Table 3

Scaled-up class-based total costs of a human papillomavirus (HPV) vaccination program in Mwanza Region (in 2011 US$)*

Financial costs

Economic costs



Program element

US$

%

US$

%


1. Social mobilization/IEC (annuitized):

1.1. Meetings (teachers, parents/pupils)

15,656

5.7%

23,504

1.8%

1.2. Campaign (radio, cultural troops)

3,254

1.2%

3,597

0.3%

1.3. Material development

20

0.0%

284

0.0%

Subtotal social mobilization/IEC

18,930

6.9%

27,385

2.1%

2. Training (annuitized):

2.1. District staff training

1,004

0.4%

2,472

0.2%

2.2. Health facility staff training

8,144

3.0%

21,954

1.7%

2.3. Material development

0

0.0%

524

0.0%

Subtotal training

9,148

3.3%

24,950

1.9%

3. Cold storage:

3.1. Regional level cold storage

111

0.0%

126

0.0%

3.2. District level cold storage

1,371

0.5%

1,596

0.1%

3.3. Health facility cold storage

13,536

4.9%

14,551

1.1%

Subtotal cold storage

15,018

5.4%

16,273

1.2%

4. Procurement:

4.1. Vaccines and supplies

19,162

6.9%

856,264

64.5%

4.2. Shipment to regional level

65,116

23.6%

65,116

4.9%

4.3. Transport to districts

2,923

1.1%

4,048

0.3%

4.4. Distribution to health facilities

39,603

14.4%

46,688

3.5%

Subtotal procurement

126,805

46.0%

972,115

73.2%

5. Vaccination:

5.1. School vaccination

62,992

22.8%

221,044

16.6%

5.2. Health facility vaccination

0

0.0%

5,247

0.4%

Subtotal vaccination

62,992

22.8%

226,291

17.0%

6. Waste management:

Subtotal waste management

1,020

0.4%

1,020

0.1%

7. Admin/supervision:

6.1. Regional level supervision

1,026

0.4%

2,047

0.2%

6.2. District level supervision

40,869

14.8%

57,955

4.4%

Subtotal admin/supervision

41,894

15.2%

60,002

4.5%

Overall total

275,807

100%

1,328,037

100%


aCosts are for delivering 3 doses of HPV vaccine through class-based delivery (year 4 of primary school) to 50,290 girls in Mwanza Region. Financial costs exclude the costs of the vaccine itself, which will be donated to the Tanzanian government at least during the first years of the national vaccination program [8]. Economic costs include a vaccine price of US$5 per dose.

IEC = information, education, communication.

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

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