Table 9.
Estimated economic costs per district, province, and at the national level for the paper-based system compared with the NIISa.
| Level and cost | Cost per facility (US $), mean (SD) | Estimated cost (US $), IQR | ||
| District health centers (n=12) | ||||
|
|
Monthly cost of the paper system | |||
|
|
|
Labor cost for health workers | 74 (35.5) | 17-88 |
|
|
|
Printing of registers and stock ledgers | 4.51 (1.2) | 4.51-451 |
|
|
|
Total monthly cost of the paper system | 79 (36) | 22-93 |
|
|
Monthly cost of the NIIS | |||
|
|
|
Recurrent cost | 296 (141.4) | 153-419 |
|
|
|
Equipment cost | 46 (11.5) | 32-62 |
|
|
|
Labor cost for health workers | 61 (32.2) | 10-63 |
|
|
|
Total monthly cost of the NIIS | 403 (151.4) | 195-543 |
| Provincial Centers for Disease Control and Prevention (n=2) | ||||
|
|
Monthly cost of the paper system | |||
|
|
|
Labor cost for health workers | 212 (130) | 74-350 |
|
|
|
Printing of registers and stock ledgers | 4.51 (1.7) | 4.51-451 |
|
|
|
Total monthly cost of the paper system | 217 (130.3) | 79-355 |
|
|
Monthly cost of the NIIS | |||
|
|
|
Recurrent cost | 1 (0.09) | 1-1 |
|
|
|
Equipment cost | 148 (13) | 132-163 |
|
|
|
Labor cost for health workers | 300 (235.5) | 73-526 |
|
|
|
Total monthly cost of the NIIS | 449 (224.9) | 206-690 |
| National Expanded Program on Immunization | ||||
|
|
Monthly cost of the paper system | |||
|
|
|
Labor cost for health workers | 320 (113.1) | N/Ab |
|
|
|
Printing of registers and stock ledgers | 4.51 (0.7) | N/A |
|
|
|
Total monthly cost of the paper system | 325 (113.8) | N/A |
|
|
Monthly cost of the NIIS system | |||
|
|
|
Recurrent cost | 152 (4.2) | N/A |
|
|
|
Equipment cost | 15 (0) | N/A |
|
|
|
Labor cost for health workers | 287 (18.4) | N/A |
|
|
|
Total monthly cost of the NIIS | 455 (22.6) | N/A |
aNIIS: National Immunization Information System.
bN/A: not applicable.