CDC STACKS serves as an archival repository of CDC-published products including scientific findings, journal articles, guidelines, recommendations, or other public health information authored or co-authored by CDC or funded partners.
As a repository, CDC STACKS retains documents in their original published format to ensure public access to scientific information.
i
Resource Needs for the Trivalent Oral Polio to Bivalent Oral Polio Vaccine Switch in Indonesia
-
Jul 01 2017
-
-
Source: J Infect Dis. 2017; 216(Suppl 1):S209-S216.
[PDF-134.31 KB]
Details:
-
Alternative Title:J Infect Dis
-
Personal Author:
-
Description:Background.
We present an empirical economic cost analysis of the April 2016 switch from trivalent (tOPV) to bivalent (bOPV) oral polio vaccine at the national-level and 3 provinces (Bali, West Sumatera and Nusa Tenggara) for Indonesia’s Expanded Program on Immunization.
Methods.
Data on the quantity and prices of resources used in the 4 World Health Organization guideline phases of the switch were collected at the national-level and in each of the sampled provinces, cities/districts, and health facilities. Costs were calculated as the sum of the value of resources reportedly used in each sampled unit by switch phase.
Results.
Estimated national-level costs were $46 791. Costs by health system level varied from $9062 to $34 256 at the province-level, from $4576 to $11 936 at the district-level , and from $3488 to $29 175 at the city-level. Estimated national costs ranged from $4 076 446 (Bali, minimum cost scenario) to $28 120 700 (West Sumatera, maximum cost scenario).
Conclusions.
Our findings suggest that the majority of tPOV to bOPV switch costs were borne at the subnational level. Considerable variation in reported costs among health system levels surveyed indicates a need for flexibility in budgeting for globally synchronized public health activities.
-
Subjects:
-
Source:
-
Pubmed ID:28838204
-
Pubmed Central ID:PMC5853418
-
Document Type:
-
Place as Subject:
-
Volume:216
-
Collection(s):
-
Main Document Checksum:
-
Download URL:
-
File Type:
