Skip to main content
. Author manuscript; available in PMC: 2023 Nov 2.
Published in final edited form as: Vaccine. 2019 Oct 25;38(2):220–227. doi: 10.1016/j.vaccine.2019.10.027

Table 1.

Program cost analysis of influenza vaccination of health care workers in Albania: Baseline scenario inputs summary.

Scenario element Description Source
Target population 19,110 eligible HCWs Albania IPH
Target coverage rate 70% (13,377 HCWs); same target coverage rate assumed across all health facilities Albania IPH
Vaccine type Trivalent inactivated influenza vaccine (Northern Hemisphere formulation) Albania IPH
Vaccine procurement source Government-procured: 10,100 doses (including 1% wastage);
PIVI-donated: 3546 doses (including 5% wastage); difference in wastage rate due to different vaccine presentations, with lower wastage for prefilled syringes compared to single dose vials.		 Doses: Albania IPH, PIVI
Wastage rates: Albania IPH, [29]
Vaccine presentation Government-procured: pre-filled syringes;
PIVI-donated: single-dose vials (syringes procured separately by government)		 Albania IPH, PIVI
Vaccine price Government-procured: US$5.30 per dose (inclusive of customs)
PIVI-donated: US$4.54 per dose (inclusive of customs, plus US$0.04 for government-procured syringe)		 Albania IPH, PIVI, local pharmaceutical distributor
Service delivery strategy: Tertiary hospitals (n = 5) and large secondary hospitals (n = 11) with >200 HCWs per facility (18% of HCWs) Teams of one doctor and one nurse in their own facility dedicated full-time to influenza vaccination performing average 20 vaccinations per working day (incremental cost = days of work throughout flu campaign period) Assumption based on health facility site visits
Service delivery strategy: Mid-size secondary hospitals (n = 11) with 100-199 HCWs per facility (31% of HCWs) Teams of two nurses in their own facility dedicated full-time to influenza vaccination performing average 20 vaccinations per working day (incremental cost = days of work throughout flu campaign period) Assumption based on health facility site visits
Service delivery strategy: Small secondary hospitals (n = 13) and primary health care facilities (n = 415) with <100 HCWs per facility (51% of HCWs) Vaccination by facility nurse integrated with regular duties (incremental cost = minutes of nurse’s time per vaccination) Assumption based on health facility site visits
*

HCWs: Health Care Workers.