UNICEF undertook a costing study on COVID-19 vaccine delivery in Botswana using both top-down and bottom-up methods. The study including costs incurred by all government sectors, parastatals, donors/partners and nongovernmental organizations. Both fiscal costs and the value of selected existing human resources were included.
The total, fiscal delivery costs of COVID-19 vaccination in Botswana are estimated to be US$49.8 million for the 13-month period, over half of which accounted for newly hired human resources. Newly hired staff supported not just the delivery of vaccines, but also planning and coordination of the COVID-19 vaccination program and social mobilization efforts. The value of existing human resources redeployed to support COVID-19 vaccination was $36.6 million. Based on 2.6 million doses delivered, the fiscal delivery cost per dose delivered was $19.12, much higher than modelled estimates and the cost of delivering routine childhood vaccines.
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