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. 2018 Oct 17;96(12):834–842. doi: 10.2471/BLT.18.211904

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