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

Anne Eudes Jean Baptiste (), Jurjen Schans, Samuel Bawa, Balcha Masresha, John Wagai, Joseph Oteri, Boubacar Dieng, Margaret Soyemi, Rufus Eshuchi, Yared G. Yehualashet, Oluwole Afolabi, Fiona Braka, André Bita and Eelko Hak
Additional contact information
Anne Eudes Jean Baptiste: Country Office
Jurjen Schans: University of Groningen
Samuel Bawa: Country Office
Balcha Masresha: World Health Organization, African Regional Office
John Wagai: Country Office
Joseph Oteri: National Primary Health Care Development Agency
Boubacar Dieng: Technical Assistance Consultant, Global Alliance for Vaccines and Immunizations (GAVI)
Margaret Soyemi: United Nations Children’s Fund (UNICEF) - Country Office for Nigeria
Rufus Eshuchi: United Nations Children’s Fund (UNICEF) - Country Office for Nigeria
Yared G. Yehualashet: Country Office
Oluwole Afolabi: Country Office
Fiona Braka: Country Office
André Bita: World Health Organization, African Regional Office
Eelko Hak: University of Groningen

Health Economics Review, 2023, vol. 13, issue 1, 1-13

Abstract: Abstract Background Effective 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. Methods We 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. Results The 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. Conclusions Integration 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.

Keywords: Cost-minimization; Measles; Supplementary immunization activities; Integration; Vaccination (search for similar items in EconPapers)
Date: 2023
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DOI: 10.1186/s13561-023-00441-y

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