Costs of routine immunization services in Moldova: Findings of a facility-based costing study

Autores
Goguadze, K.; Chikovani, I.; Gaberi, C.; Maceira, Daniel Alejandro; Uchaneishvili, M.; Chkhaidze, N.; Gotsadze, G.
Año de publicación
2015
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Objective: Available estimates on how much it costs to provide routine immunization services are out-dated. This study attempts to address gaps in evidence by evaluating the total economic and unit costs of delivering routine immunization (RI) services in Moldova as part of a multi-country study on the costs and financing of routine immunization (EPIC). Methods: This cross-sectional study is based on a multistage stratified random sample of fifty primary health care facilities. Data on inputs, prices, and outputs were collected retrospectively for 2011 and analyzed using an ingredient-based costing approach in Excel and SPSS®. Results: The average total annual facility cost for RI was $11,943 ranging from $565 to $112,548 and labor cost was the main driver of routine immunization costs contributing 65%, followed by capital costs - 16.3% and the cost of vaccines and injection supplies accounting for 9%.The average cost per dose was $18.3, the cost per child was $316.6 and the cost per fully immunized child was $332.3. The results show considerable variation in the costs of routine immunization services across facility type and depending on a facility scale i.e. annual doses administered. Conclusions: The study shows that the cost of fully immunizing a child in a middle-income country is much higher than previous estimates. These results will be used by the government for better planning and financing of routine immunization services, leading to greater sustainability.
Fil: Goguadze, K.. Curatio International Foundation; Estados Unidos
Fil: Chikovani, I.. Curatio International Foundation; Estados Unidos
Fil: Gaberi, C.. Ministry of Health; Moldavia
Fil: Maceira, Daniel Alejandro. Centro de Estudios de Estado y Sociedad; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Uchaneishvili, M.. Curatio International Foundation; Estados Unidos
Fil: Chkhaidze, N.. Curatio International Foundation; Estados Unidos
Fil: Gotsadze, G.. Curatio International Foundation; Estados Unidos
Materia
Cost-Effectiveness
Costs
Moldova
Routine Immunization
Sustainability
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/38516
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/38516
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Costs of routine immunization services in Moldova: Findings of a facility-based costing studyGoguadze, K.Chikovani, I.Gaberi, C.Maceira, Daniel AlejandroUchaneishvili, M.Chkhaidze, N.Gotsadze, G.Cost-EffectivenessCostsMoldovaRoutine ImmunizationSustainabilityhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Objective: Available estimates on how much it costs to provide routine immunization services are out-dated. This study attempts to address gaps in evidence by evaluating the total economic and unit costs of delivering routine immunization (RI) services in Moldova as part of a multi-country study on the costs and financing of routine immunization (EPIC). Methods: This cross-sectional study is based on a multistage stratified random sample of fifty primary health care facilities. Data on inputs, prices, and outputs were collected retrospectively for 2011 and analyzed using an ingredient-based costing approach in Excel and SPSS®. Results: The average total annual facility cost for RI was $11,943 ranging from $565 to $112,548 and labor cost was the main driver of routine immunization costs contributing 65%, followed by capital costs - 16.3% and the cost of vaccines and injection supplies accounting for 9%.The average cost per dose was $18.3, the cost per child was $316.6 and the cost per fully immunized child was $332.3. The results show considerable variation in the costs of routine immunization services across facility type and depending on a facility scale i.e. annual doses administered. Conclusions: The study shows that the cost of fully immunizing a child in a middle-income country is much higher than previous estimates. These results will be used by the government for better planning and financing of routine immunization services, leading to greater sustainability.Fil: Goguadze, K.. Curatio International Foundation; Estados UnidosFil: Chikovani, I.. Curatio International Foundation; Estados UnidosFil: Gaberi, C.. Ministry of Health; MoldaviaFil: Maceira, Daniel Alejandro. Centro de Estudios de Estado y Sociedad; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Uchaneishvili, M.. Curatio International Foundation; Estados UnidosFil: Chkhaidze, N.. Curatio International Foundation; Estados UnidosFil: Gotsadze, G.. Curatio International Foundation; Estados UnidosElsevier2015-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/38516Goguadze, K.; Chikovani, I.; Gaberi, C.; Maceira, Daniel Alejandro; Uchaneishvili, M.; et al.; Costs of routine immunization services in Moldova: Findings of a facility-based costing study; Elsevier; Vaccine; 33; Supl. 1; 5-2015; A60-A650264-410XCONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1016/j.vaccine.2014.12.034info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S0264410X14016879info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-10T13:14:50Zoai:ri.conicet.gov.ar:11336/38516instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-10 13:14:50.54CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Costs of routine immunization services in Moldova: Findings of a facility-based costing study
title Costs of routine immunization services in Moldova: Findings of a facility-based costing study
spellingShingle Costs of routine immunization services in Moldova: Findings of a facility-based costing study
Goguadze, K.
Cost-Effectiveness
Costs
Moldova
Routine Immunization
Sustainability
title_short Costs of routine immunization services in Moldova: Findings of a facility-based costing study
title_full Costs of routine immunization services in Moldova: Findings of a facility-based costing study
title_fullStr Costs of routine immunization services in Moldova: Findings of a facility-based costing study
title_full_unstemmed Costs of routine immunization services in Moldova: Findings of a facility-based costing study
title_sort Costs of routine immunization services in Moldova: Findings of a facility-based costing study
dc.creator.none.fl_str_mv Goguadze, K.
Chikovani, I.
Gaberi, C.
Maceira, Daniel Alejandro
Uchaneishvili, M.
Chkhaidze, N.
Gotsadze, G.
author Goguadze, K.
author_facet Goguadze, K.
Chikovani, I.
Gaberi, C.
Maceira, Daniel Alejandro
Uchaneishvili, M.
Chkhaidze, N.
Gotsadze, G.
author_role author
author2 Chikovani, I.
Gaberi, C.
Maceira, Daniel Alejandro
Uchaneishvili, M.
Chkhaidze, N.
Gotsadze, G.
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Cost-Effectiveness
Costs
Moldova
Routine Immunization
Sustainability
topic Cost-Effectiveness
Costs
Moldova
Routine Immunization
Sustainability
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Objective: Available estimates on how much it costs to provide routine immunization services are out-dated. This study attempts to address gaps in evidence by evaluating the total economic and unit costs of delivering routine immunization (RI) services in Moldova as part of a multi-country study on the costs and financing of routine immunization (EPIC). Methods: This cross-sectional study is based on a multistage stratified random sample of fifty primary health care facilities. Data on inputs, prices, and outputs were collected retrospectively for 2011 and analyzed using an ingredient-based costing approach in Excel and SPSS®. Results: The average total annual facility cost for RI was $11,943 ranging from $565 to $112,548 and labor cost was the main driver of routine immunization costs contributing 65%, followed by capital costs - 16.3% and the cost of vaccines and injection supplies accounting for 9%.The average cost per dose was $18.3, the cost per child was $316.6 and the cost per fully immunized child was $332.3. The results show considerable variation in the costs of routine immunization services across facility type and depending on a facility scale i.e. annual doses administered. Conclusions: The study shows that the cost of fully immunizing a child in a middle-income country is much higher than previous estimates. These results will be used by the government for better planning and financing of routine immunization services, leading to greater sustainability.
Fil: Goguadze, K.. Curatio International Foundation; Estados Unidos
Fil: Chikovani, I.. Curatio International Foundation; Estados Unidos
Fil: Gaberi, C.. Ministry of Health; Moldavia
Fil: Maceira, Daniel Alejandro. Centro de Estudios de Estado y Sociedad; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Uchaneishvili, M.. Curatio International Foundation; Estados Unidos
Fil: Chkhaidze, N.. Curatio International Foundation; Estados Unidos
Fil: Gotsadze, G.. Curatio International Foundation; Estados Unidos
description Objective: Available estimates on how much it costs to provide routine immunization services are out-dated. This study attempts to address gaps in evidence by evaluating the total economic and unit costs of delivering routine immunization (RI) services in Moldova as part of a multi-country study on the costs and financing of routine immunization (EPIC). Methods: This cross-sectional study is based on a multistage stratified random sample of fifty primary health care facilities. Data on inputs, prices, and outputs were collected retrospectively for 2011 and analyzed using an ingredient-based costing approach in Excel and SPSS®. Results: The average total annual facility cost for RI was $11,943 ranging from $565 to $112,548 and labor cost was the main driver of routine immunization costs contributing 65%, followed by capital costs - 16.3% and the cost of vaccines and injection supplies accounting for 9%.The average cost per dose was $18.3, the cost per child was $316.6 and the cost per fully immunized child was $332.3. The results show considerable variation in the costs of routine immunization services across facility type and depending on a facility scale i.e. annual doses administered. Conclusions: The study shows that the cost of fully immunizing a child in a middle-income country is much higher than previous estimates. These results will be used by the government for better planning and financing of routine immunization services, leading to greater sustainability.
publishDate 2015
dc.date.none.fl_str_mv 2015-05
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/38516
Goguadze, K.; Chikovani, I.; Gaberi, C.; Maceira, Daniel Alejandro; Uchaneishvili, M.; et al.; Costs of routine immunization services in Moldova: Findings of a facility-based costing study; Elsevier; Vaccine; 33; Supl. 1; 5-2015; A60-A65
0264-410X
CONICET Digital
CONICET
url http://hdl.handle.net/11336/38516
identifier_str_mv Goguadze, K.; Chikovani, I.; Gaberi, C.; Maceira, Daniel Alejandro; Uchaneishvili, M.; et al.; Costs of routine immunization services in Moldova: Findings of a facility-based costing study; Elsevier; Vaccine; 33; Supl. 1; 5-2015; A60-A65
0264-410X
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1016/j.vaccine.2014.12.034
info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S0264410X14016879
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 12.993085

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