What are the costs of delivering vaccines using different delivery strategies in high coverage areas in Indonesia?
ICAN’s member countries – Indonesia, Tanzania, and Vietnam – generated cost evidence to address challenges at the top of their health and immunization financing agendas to ensure program and policy relevance. Each country team included health economist researchers, immunization managers, and planners from Ministries of Health.
Technical facilitators from ThinkWell and JSI helped guide the country teams in interpreting and translating cost evidence to ensure its use in country decision-making processes, fundraising and advocacy efforts, and routine planning and budgeting.
The study found that school delivery was least costly, followed by outreach, primarily due to high volumes. Facility-based delivery was most costly due to low volumes. There was a strong relationship between cost and volume across districts and cities: as the number of doses delivered increased, the cost per dose decreased. Study findings will be used by the Ministry of Health and BAPPENAS to inform the National Medium-Term Development Plan, and the Health Operational Cost Guidelines for subnational annual budgeting and planning.
