Expanded Program on Immunization in Bangladesh: Cost, Cost-Effectiveness, and Financing Estimates. Special Initiatives Report No. 6

摘要

The Bangladesh Expanded Program of Immunization (EPI) began in 1979 as a means of reducing vaccine preventable morbidity and mortality. Widely recognized as having achieved significant gains since its beginning, some concerns have been expressed recently over the financial sustainability of the EPI, diminishing donor support, competition for scarce resources within the government budget, as well as plateauing immunization coverage rates. Partly in response to such concerns, a comprehensive EPI review was conducted that includes, among other things, this assessment of costs, cost-effectiveness and financing issues.