Table 7. Service delivery costs per fully immunized girl and per dose by strategy in the Zimbabwe human papillomavirus vaccination project, 2014–2015.
Strategy and cost categorya | No. of doses delivered | No. of fully immunized girls | Service delivery cost, US$ |
Unit cost, US$ |
|||||
---|---|---|---|---|---|---|---|---|---|
Per diem payments (lodging, meals) | Personnel time (share of salaries and benefits) | Fuel and transportation fees | Vehicle use (share of time) | Total | Cost per doseb | Cost per fully immunized girlb | |||
School (primary strategy) | |||||||||
Financial cost | 11 251 | 5 540 | 22 899 | NA | 6 672 | NA | 29 572 | 2.63 | 5.34 |
Economic cost | 22 899 | 49 606 | 6 763 | 17 072 | 96 340 | 8.56 | 17.39 | ||
Health facility (secondary strategy) | |||||||||
Financial cost | 321 | 168 | 5 863 | NA | NA | NA | 5 863 | 18.26 | 34.90 |
Economic cost | 5 863 | 1 016 | NA | 52 | 6 931 | 21.59 | 41.25 | ||
Outreach (secondary strategy) | |||||||||
Financial cost | 27 | 16 | 3 379 | NA | 1 239 | NA | 4 618 | 171.04 | 288.63 |
Economic cost | 3 379 | 2 668 | 1 300 | 2 826 | 10 174 | 376.79 | 635.84 | ||
Total (all strategies) | |||||||||
Financial cost | 11 599 | 5 724 | 32 141 | NA | 7 911 | NA | 40 053 | 3.45 | 7.00 |
Economic cost | 32 141 | 53 290 | 8 063 | 19 950 | 113 444 | 9.78 | 19.82 |
NA: not applicable; US$: United States dollars.
a Includes service delivery activity only, excluding vaccine.
b Unit cost per dose and per fully immunized girl represent an unweighted mean.
Note: We collected costs in current prices from 2014, 2015 and 2016, adjusted for inflation to 2016 US$ using the Zimbabwe consumer price index.20