The summary report provides a descriptive and gap analysis of findings on immunization delivery costs
WHAT DOES IDCC SAMPLE LOOK LIKE?
WHICH VACCINES WERE INCLUDED?
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?
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).
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).
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).
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.