TechNet-21 - Forum

This forum provides a place for members to ask questions, share experiences, coordinate activities, and discuss recent developments in immunization.

Discussions tagged Planning, budgeting and financing

Immunization Supply Chain Action Plan

Dear TechNet Members,

Bhutan is going to develop Immunization Supply Chain Action Plan as a recommendation of the Regional ISC review meeting 2017. Appreciate if members could kindly share the sample of similar action plan for us to have an idea. 




New tools for data quality and use introduction, adapted from the BID Initiative in Tanzania and Zambia

Strategic reuse of appropriate tools is one of the core principles of the BID Initiative. Over the last five years, we have worked with the governments of Tanzania and Zambia to enhance immunization and overall health service delivery by improving data collection, quality, and use, with interventions such as electronic immunization registries. We have created several planning, implementation, and data strengthening tools for use in Tanzania and Zambi...

WHO-UNICEF cIP Guidance Note launch and review process

Dear immunization and health supply chain professionals,

The Effective Vaccine Management (EVM) initiative has evolved significantly from being solely associated with an assessment tool. It has been transformed to help national programmes make major health systems strengthening investments work as intended – to address the underlying systemic bottlenecks to immunization supply chain performance.

In this context, I am pleased to share with you the WHO and UNICEF contin...

Last call for immunization delivery grey literature! Deadline 10 June

Dear TechNet-21 Community,

I hope you've had a chance by now to check out the Immunization Costing Action Network (ICAN) website - - which launched May 1st and features our immunization delivery systematic review methods and findings, including the Immunization Delivery Cost Catalogue (IDCC). The IDCC contains over 400 immunization delivery unit costs for low- and middle-income countrie...

Total Cost of Ownership (TCO) tool for cold chain equipment version 1.5 now available

We are happy to announce the latest version of the Total Cost of Ownership tool for cold chain equipment (v1.5) is now available to download and use. If you have been using an earlier version of the tool, please download the latest version from the link below.  

Version 1.5 includes options to add Service Bundle quotes for CCEOP procurement which will overwrite installation cost assumptions.  Version 1.5 also features enhanced warranty comparisons that reflect the value of standard wa...

UNICEF MENARO releases Final Report on Immunization Financing in Middle-Income Countries

Economic studies have shown that immunization is an excellent investment, yielding one of the highest returns in health. One dollar spent on immunization is estimated to generate a $16 return on investment. UNICEF considers governments’ budget allocations, whatever their resources, to this life-saving intervention to be states’ foremost commitment to children and the fulfilment of their obligations under the Convention on the Rights of the Child (CRC). Yet, protecting immunization in governme...

Call for grey literature on immunization delivery costs in low- and middle-income countries

ThinkWell is currently accepting submissions of GREY LITERATURE about immunization delivery costs in low- and middle-income countries (LMICs). Resources need to be published between January 2005 and January 2018. Please upload your submissions directly to

Submitted resources will be considered as part of a systematic review of the current evidence base on immunization del...

White Paper on Cost Effectiveness of UAS for Cargo Delivery

As more low- and middle-income countries explore opportunities to improve their public health supply chains and diagnostics networks, knowing how best to use unmanned aerial systems (UAS) to improve reach in the last mile is critical. Under the inSupply project, JSI Research & Training Institute, Inc., and our partners LLamasoft, Inc. and the Nichols Group provide objective guidance for countries and public health stakeholders on how to make informed decisions about which health products to p...

MENA Regional Workshop on Equity-Informed Microplanning


National and subnational participants from Djibouti, Egypt, Iraq, Jordan, Lebanon, Libya, Sudan and Syria gathered at the Dead Sea, Jordan from 25 to 27 September to participate in a MENA Regional Workshop on Equity-Informed Microplanning. The workshop was organized by UNICEF MENARO in close technical collaboration with GAVI, US CDC, JSI, WHO and EMPHNET. The objective of the workshop was to improve the capacity ...

"Quality Risk Management Mental Modelling: Examples of exposure in everyday life" is now available for free download

Dear colleagues,


"Quality Risk Management Mental Modelling: Examples of exposure in everyday life" with 15 chapters, 120 photographs, 89 references, countless tables and graphs, links and QR codes to 13 videos as well as 26 best quotes on risk management is now available in printable interactive PDF and interactive ePUB3 formats from 



Immunization Delivery Costing: Request for Grey Literature

Dear TechNet-21 Community,

ThinkWell and John Snow, Inc. (JSI) kicked off a 3-year project in September 2016 – the Immunization Costing Action Network (ICAN) – which is an exciting complement to the Harvard T.H. Chan School of Public Health’s EPIC costing and financing project. Funded by the Bill & Melinda Gates Foundation, ICAN aims to increase the visibility, availability, understanding, and use of evidence on the cost of delivering immunization services.

As part of the proj...

Guide released on cost and financing of national immunization programs in low- and middle-income countries

A new open-access tool, Immunization Financing Resource Guide, is now available for advocates, policymakers, and program managers in low- and middle-income countries. The guide includes 26 briefs, including 8 country case studies, and covers a range of topics such as evaluating the pros and cons of potential sources of financing; understanding and planning for the costs of immunization programs; assessing which vaccines to adopt; getting more value for money through improved purchasing and pr...

Three new documents on vaccine pricing and trends available on the V3P website

At countries’ request, WHO has worked with UNICEF and PAHO to enhance transparency of vaccine prices, through the creation and maintenance of the Vaccine Product, Price and Procurement Initiative (V3P).

Thanks to the hard work of colleagues and partners, last year 51 countries have shared their vaccine price information with the V3P database. Together with the data shared by PAHO and UNICEF, the V3P database now provides visibility to prices accessible to 70% of the world. All the dat...

CCE Total Cost of Ownership (TCO) tool version 1.3 available now

Happy new year all,

We are happy to announce that the latest version of the Total Cost of Ownership tool for cold chain equipment (v1.3) is now available to download and use. The latest version has a few minor changes to the presentation of data as well as the latest PQS pre-qualified equipment as of December 2016.

Please download the latest version (in English or French) for the most up to date products and pricing.


Vaccine stock management

Dear colleagues,

Recently, I finished the review of " Guidelines on stock records for immunization programme and vaccines store managers" which come with accompanying CD-ROM - I coudn't find it - including electronic versions of the stock management forms.

With our approach to start a new EPI programe, it will be very helpful if you can provide us with this excel file (Linked to CD-ROM or software copy) .



Implementing low cost solutions to rabid dogbite victims through research.......

Presently the dose of rabies immunoglobulin (RIG) which is an integral part of rabies post exposure prophylaxis (PEP) is calculated based on body weight though the recommendation is to infiltrate the wound(s). This practice demands large quantities of RIG which may be un- affordable to many patients. In this background, we conducted this study to know if the quantity and cost of RIG can be reduced by restricting passive immunization to local infiltration alone and avoiding systemic intramuscu...


Dear Viewers

Global effort is to close the immunization gap [World Immunization week -2016]. This gap is generally attributed to inadequate coverage: 1 in 5 in the world, 1 in 3 in the country and 1 in 5 in Karnataka are missing routine primary vaccination. This is understandable and measures like meticulous micro-plan, monitoring with supportive supervision, regular programme review, All Time Mission Mode [ATM2izing] regular sessions, using extended Immunogram etc can improve the...

Publishing of "Theory of Change for Supply Chain Capacity Development" book

The publishing of "Theory of Change for Supply Chain Capacity Development" by P. Steele and A. BrownAs we move into the Sustainable Development Goals era and in order to achieve sustainable improvements in the health supply chain,international development organisations will need to think seriously about their investments in capacity-building initiatives and the significant change they desire, as well as the impact of that change and how it will be measured.Pamela Steele Associate...

The impact of implementing a demand forecasting system into a low-income country's supply chain

Sharing the news of an article publish in Vaccine on the impact of system design in Niger.



To evaluate the potential impact and value of applications (e.g. ordering levels, storage capacity, transportation capacity, distribution frequency) of data from demand forecasting systems implemented in a lower-income country's vaccine supply chain with different levels of population change to urban areas.

Materials and Met...

Cold Chain Equipment Optimization Platform - Technology Guide

Dear friends, Gavi, the Vaccine Alliance is very pleased to present the Cold Chain Equipment ‘Technology Guide’, to support the appropriate selection of modern, efficient and reliable technologies. Download the guide here.

Identifying the most appropriate equipment choices for each health facility is key to help ensure more facilities have adequate cold chain capacity, and that more ...

La version française de l’outil de calcul du Coût Total de Possession (CTP) d’équipements de la chaîne du froid est maintenant disponible.

Outil de calcul du Coût Total de Possession d’équipements de la chaîne du froid

L’outil de calcul du Coût Total de Possession (CTP) d’équipements de la chaîne du froid a été développé afin d’assister les utilisateurs dans leur compréhension du coût d’achat et de maintenance des équipements de la chaîne du froid. L’outil peut être personnalisé pays par pays et calcule les dépenses en capital et en coûts d’opération pour les équipements préqualifié par le département Qualité ...

MAKING OF MISSION MODE: ATM2 izing regular outreach sessions with Denominators, Numerators and Indicators.

Dear Viewers

On this eve of Ugadi and launch of IPV era, also expressed as 3rd phase of Mission Indradhanush(MI) by a few, we wish to share Making of Mission Mode learnt by practically doing and working together with grass-root level service providers since 2012 till date.

The tool was born spontaneously through the approach of working together, named as enumeration format during IRI Simulation study. Later, on demand by the Karnataka ANMs Immunogra...

Global Routine Immunization Strategies and Practices (GRISP) published

Immunizations are among the most successful and cost-effective health interventions ever devised. They have reduced child deaths and disease prevalence radically. They have enabled the eradicationof smallpox, lowered the global incidence of polio by more than 99% and neonatal tetanus by 94%, and achieved dramatic reductions in illness, disability and death from common childhood diseases. However, global mobility and interdependence have increased the vulnerability of people everywhere to the ...

Sharing the task responsibilities for effective operationalization of MDVP/OVP

Dear viewers


India in collaboration with development partners like WHO/UNICEF/USAID/MCHIP etc has made remarkable advances in the last ten years: introduction of Measles 2nd dose, HepB vaccine including Birth dose vaccine, JE 2 doses, Pentavalent vaccine, year 2012-13 declared as year of Intensified Routine Immunization, India with SEARO declared as Polio Free, launching of Mission Indradhanush – the flagship programme of India. Karnataka Piloted Immunogram ...

PATH’s cold chain equipment Total Cost of Ownership tool now available

PATH’s Total Cost of Ownership (TCO) tool for cold chain equipment is now available for download and use.

The TCO tool is designed to help countries compare and understand the costs associated with the purchase, installation, and ongoing operation of cold chain equipment. The tool currently covers 82 cold chain equipment devices including all 72 PQS (Performance, Quality and Safety) prequalified devices from the E001 (cold rooms and freezer rooms), E003 (refrigerators and freezers), a...

Health Affairs focuses on vaccines

Health Affairs is a leading journal of health policy thought and research. The peer-reviewed journal was founded in 1981 and explores health policy issues of current concern in domestic and international spheres. It occasionallydevotes issues to the in-depth exploration of particular policy topics. This month it focuses on vaccines.The special issue looks at the Decade of Vaccines, RoI on vaccines, vaccine shortages, etc. Please use the following link to access the articles:

New Blog Post at The Pump Highlights the Importance of Supply Chains for the Global Financing Facility

The newly launched Global Financing Facility (GFF) for Every Woman Every Child is a bold initiative coordinating a mix of donor funds, loans, and domestic financing for the purpose of accelerating country efforts to end preventable maternal, child, and infant deaths by 2030. Health supplies and the supply chain systems that deliver them, however, are often afterthoughts in these efforts. “Global Financing Facility: Advancing Smartly Means Keeping an Eye on Family Planning Products and the Sup...

Costing Study Helps Optimize Warehousing and Transportation in Peru

In 2015, Peru’s Ministry of Health (MOH), in partnership with the USAID | DELIVER PROJECT, implemented and co-funded a costing study for warehousing and transportation in La Libertad Region. The study helped document, for the first time, the specific warehousing and transportation costs of a sample of 304 preventive and life-saving medicines in La Libertad. After the study, the Minister of Health, the Director of Logistics Unit for Strategic Medicines (DARES), and health region Directors comm...

New blog: "Getting to 'Mars' with immunization delivery"

Hi all,

I just wrote a blog on PATH's called "Getting to 'Mars' with immunization delivery," which I thought might be of interest!

I really enjoyed the recent blockbuster movie,The Martian. Andas a vaccine advocate supporting PATH's advocacy for stronger immunization supply chains project, I drew...

Vaccine Product Price and Procurement (V3P) project: 40 countries have shared vaccine price information in 2015

The V3P project aims at collecting, publishing and analysing vaccine product and price information. This year, 40 countries have shared data with V3P. Combining information shared by countries, PAHO and UNICEF, the database provides price information on more than 170 vaccines.

If you wonder about the price range of vaccines in various income groups, if you would like to know more about the evolution of vaccine prices overtime, if you are currently working on budgeting and financing an...

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