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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Impact of the introduction of new vaccines and vaccine wastage rate on the cost-effectiveness of routine EPI: lessons from a descriptive study in a Cameroonian health district. | Ebong and Levy Cost Effectiveness and Resource Allocation 2011 9 9 http www.resource-allocation.eom content 9 1 9 COST EFFECTIVENESS AND RESOURCE ALLOCATION RESEARCH Open Access Impact of the introduction of new vaccines and vaccine wastage rate on the cost-effectiveness of routine EPI lessons from a descriptive study in a Cameroonian health district Cliford E Ebong1 and Pierre Levy2 Abstract The Expanded Program of Immunization EPI offers services to the population free of charge but these activities are costly with the greatest part being the cost of vaccines. In spite of the growing international solidarity towards funding for immunization the growing objectives continue to outweigh the available resources. It is therefore crucial for any immunization system to seek greater efficiency so as to optimize the use of available means in a bid to ensure sustainability. It is in this light that we carried out this study which aims to assess the productive efficiency of routine EPI for children aged 0-11 months with respect to the fixed and outreach vaccine delivery strategies in Ngong health district. The study is descriptive and cross-sectional. Data were collected retrospectively for all 16 health centers of the district that offered EPI services during the period February - May 2009. The results show that Only 62 of planned outreach immunization sessions were effectively carried out mainly due to limited funds for transportation and staff availability. Consequently vaccine coverage was low BCG 70.1 DPT-HB-Hib 3 55.5 and less resources 43 were used for this strategy which served 52 of the target population - a major blow to equity. The average cost per Fully Immunized Child FIC was 9 571 FCFA 19.22 USD for the fixed strategy 12 751 FCFA 25.61 USD for the outreach and 10 718 FCFA 21.53 USD with both strategies combined. These figures are high than those observed in many other African health districts. However DPT-HB-Hib and yellow fever vaccines contributed to the .
