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An Analysis of the Costs and Consequences of Routine Immunization for Measles in Anambra State, Southeast Nigeria

Received: 18 November 2021     Accepted: 10 December 2021     Published: 16 February 2022
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Abstract

Background: Funding measles immunization in a resource constraint setting like Nigeria has been challenging. Nigeria needs a domestic cost data on measles routine immunization to inform measles routine immunization planning. This study assessed the costs and consequences of a dose of measles vaccine to children through routine immunization. Methods: A cross sectional retrospective costing study at twelve Primary health facilities was conducted. Ingredient approach to costing was used to collect data on routine immunization based on providers’ perspective. Costs attributable to measles vaccination were extracted from the data pool considering the fraction of a dose of measles vaccine to a total of ten doses of routine vaccines for a child. Microsoft excel was used for data analysis. Unit costs were calculated and compared between types of health facility. State estimates was computed using volume weighted mean method. Results: Cost per child immunized considering total and operational costs were $1.41 and $1.01 respectively. Personnel time and vaccine contributed 62%and 23% of the total cost respectively. Cost per child immunized and vaccine doses used were higher at the Health Post than Primary health facility. The percentage coverage was 39% and the wastage rate was 14%. Conclusion: The findings will guide the policy makers in planning for efficient and sustainable measles immunization financing.

Published in International Journal of Health Economics and Policy (Volume 7, Issue 1)
DOI 10.11648/j.hep.20220701.12
Page(s) 6-14
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Anambra State, Children, Cost Analysis, Measles Containing Vaccine, Routine Immunization, Nigeria

References
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Cite This Article
  • APA Style

    Florence Tochukwu Sibeudu, Obinna Onwujekwe, Ijeoma Okoronkwo. (2022). An Analysis of the Costs and Consequences of Routine Immunization for Measles in Anambra State, Southeast Nigeria. International Journal of Health Economics and Policy, 7(1), 6-14. https://doi.org/10.11648/j.hep.20220701.12

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    ACS Style

    Florence Tochukwu Sibeudu; Obinna Onwujekwe; Ijeoma Okoronkwo. An Analysis of the Costs and Consequences of Routine Immunization for Measles in Anambra State, Southeast Nigeria. Int. J. Health Econ. Policy 2022, 7(1), 6-14. doi: 10.11648/j.hep.20220701.12

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    AMA Style

    Florence Tochukwu Sibeudu, Obinna Onwujekwe, Ijeoma Okoronkwo. An Analysis of the Costs and Consequences of Routine Immunization for Measles in Anambra State, Southeast Nigeria. Int J Health Econ Policy. 2022;7(1):6-14. doi: 10.11648/j.hep.20220701.12

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  • @article{10.11648/j.hep.20220701.12,
      author = {Florence Tochukwu Sibeudu and Obinna Onwujekwe and Ijeoma Okoronkwo},
      title = {An Analysis of the Costs and Consequences of Routine Immunization for Measles in Anambra State, Southeast Nigeria},
      journal = {International Journal of Health Economics and Policy},
      volume = {7},
      number = {1},
      pages = {6-14},
      doi = {10.11648/j.hep.20220701.12},
      url = {https://doi.org/10.11648/j.hep.20220701.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20220701.12},
      abstract = {Background: Funding measles immunization in a resource constraint setting like Nigeria has been challenging. Nigeria needs a domestic cost data on measles routine immunization to inform measles routine immunization planning. This study assessed the costs and consequences of a dose of measles vaccine to children through routine immunization. Methods: A cross sectional retrospective costing study at twelve Primary health facilities was conducted. Ingredient approach to costing was used to collect data on routine immunization based on providers’ perspective. Costs attributable to measles vaccination were extracted from the data pool considering the fraction of a dose of measles vaccine to a total of ten doses of routine vaccines for a child. Microsoft excel was used for data analysis. Unit costs were calculated and compared between types of health facility. State estimates was computed using volume weighted mean method. Results: Cost per child immunized considering total and operational costs were $1.41 and $1.01 respectively. Personnel time and vaccine contributed 62%and 23% of the total cost respectively. Cost per child immunized and vaccine doses used were higher at the Health Post than Primary health facility. The percentage coverage was 39% and the wastage rate was 14%. Conclusion: The findings will guide the policy makers in planning for efficient and sustainable measles immunization financing.},
     year = {2022}
    }
    

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    T1  - An Analysis of the Costs and Consequences of Routine Immunization for Measles in Anambra State, Southeast Nigeria
    AU  - Florence Tochukwu Sibeudu
    AU  - Obinna Onwujekwe
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    Y1  - 2022/02/16
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    DO  - 10.11648/j.hep.20220701.12
    T2  - International Journal of Health Economics and Policy
    JF  - International Journal of Health Economics and Policy
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    UR  - https://doi.org/10.11648/j.hep.20220701.12
    AB  - Background: Funding measles immunization in a resource constraint setting like Nigeria has been challenging. Nigeria needs a domestic cost data on measles routine immunization to inform measles routine immunization planning. This study assessed the costs and consequences of a dose of measles vaccine to children through routine immunization. Methods: A cross sectional retrospective costing study at twelve Primary health facilities was conducted. Ingredient approach to costing was used to collect data on routine immunization based on providers’ perspective. Costs attributable to measles vaccination were extracted from the data pool considering the fraction of a dose of measles vaccine to a total of ten doses of routine vaccines for a child. Microsoft excel was used for data analysis. Unit costs were calculated and compared between types of health facility. State estimates was computed using volume weighted mean method. Results: Cost per child immunized considering total and operational costs were $1.41 and $1.01 respectively. Personnel time and vaccine contributed 62%and 23% of the total cost respectively. Cost per child immunized and vaccine doses used were higher at the Health Post than Primary health facility. The percentage coverage was 39% and the wastage rate was 14%. Conclusion: The findings will guide the policy makers in planning for efficient and sustainable measles immunization financing.
    VL  - 7
    IS  - 1
    ER  - 

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Author Information
  • Department of Nursing Science, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Nigeria

  • Department of Health Administration and Management, University of Nigeria, Enugu Campus, Enugu, Nigeria

  • Department of Health Administration and Management, University of Nigeria, Enugu Campus, Enugu, Nigeria

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