The cost of implementing measles campaign in Nigeria: comparing the stand-alone and the integrated strategy

Author:

Jean Baptiste Anne EudesORCID,Van der Schans Jurjen,Bawa Samuel,Masresha Balcha,Wagai John,Oteri Joseph,Dieng Boubacar,Soyemi Margaret,Eshuchi Rufus,Yehualashet Yared G.,Afolabi Oluwole,Braka Fiona,Bita André,Hak Eelko

Abstract

AbstractBackgroundEffective integration, one of the seven strategic priorities of the Immunization Agenda 2030, can contribute to increasing vaccination coverage and efficiency. The objective of the study is to measure and compare input costs of “non-selective” measles vaccination campaign as a stand-alone strategy and when integrated with another vaccination campaign.MethodsWe conducted a cost-minimization study using a matched design and data from five states of Nigeria. We carried-out our analysis in 3 states that integrated measles vaccination with Meningitis A and the 2 states that implemented a stand-alone measles campaign. The operational costs (e.g., costs of personnel, training, supervision etc.) were extracted from the budgeted costs, the financial and technical reports. We further used the results of the coverage surveys to demonstrate that the strategies have similar health outputs.ResultsThe analysis of the impact on campaign budget (currency year: 2019) estimated that savings were up to 420,000 United States Dollar (USD) with the integrated strategies; Over 200 USD per 1,000 children in the target population for measles vaccination (0.2 USD per children) was saved in the studied states. The savings on the coverage survey components were accrued by lower costs in the integration of trainings, and through reduced field work and quality assurance measures costs.ConclusionsIntegration translated to greater value in improving access and efficiency, as through sharing of costs, more life-saving interventions are made accessible to the communities. Important considerations for integration are resource needs, micro-planning adjustments, and health systems delivery platforms.

Publisher

Springer Science and Business Media LLC

Subject

Health Policy

Reference26 articles.

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3. World Health Organization. GLOBAL MEASLES AND RUBELLA: Strategic Plan 2012–2020 [Internet]. World Heal. Organ. 2012. Available from: http://www.who.int/immunization/documents/control/ISBN_978_92_4_150339_6/en/.

4. World Health Organization (WHO). Meningococcal meningitis [Internet]. [cited 2020 Dec 30]. Available from: https://www.who.int/news-room/fact-sheets/detail/meningococcal-meningitis.

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