Table 1 Micro-costing for HPV vaccination in Zambia – Resource Input Categories
From: An evaluation of the cost of human papilloma virus (HPV) vaccine delivery in Zambia
Cost category | Resource Input | Notes | Data source |
|---|---|---|---|
1. Micro-planning | Per diem, transport allowances, other allowances, fuel, venue hire, lodging, refreshments and meals, conference supplies, equipment hire, printing health cards, registers, tally sheets, distribution costs | Microplanning costs were gathered at for national and district levels | Excel questionnaire and EPI documents and budgets |
2. Training | Facilitators, resource persons, trainers, and participant per diems, support staff per diems, transport allowances, other allowances, venue hire, lodging, refreshments, conference supplies, equipment hire, printing of health cards, tally sheets and registers, other materials | Training at national and district levels as well as health facility level | Excel questionnaire and EPI documents and budgets |
3. Service delivery | Per diem to vaccinators, project management and support staff; fuel and lubricants, Vehicle maintenance and/or repair costs, vehicle hire, other vehicle costs, waste management supplies, M&E, carriers, ice packs, banners, other costs, laboratory supplies | Service delivery applied to the vaccination week and to all delivery models (school, health facility, community outreach) | Excel questionnaire and EPI documents and budgets |
4. Vaccines and supplies | Doses received 2019 and 2020; Doses used in 2019 and 2020 | Vaccine costs related to co-financing obligation at USD 0.55 per dose as Gavi bore a major part of the cost | EPI documents and budgets |
5. Cold chain specifically purchased for HPV vaccine | Purchase price, maintenance, electricity, fuel | Cold chain specifically for HPV vaccine in 2019 and 2020 | EPI documents and budgets |
6. Waste management | Safety boxes, plastic bags, gloves, other protective gear, sterilisation chemicals, other materials | Waste management supplies specifically bought for HPV vaccine | Excel questionnaire |
7. Other Cold chain used for HPV vaccine | Purchase price, electricity, proportion used for HPV vaccine, maintenance, fuel | All economic costs obtained from EPIC study and were outlined as cost per facility. Thus the costs obtained were multiplied by number of facilities and then apportioned to HPV as 50% in that on average health facilities reported using half the child health week for HPV vaccination activities. | EPIC Study |
8. Other equipment | Total and proportion used for HPV vaccine | Â | |
9. Building overhead | Total and proportion used for HPV vaccine | Â | |
10. Vehicles | Total and proportion used for HPV vaccine | Â | |
11. Vehicle maintenance | Total and proportion used for HPV vaccine | Â | |
12. Human Resources | Receiving training, conducting training, preparation and planning, Child Health Week activities, Mop-up activities after child health week, supportive supervision, data collection and reporting, community mobilisation, surveillance relating to HPV. Cadres included District Director of Health, Medical Doctor, Medical Licenciate, Health Information Officer, MCH coordinator, Health promotion officer, clinical officer, planner, M&E officer, Accountant, Logistician, Environmental Health Technologist, Registered Nurse/Midwife, Driver, Community health assistant, Community Based Volunteers, Nursing officer, Adolescent Health focal point person, Nutritionist, Nursing Officer MCH, HMIS officer, Others | Human resource data collection focused on time spent on the activities listed by each health cadre and apportioning costs to this time based on the salary scale of the cadre. | EPI documents and budgets |