Case Study on the Costs and Financing of Immunization Services in Bangladesh. Special Initiatives Report No. 21

摘要

This study estimates the current and future costs of Bangladesh's immunization program, including the additional costs proposed for improvements to the program, both to assist planning and to inform the international community about global immunization costs. The estimated total cost of the national program, including national immunization days (NIDs) and surveillance, was about ;34.4 million in 1997/98 about ;0.52 per dose, ;21.47 per fully immunized child (FIC), and ;0.28 per capita. Proposed improvements to the program will cost ;0.9 - ;2.7 million per year without the introduction of Hepatitis B vaccine. (If Hepatitis B is introduced nationwide, the annual cost of vaccines alone will increase ;10-11 million; an alternative is to phase in the vaccine, beginning in highly endemic or urban areas.) Even assuming cost savings of ;1- 1.7 million from better estimating of vaccine needs, over the next five years improvement costs (excluding Hepatitis B) will produce a funding gap of ;1.4 - 3.1 million (;0.7 - 1.8 million if donors fund investment costs). Therefore, additional resources will need to be mobilized.