Cost Effectiveness of Mixes of Operational Approaches to Polio Eradication: Findings of Two Case Studies

摘要

This report examines the cost-effectiveness of variations of fixed site and house-to-house service delivery approaches to reach polio eradication through the analysis of two specific case studies. One country study was Cambodia, which evaluated and compared the costs and effectiveness of operational approaches involving different combinations of national immunization days (NIDs) and high-risk response immunizations (HRRIs) as well as different levels of surveillance. The second country case study, Turkey, examined whether house-to-house campaigns are more cost-effective with more intensified management. The results indicate that conducting NIDs and HRRIs is more cost-effective when an adequate surveillance system is in place, that combining the two approaches of NIDs and house-to-house immunizations into one activity allows cost savings to be realized, and that house-to-house immunization activities with greater investment in management support, while being costlier, are, on average, more cost-effective than those with limited management support.