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The incremental cost of improving immunization coverage in India through the Intensified Mission Indradhanush programme
Intensified Mission Indradhanush (IMI) was a strategic endeavour launched by the Government of India aiming to achieve 90% full immunization coverage in the country by 2018. The basic strategy of this special drive involved identifying missed children and vaccinating them in temporary outreach sites...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8428614/ https://www.ncbi.nlm.nih.gov/pubmed/33950262 http://dx.doi.org/10.1093/heapol/czab053 |
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author | Chatterjee, Susmita Das, Palash Pinheiro, Anita Haldar, Pradeep Ray, Arindam Brenzel, Logan Resch, Stephen |
author_facet | Chatterjee, Susmita Das, Palash Pinheiro, Anita Haldar, Pradeep Ray, Arindam Brenzel, Logan Resch, Stephen |
author_sort | Chatterjee, Susmita |
collection | PubMed |
description | Intensified Mission Indradhanush (IMI) was a strategic endeavour launched by the Government of India aiming to achieve 90% full immunization coverage in the country by 2018. The basic strategy of this special drive involved identifying missed children and vaccinating them in temporary outreach sites for 1 week over consecutive 4-month period starting from October 2017. This study estimated the incremental economic and financial cost of conducting IMI in India from a government provider perspective. Five states—Assam, Bihar, Maharashtra, Rajasthan and Uttar Pradesh were purposefully selected because of high concentration of IMI activities. The stratified random sample of 40 districts, 90 sub-districts and 289 sub-centres were included in this study. Cost data were retrospectively collected at all levels from administrative records, financial records and staff interviews involved in IMI. The weighted incremental economic cost per dose (including vaccine costs) was lowest in Uttar Pradesh (US$3.45) and highest in Maharashtra (U$12.23). Incremental economic cost per IMI dose was found to be higher than a recent routine immunization costing study by Chatterjee and colleagues in 2018, suggesting that it requires additional resources to immunize children through an intensified push in hard-to-reach areas. Incremental financial cost of the IMI programme estimated in this study will be helpful for the government for any future planning of such special initiative. The reasons for variation of unit costs of IMI across the study districts are not known, but lower baseline coverage, high population density, migration, geography and terrain and vaccinating small numbers of children per session could account for the range of findings. Further analysis is required to understand the determinants of cost variations of the IMI programme, which may aid in better planning and more efficient use of resources for future intensified efforts. |
format | Online Article Text |
id | pubmed-8428614 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-84286142021-09-10 The incremental cost of improving immunization coverage in India through the Intensified Mission Indradhanush programme Chatterjee, Susmita Das, Palash Pinheiro, Anita Haldar, Pradeep Ray, Arindam Brenzel, Logan Resch, Stephen Health Policy Plan Original Article Intensified Mission Indradhanush (IMI) was a strategic endeavour launched by the Government of India aiming to achieve 90% full immunization coverage in the country by 2018. The basic strategy of this special drive involved identifying missed children and vaccinating them in temporary outreach sites for 1 week over consecutive 4-month period starting from October 2017. This study estimated the incremental economic and financial cost of conducting IMI in India from a government provider perspective. Five states—Assam, Bihar, Maharashtra, Rajasthan and Uttar Pradesh were purposefully selected because of high concentration of IMI activities. The stratified random sample of 40 districts, 90 sub-districts and 289 sub-centres were included in this study. Cost data were retrospectively collected at all levels from administrative records, financial records and staff interviews involved in IMI. The weighted incremental economic cost per dose (including vaccine costs) was lowest in Uttar Pradesh (US$3.45) and highest in Maharashtra (U$12.23). Incremental economic cost per IMI dose was found to be higher than a recent routine immunization costing study by Chatterjee and colleagues in 2018, suggesting that it requires additional resources to immunize children through an intensified push in hard-to-reach areas. Incremental financial cost of the IMI programme estimated in this study will be helpful for the government for any future planning of such special initiative. The reasons for variation of unit costs of IMI across the study districts are not known, but lower baseline coverage, high population density, migration, geography and terrain and vaccinating small numbers of children per session could account for the range of findings. Further analysis is required to understand the determinants of cost variations of the IMI programme, which may aid in better planning and more efficient use of resources for future intensified efforts. Oxford University Press 2021-05-05 /pmc/articles/PMC8428614/ /pubmed/33950262 http://dx.doi.org/10.1093/heapol/czab053 Text en © The Author(s) 2021. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Chatterjee, Susmita Das, Palash Pinheiro, Anita Haldar, Pradeep Ray, Arindam Brenzel, Logan Resch, Stephen The incremental cost of improving immunization coverage in India through the Intensified Mission Indradhanush programme |
title | The incremental cost of improving immunization coverage in India through the Intensified Mission Indradhanush programme |
title_full | The incremental cost of improving immunization coverage in India through the Intensified Mission Indradhanush programme |
title_fullStr | The incremental cost of improving immunization coverage in India through the Intensified Mission Indradhanush programme |
title_full_unstemmed | The incremental cost of improving immunization coverage in India through the Intensified Mission Indradhanush programme |
title_short | The incremental cost of improving immunization coverage in India through the Intensified Mission Indradhanush programme |
title_sort | incremental cost of improving immunization coverage in india through the intensified mission indradhanush programme |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8428614/ https://www.ncbi.nlm.nih.gov/pubmed/33950262 http://dx.doi.org/10.1093/heapol/czab053 |
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