2016 Immunization Costing Workshop

Executive summary

On May 17-18, 2016, over 70 policy-makers, academic researchers and global health organization representatives filled the Westin D.C. City Center ballroom in Washington, D.C. to attend the workshop “Immunization Costing: what have we learned, can we do better” – sponsored by the Bill & Melinda Gates Foundation. The workshop aimed to bring together experts in immunization costing, financing, and efficiency from different backgrounds to share new knowledge on the subject and provoke conversations to improve immunization delivery and future immunization costing studies.

The EPIC project collected immunization costing and financing data at central, subnational, and facility-level in Benin, Ghana, Uganda, Zambia, Honduras, and Moldova and was notable for its rigor in sample design and comprehensiveness of resource use measurement. The study involved over 300 healthcare facilities in the six countries, the largest immunization costing study of its kind. 

In addition to the new analyses from the EPIC study, the workshop also featured new knowledge from studies across the globe, evaluation of country usage of immunization program cost data, identifying opportunities to improve the design of future studies, and specific focus groups and panel discussions to better understand the need of stakeholders in implementing and expanding immunization programs.

Photos from the workshop

Session details and materials

Session I: New analyses of pooled EPIC data

Introduction to EPIC immunization costing studies, methods, resources, and community of practice

Presenter: Stephen Resch

Video  

Presentation materials  

The costs of providing routine immunization services in six countries: Variation and cost determinants

Presenter: Nick Menzies

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Cost shares analysis of routine immunization programs in six countries

Presenter: Fangli Geng

Video  

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Discussion: Estimating the cost of scaling up immunization

Presenter: Nick Menzies

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The efficient production of immunization services: results from the EPIC study

Presenter: Nick Menzies

Video  

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Consolidated financing analysis of EPIC countries

Presenter: Logan Brenzel

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Stakeholder perspective: Focus group discussion, making sense of EPIC data

Presenter: Logan Brenzel

Moderator: Chris Suharlim

Reports by: Francis Mwansa, Jessica Gu, Diane Coraggio, Meghan O’Connell, Zach Ward, and Cristina Munk

Video  

Session II: New studies on immunization program costing, financing, and delivery

Cost of routine immunization in Brazil

Presenter: Cristiana Toscano

Video  

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Cost of delivering routine immunization services in India

Presenter: Susmita Chatterjee

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Immunization costing exercise in three districts on Ethiopia

Presenter: Damen Haile Mariam

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Socioeconomic inequity in access to and expenditures on immunization services in Anambra, Nigeria

Presenter: Florence Sibeudu

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Cost comparison of introducing new vaccines in Rwanda, take-aways in costing tools implementation

Session III: Country-level usage of immunization program cost data

Incorporating costing study results to enhance program performance: a Zambian case study

Presenter: Carl Schutte, Anthony Kinghorn

Video  

Presentation materials  

Using Reaching Every Child (REC) Micro-Planning Tool to Estimate Immunization Budgets in Tanzania

Presenter: Nassor S. Mohamed

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Implementation lessons from Nigeria, Kenya, and Tanzania: budget allocation to expenditure tracking

Presenter: Jessica Gu

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Feasibility of routine cost monitoring system in Kenya

Presenter: Ulla Griffiths

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Provider payment mechanisms and implications for sustaining the provision of quality services

Presenter: Donald Shepard

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Rewarding immunization coverage and completion: From cost function to contract design

Panel Discussion: Sustainable institutional Linkage and improving immunization program implementation

Presenter: Logan Brenzel

Moderator: Stephen Resch

Panelist: Lora Shimp, Collins Chansa, Charlotte Zikusooka, George Gotsadze, Frank Nyonator, and Penelope Kalesha

Video  

Session IV: Improving future immunization costing studies

On the design and analysis of costing studies in low-and-middle income countries

Presenter: Claudia Rivera, Sebastien Haneuse

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Survey tools to estimate cost of treatment and productivity loss for vaccine preventable diseases

Presenter: Diane Coraggio, Grace Morgan, and Sachiko Ozawa

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Panel discussion: The future of immunization costing and efficiency studies, where do we go next?

Moderator: Ulla Griffiths

Panelist: Stephen Resch, Mercy Mvundura, Logan Brenzel, and Cara Janusz

Video