Cattle Fair (Malegaon Mela) in Bihar, India.

Using cost evidence for sustainable and predictable financing for immunization

Unit Cost Delivery Estimates (DUCEs)

 A boy in India stands next to the mark made by health workers indicating polio immunization.

A boy in India stands next to the mark made by health workers indicating polio immunization.

Our pooled analysis resulted in seven delivery unit cost estimates

IDCC User Guides & Instructions

 School girls at an HPV vaccination campaign event in Vietnam. 

School girls at an HPV vaccination campaign event in Vietnam. 

How to use the most comprehensive, current, standardized global evidence on the cost of delivering vaccines

Country Policy & Research

 An infant receives a vaccine injection as part of a government program in Panyabungan, Indonesia.

An infant receives a vaccine injection as part of a government program in Panyabungan, Indonesia.

Building country capacity around the generation and use of cost evidence for immunization

2018, Immunization Costing Action Network (ICAN), ThinkWell, LLC

ICAN@thinkwell.global