Case Study on the Costs and Financing of Immunization Services in Morocco. Special Initiatives Report No. 18

摘要

The government of Morocco has built a strong immunization program over the past 12 years and has seen impressive gains in immunization coverage. The Partnerships for Health Reform Project, in collaboration with the World Health Organization and the Ministry of Health, conducted an in-depth study of the costs and financing of immunization in Morocco, culminating in this report. This study was conducted in the fall and winter of 1998-1999 and is one of a series of four country case studies on immunization financing. The objectives of the study are to estimate the current and future costs of the country's immunization program, to assist the ministry with program planning, to provide recommendations to the Moroccan government on ways to improve its financing strategies, and to draw lessons learned from Morocco's immunization financing strategies for the international health community at large. Financing strategies for immunization have become increasingly important due to Morocco's heavy reliance on external funding through donors such as the World Bank; and the analysis and recommendations in this study are presented in the context of prospects for financial sustainability. Costs and financing data used in the analysis were obtained through government documents and through government and private sector interviews. The financial analysis is based on estimated costs rather than expenditures recorded to provide a more inclusive accounting of costs. The analysis also provides estimates for projected expenditures for the next five years. The report concludes with a set of options in the areas of program planning, management, evaluation, research, vaccine procurement and supply, and financing structures to improve the financial sustainability of Morocco's immunization program.