Cost of providing the expanded programme on immunization: findings from a facility-based study in Viet Nam, 2005 |
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Authors: | Hoang Minh Van Nguyen Thi Bach Yen Kim Bao Giang Dao Lan Huong Nguyen Thuy Huong Wright Pamela |
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Institution: | Faculty of Public Health, Hanoi Medical University, Hanoi, Viet Nam. hvminh71@yahoo.com |
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Abstract: | OBJECTIVE: To estimate and analyse the costs for providing the expanded programme on immunization (EPI) in a rural community in the north of Viet Nam in 2005. METHODS: An ingredient approach was used to collect cost data from the perspective of the service providers. FINDINGS: The total annual cost of EPI in Bavi district was US$58,460 purchasing power parity (PPP) 282,076]. Vaccines and supplies were the largest cost category (33%), followed by personnel costs (30.2%). The largest share of the total cost was due to activities at commune level (38%). The average cost per fully vaccinated child (FVC) was US$4.81 (PPP 23.21), much lower than the figure of US$15 that is generally accepted as the cost-effective threshold for EPI in developing countries. CONCLUSION: This empirical study indicates that EPI has been implemented efficiently in rural Viet Nam, but that opportunities exist to make it even more efficient. |
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