Please use this identifier to cite or link to this item: http://buratest.brunel.ac.uk/handle/2438/10227
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dc.contributor.authorWalker, D-
dc.contributor.authorMosqueira, NR-
dc.contributor.authorPenny, ME-
dc.contributor.authorLanata, CF-
dc.contributor.authorClark, AD-
dc.contributor.authorSanderson, CF-
dc.contributor.authorFox-Rushby, JA-
dc.date.accessioned2015-02-13T14:04:27Z-
dc.date.available2004-09-
dc.date.available2015-02-13T14:04:27Z-
dc.date.issued2004-
dc.identifier.citationBulletin of the World Health Organisation, 82 (9): 676 - 682, (September 2004)en_US
dc.identifier.issn0042-9686-
dc.identifier.issn1564-0604-
dc.identifier.urihttp://apps.who.int/iris/handle/10665/72702?mode=full&submit_simple=Show+full+item+record-
dc.identifier.urihttp://bura.brunel.ac.uk/handle/2438/10227-
dc.description.abstractOBJECTIVE: Estimates of vaccination costs usually provide only point estimates at national level with no information on cost variation. In practice, however, such information is necessary for programme managers. This paper presents information on the variations in costs of delivering routine immunization services in three diverse districts of Peru: Ayacucho (a mountainous area), San Martin (a jungle area) and Lima (a coastal area). METHODS: We consider the impact of variability on predictions of cost and reflect on the likely impact on expected cost-effectiveness ratios, policy decisions and future research practice. All costs are in 2002 prices in US dollars and include the costs of providing vaccination services incurred by 19 government health facilities during the January-December 2002 financial year. Vaccine wastage rates have been estimated using stock records. FINDINGS: The cost per fully vaccinated child ranged from 16.63-24.52 U.S. Dollars in Ayacucho, 21.79-36.69 U.S. Dollars in San Martin and 9.58-20.31 U.S. Dollars in Lima. The volume of vaccines administered and wastage rates are determinants of the variation in costs of delivering routine immunization services. CONCLUSION: This study shows there is considerable variation in the costs of providing vaccines across geographical regions and different types of facilities. Information on how costs vary can be used as a basis from which to generalize to other settings and provide more accurate estimates for decision-makers who do not have disaggregated data on local costs. Future studies should include sufficiently large sample sizes and ensure that regions are carefully selected in order to maximize the interpretation of cost variation.en_US
dc.format.extent676 - 682-
dc.format.extent676 - 682-
dc.format.extent676 - 682-
dc.format.extent676 - 682-
dc.languageEng-
dc.language.isoenen_US
dc.publisherWorld Health Organisationen_US
dc.subjectChild, preschoolen_US
dc.subjectCosts and cost analysisen_US
dc.subjectFemaleen_US
dc.subjectHealth facilitiesen_US
dc.subjectHealth services researchen_US
dc.subjectHumansen_US
dc.subjectImmunization programsen_US
dc.subjectInfanten_US
dc.subjectInfant, newbornen_US
dc.subjectMaleen_US
dc.subjectPeruen_US
dc.titleVariation in the costs of delivering routine immunization services in Peruen_US
dc.typeArticleen_US
dc.relation.isPartOfBulletin of the World Health Organisation-
dc.relation.isPartOfBulletin of the World Health Organisation-
dc.relation.isPartOfBulletin of the World Health Organisation-
dc.relation.isPartOfBulletin of the World Health Organisation-
pubs.issue9-
pubs.issue9-
pubs.issue9-
pubs.issue9-
pubs.volume82-
pubs.volume82-
pubs.volume82-
pubs.volume82-
pubs.organisational-data/Brunel-
pubs.organisational-data/Brunel/Brunel Staff by College/Department/Division-
pubs.organisational-data/Brunel/Brunel Staff by College/Department/Division/College of Health and Life Sciences-
pubs.organisational-data/Brunel/Brunel Staff by College/Department/Division/College of Health and Life Sciences/Dept of Life Sciences-
pubs.organisational-data/Brunel/Brunel Staff by College/Department/Division/College of Health and Life Sciences/Dept of Life Sciences/Biological Sciences-
pubs.organisational-data/Brunel/Brunel Staff by Institute/Theme-
pubs.organisational-data/Brunel/Brunel Staff by Institute/Theme/Institute of Environmental, Health and Societies-
pubs.organisational-data/Brunel/Brunel Staff by Institute/Theme/Institute of Environmental, Health and Societies/Health Economics-
pubs.organisational-data/Brunel/Specialist Centres-
pubs.organisational-data/Brunel/Specialist Centres/HERG-
Appears in Collections:Health Economics Research Group (HERG)

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