The summary report provides a descriptive and gap analysis of findings on immunization delivery costs

WHAT DOES IDCC SAMPLE LOOK LIKE?

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WHICH VACCINES WERE INCLUDED?

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Two thirds of the dataset presents costs for single vaccines.

Of the single vaccines, most unit cost estimates are for HPV and PCV.

 

WHICH VACCINE DELIVERY STRATEGIES WERE USED?

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60% of vaccines costed were delivered in a health facility.

School-based delivery was captured in 17% of estimates, all focused on HPV introduction

Our pooled analysis of comparable IDCC data resulted in seven delivery unit cost estimates grouped in three comparative visuals:

All delivery cost estimates exclude vaccine costs, reported in 2016 USD. Cost ranges can be helpful for planning and budgeting purposes when more detailed or context-specific data is unavailable, but suitability of the estimates for use in different settings should be carefully considered in light of the context(s) the estimates will be applied in.


Figure 1: The diagram below depicts the cost of single, newly introduced vaccines. We estimate the incremental cost per dose to deliver a single, newly introduced vaccine such as PCV, HPV or Rotavirus (3 doses) to be $0.49-$1.38 (economic costs) at health facilities in low income settings (left boxplot) and $1.25-$3.22 (financial costs) at health facilities in lower-middle-income settings (middle boxplot). Full immunization (three doses) in low-income settings costs $1.48-$4.20 (economic costs) at health facilities (right boxplot).

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Figure 2: The diagram below depicts the cost of introducing HPV vaccine. Introducing HPV at schools on a pilot/project basis costs $1.95-$4.29 (incremental costs). The lower end of the range represents financial costs (right boxplot), whereas the higher end of the range corresponds with economic costs (left boxplot).

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Figure 3: The diagram below depicts the cost of delivering full schedules of vaccines. Based on six records, we estimate the costs of delivering a schedule of four to eight antigens for under one year olds in low and lower middle income countries in Europe and Central Asia, Latin America and Caribbean and Sub-Saharan Africa to be $0.75-$9.45 (full, economic costs, left boxplot). That equates to a cost per fully immunized child (children who have received DTP3) of $8.13-$96.16 (right boxplot).

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DELIVERY UNIT COST ESTIMATES EXPLAINED:

These figures provide an in-depth look at the components of the boxplot with more details on how to interpret the immunization delivery unit cost estimates. [Download]

 

© 2018, Immunization Costing Action Network (ICAN), ThinkWell, LLC. All rights reserved.

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