Post00335 IMMUNIZATION COSTING TOOL 23 April 2001
1. IMMUNIZATION COSTING TOOL DRAFT FOR COMMENT
Patrick Lydon, WHO/V&B/VAM, kindly post a spreadsheet immunization costing
tool based in part on immunization financing data collected in the
assessment and follow up phases of the GAVI Process.
To down load the file [ 238 Kb ] on the web, go to:
ftp://ftp.acithn.uq.edu.au/Technet/1-ClickHereForTECHNETfiles/tools/
click on the file: V&B-Costing-tool-NIS-Tool_Draft11042001.zip
or by email
Send an email to: [[email protected]][email protected][/email]
with the message:
get technet V&B-Costing-tool-NIS-Tool_Draft11042001.zip
* Opinions and comments to: [[email protected]][email protected][/email], [[email protected]][email protected][/email]
* or use your reply button
___________________________________________________________________________
From: [[email protected]][email protected][/email]
To: [[email protected]][email protected][/email]
Subject: RE: Welcome to the Technet list.
Date: Wed, 4 Apr 2001
Allan,
Thanks for signing me on to the technet list.
I'm taking you up on the offer to post my costing tool on the site for some
serious scrutiny and feedback. I've attached it as a zip file.
Although it is still in draft form and some parts are incomplete, I feel
there is enough there for it to be posted. I need some feedback in order to
move forward on this.
cheers
Patrick
Patrick Lydon
WHO-VAB-VAM
20 Ave Appia
CH-1211 Geneva 27
Switzerland
Office: M407
Phone: +(41 22) 791 4238
Fax: +(41 22) 791 4210
E-mail: [[email protected]][email protected][/email]
(WHO) World Health Organization
(VAB) Vaccines & Biologicals Department
(VAM) Vaccine Assessment & Monitoring Team
___________________________________________________________________________
DATABASE OF COSTING AND FINANCING OF IMMUNIZATION SERVICES
The text below introduces the immunization costing tool.
It is reproduced, with thanks, from the Asia Pacific Regional Working Group
Bangkok 14-16 March 2001 briefing and meeting CD-Rom "Materials and Methods
on Surveillance, Monitoring and Assessment".
___________________________________________________________________________
WHONAM
DATABASE OF COSTING AND FINANCING OF IMMUNIZATION SERVICES
The following work is being coordinated by Patrick Lydon and Ulla Kou
Patrick Lydon
WHO-VABVAM
20 Ave Appia
CH-1211 Geneva 27 Switzerland
Phone: +(4122) 7914238 Fax: +(4122) 7914210 E-mail: [[email protected]][email protected][/email]
BACKGROUND
Partners involved in delivery of immunization services have agreed that
there is a substantial lack of reliable information on the costs and
financing of immunization services. Two key data gaps are: Global
expenditures on immunization services (global level) and costs per fully
immunized child (country level).
While country specific studies on costs and financing have been carried out
in a sporadic manner during the last few decades, there has so far been few
attempts to collect this information systematically, so that analysis of
historic trends and comparisons among countries can be made.
The GAVI Financing Task Force in May 2000 agreed that it would be useful to
set up a publicly accessible database to routinely collect country specific
information on immunization costs and financing as well as price information
on vaccines. Work on the database began in the fall of 2000 and some data is
expected to be available in 2001.
RATIONAL FOR THE DATABASE
1) We don't really know how much the world spends on immunization.
2) Current estimates on what immunization costs per child are several years
old.
3) Future immunization cost projections are difficult to evaluate.
WHAT THE DATABASE WILL DO
- Collect and synthesis data on cost and financing of immunization services.
- Identify major data gaps.
- Facilitate regular data collection process.
OBJECTIVES
Global level:
In order for both governments and donors to prioritize and plan/budget for
the demands of immunization it is important for them to know how much
immunization is now costing and how much it will cost to meet the new
targets of the years to come.
ANALYSIS AT THE GLOBAL LEVEL:
- Monitor global expenditures on immunization -Monitor global funding for
immunization and possible funding gaps
- Monitor trends in financing sources (Government versus. donors funding) -
Monitor the impact of GAVI funds (crowding out effect)
- Monitor vaccine prices and procurement mechanisms (UNICEF VII, PAHO RF, EU
ARIVAS)
COUNTRY LEVEL:
Such advocacy number can assist countries to plan/budget and improve their
immunization services.
ANALYSIS AT THE COUNTRY LEVEL:
- Comparison of costs of immunization services across countries -Estimate
cost-effectiveness indicators.
- Identification major cost components of immunization services (Capital vs.
recurrent costs such as vaccines, personnel, cold chain, transport).
- Estimation of costs for expanding coverage and introducing new vaccines. -
Comparison of costs of different immunization strategies
Costing Methodology
As best as possible, the basis will be the "ingredient approach", which
specifies all resources according to quantities and unit costs.
SOURCE OF DATA
There are 4 sources of information that will feed into the database.
(1) GAVI sources are (will be) those available from the GFCV application
form, the relevant information from the WHOUNICEF Joint Reporting Form and
the GAVI disbursement of funds. These are on-going and will feed into the
database as they are made available. UNICEF sources will hopefully provide
us with the price/unit cost of vaccines. In this way estimates on vaccines
costs for each country can be made (based on the quantities reported in the
WHOUNICEF Joint Reporting Form).
(2) Assessment tools sources consist of the WHO-EPI Assessment Too], The ABT
Associates Immunization Financing Tool (IF-Tool), and the Asian Development
Bank, Asian Vaccine Initiative (AVI) Assessment Tool. Some of these
assessment are separate to, but work in collaboration with GAVI. It is
expected that cost and finance data will be collected during country EPI
assessments and this information will be inputted into the database. WHO-VAM
is currently developing a costing and financing tool used to collect cost
and financing information in line with the ABT Associates immunization
Financing Tool. This costing tool can be used to collect cost and finance
information when EPI assessment are made and on a ad-hoc basis as staff go
out to the field.
(3) It is expected that a system of regularly collecting information from
donors will be set up. It is hoped that donors can provide figures on their
annual contribution to immunization services by country and by main cost
component (vaccine, personnel, operations, and capital investment). This
effort will be a follow-up on the 1992 WHO-EPI study on global immunization
resource inputs.
(4) Literature sources are essentially the data available from the
literature, grey material and so on. Some estimates of global cost of
immunization have been made with fairly intensive costing studies in a small
number of countries, extrapolated to regional and global levels. Information
from such studies will permit new estimates and projections to be made.
Outcomes by summer 2000
(1) Preliminary numbers will be available and the database structure will be
completed. (2) A published report of available information and numbers will
be available.
(3) Mechanisms to regularly get information will be set up.
(4) The WHO costing and financing tool with updated WHO costing guidelines
will be completed.
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