lundi 23 avril 2001
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Post00335 IMMUNIZATION COSTING TOOL 23 April 2001 1. IMMUNIZATION COSTING TOOL DRAFT FOR COMMENT Patrick Lydon, WHO/V&B/VAM, kindly post a spreadsheet immunization costing tool based in part on immunization financing data collected in the assessment and follow up phases of the GAVI Process. To down load the file [ 238 Kb ] on the web, go to: ftp://ftp.acithn.uq.edu.au/Technet/1-ClickHereForTECHNETfiles/tools/ click on the file: V&B-Costing-tool-NIS-Tool_Draft11042001.zip or by email Send an email to: [[email protected]][email protected][/email] with the message: get technet V&B-Costing-tool-NIS-Tool_Draft11042001.zip * Opinions and comments to: [[email protected]][email protected][/email], [[email protected]][email protected][/email] * or use your reply button ___________________________________________________________________________ From: [[email protected]][email protected][/email] To: [[email protected]][email protected][/email] Subject: RE: Welcome to the Technet list. Date: Wed, 4 Apr 2001 Allan, Thanks for signing me on to the technet list. I'm taking you up on the offer to post my costing tool on the site for some serious scrutiny and feedback. I've attached it as a zip file. Although it is still in draft form and some parts are incomplete, I feel there is enough there for it to be posted. I need some feedback in order to move forward on this. cheers Patrick Patrick Lydon WHO-VAB-VAM 20 Ave Appia CH-1211 Geneva 27 Switzerland Office: M407 Phone: +(41 22) 791 4238 Fax: +(41 22) 791 4210 E-mail: [[email protected]][email protected][/email] (WHO) World Health Organization (VAB) Vaccines & Biologicals Department (VAM) Vaccine Assessment & Monitoring Team ___________________________________________________________________________ DATABASE OF COSTING AND FINANCING OF IMMUNIZATION SERVICES The text below introduces the immunization costing tool. It is reproduced, with thanks, from the Asia Pacific Regional Working Group Bangkok 14-16 March 2001 briefing and meeting CD-Rom "Materials and Methods on Surveillance, Monitoring and Assessment". ___________________________________________________________________________ WHONAM DATABASE OF COSTING AND FINANCING OF IMMUNIZATION SERVICES The following work is being coordinated by Patrick Lydon and Ulla Kou Patrick Lydon WHO-VABVAM 20 Ave Appia CH-1211 Geneva 27 Switzerland Phone: +(4122) 7914238 Fax: +(4122) 7914210 E-mail: [[email protected]][email protected][/email] BACKGROUND Partners involved in delivery of immunization services have agreed that there is a substantial lack of reliable information on the costs and financing of immunization services. Two key data gaps are: Global expenditures on immunization services (global level) and costs per fully immunized child (country level). While country specific studies on costs and financing have been carried out in a sporadic manner during the last few decades, there has so far been few attempts to collect this information systematically, so that analysis of historic trends and comparisons among countries can be made. The GAVI Financing Task Force in May 2000 agreed that it would be useful to set up a publicly accessible database to routinely collect country specific information on immunization costs and financing as well as price information on vaccines. Work on the database began in the fall of 2000 and some data is expected to be available in 2001. RATIONAL FOR THE DATABASE 1) We don't really know how much the world spends on immunization. 2) Current estimates on what immunization costs per child are several years old. 3) Future immunization cost projections are difficult to evaluate. WHAT THE DATABASE WILL DO - Collect and synthesis data on cost and financing of immunization services. - Identify major data gaps. - Facilitate regular data collection process. OBJECTIVES Global level: In order for both governments and donors to prioritize and plan/budget for the demands of immunization it is important for them to know how much immunization is now costing and how much it will cost to meet the new targets of the years to come. ANALYSIS AT THE GLOBAL LEVEL: - Monitor global expenditures on immunization -Monitor global funding for immunization and possible funding gaps - Monitor trends in financing sources (Government versus. donors funding) - Monitor the impact of GAVI funds (crowding out effect) - Monitor vaccine prices and procurement mechanisms (UNICEF VII, PAHO RF, EU ARIVAS) COUNTRY LEVEL: Such advocacy number can assist countries to plan/budget and improve their immunization services. ANALYSIS AT THE COUNTRY LEVEL: - Comparison of costs of immunization services across countries -Estimate cost-effectiveness indicators. - Identification major cost components of immunization services (Capital vs. recurrent costs such as vaccines, personnel, cold chain, transport). - Estimation of costs for expanding coverage and introducing new vaccines. - Comparison of costs of different immunization strategies Costing Methodology As best as possible, the basis will be the "ingredient approach", which specifies all resources according to quantities and unit costs. SOURCE OF DATA There are 4 sources of information that will feed into the database. (1) GAVI sources are (will be) those available from the GFCV application form, the relevant information from the WHOUNICEF Joint Reporting Form and the GAVI disbursement of funds. These are on-going and will feed into the database as they are made available. UNICEF sources will hopefully provide us with the price/unit cost of vaccines. In this way estimates on vaccines costs for each country can be made (based on the quantities reported in the WHOUNICEF Joint Reporting Form). (2) Assessment tools sources consist of the WHO-EPI Assessment Too], The ABT Associates Immunization Financing Tool (IF-Tool), and the Asian Development Bank, Asian Vaccine Initiative (AVI) Assessment Tool. Some of these assessment are separate to, but work in collaboration with GAVI. It is expected that cost and finance data will be collected during country EPI assessments and this information will be inputted into the database. WHO-VAM is currently developing a costing and financing tool used to collect cost and financing information in line with the ABT Associates immunization Financing Tool. This costing tool can be used to collect cost and finance information when EPI assessment are made and on a ad-hoc basis as staff go out to the field. (3) It is expected that a system of regularly collecting information from donors will be set up. It is hoped that donors can provide figures on their annual contribution to immunization services by country and by main cost component (vaccine, personnel, operations, and capital investment). This effort will be a follow-up on the 1992 WHO-EPI study on global immunization resource inputs. (4) Literature sources are essentially the data available from the literature, grey material and so on. Some estimates of global cost of immunization have been made with fairly intensive costing studies in a small number of countries, extrapolated to regional and global levels. Information from such studies will permit new estimates and projections to be made. Outcomes by summer 2000 (1) Preliminary numbers will be available and the database structure will be completed. (2) A published report of available information and numbers will be available. (3) Mechanisms to regularly get information will be set up. (4) The WHO costing and financing tool with updated WHO costing guidelines will be completed.
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