Table 2

Selected input parameters for modeling of a scaled-up vaccination program in Mwanza Region

Base case

Low cost

High cost


General:

Number of vaccination rounds

4

3

Base case

Capital discount rate

3%

0%

8%

Life expectancy:

Vehicles

10 years

15 years

5 years

Refrigerators and cold rooms

10 years

15 years

5 years

Sensitization

5 years

7 years

1 year

Training

5 years

7 years

1 year

Cold storage:

Cold storage equipmenta

Incremental volume

Base case

Incremental equipment

Procurement:

Additional vaccine distribution trips

3

1

4

Km per health facility per vaccination round, urban districts

43

30

50

Km per health facility per vaccination round, rural districts

73

50

90

Wastage rate (vaccines and materials)

5%

1%

10%

Vaccination:

Number of eligible girls per schoolb

52

60

40

Coverage ratesc for dose 1

86%

95%

75%

Coverage ratesc for dose 2

84%

90%

65%

Coverage ratesc for dose 3

79%

85%

55%

Girls immunized in health facilities (%)

4%

Unit costs:

Vaccine price

US$5

US$0

Base case

Vaccine clearance and shipment to regional level (costs/dose)

US$0.39

US$0.20

Base case


aIncremental volume refers to estimating the costs of the storage volume required for storing the estimated number of vaccine doses. Incremental equipment refers to the necessary increase in cold storage equipment according to interviews with the district cold chain coordinators in Mwanza and Misungwi districts.

bThe number of eligible girls per school is varied by increasing/decreasing the total number of eligible girls in Mwanza Region.

cAs percentage of total cohort of eligible girls.

Quentin et al. BMC Medicine 2012 10:137   doi:10.1186/1741-7015-10-137

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