Bulletin of the World Health Organization

Estimating the costs of achieving the WHO–UNICEF Global Immunization Vision and Strategy, 2006–2015

Lara J Wolfson, François Gasse, Shook-Pui Lee-Martin, Patrick Lydon, Ahmed Magan, Abdelmajid Tibouti, Benjamin Johns, Raymond Hutubessy, Peter Salama, Jean-Marie Okwo-Bele

Volume 86, Number 1, January 2008, 27-39

Table 5. Projected costs and distribution of costs of increasing the coverage of traditional and underused vaccines and health systems requirements to reach the GIVS goals by 2015 in 72 GAVI Alliance-eligible countries, together with funding gaps

Costing 2006–2015 AFR (US$ millions) AMR (US$ millions) EMR (US$ millions) EUR (US$ millions) SEAR (US$ millions) WPR (US$ millions) Total (US$ millions)
Vaccines 4 621 214 1 301 342 5 400 559 12 438
Traditional 19% 15% 22% 14% 21% 15% 20%
Underused 53% 46% 49% 48% 38% 51% 46%
New 28% 39% 30% 38% 41% 34% 35%
Systems 6 537 666 1 790 608 9 957 1 318 20 875
Maintaining system 70% 77% 50% 74% 82% 53% 73%
Scaling up 1 978 150 894 158 1 819 615 5 615
Cold chain 25% 21% 16% 29% 27% 11% 23%
Training & supervision 6% 31% 6% 44% 21% 8% 13%
Vehicles and transport 18% 11% 20% 9% 7% 8% 13%
Social mobilization 12% 13% 13% 1% 7% 3% 9%
Surveillance, M&E 15% 10% 18% 9% 9% 4% 12%
Waste management 2% 1% 1% 1% 2% 1% 2%
Personnel 17% 9% 22% 2% 23% 63% 24%
Overheads 5% 5% 4% 5% 5% 2% 4%
Campaigns 875 12 303 3 970 22 2 184
TOTAL 12 033 892 3 393 953 16 327 1 899 35 496
% of costs by region
33.9%
2.5%
9.6%
2.7%
46.0%
5.3%
100.0%
Probable funding gapsa 17% 28% 42% 32% 33% 36% 28%
Vaccines 31% 46% 52% 52% 64% 38% 49%
Systems 2% 21% 31% 20% 14% 35% 13%
Campaigns 55% 71% 62% 97% 51% 65% 54%
Total funding gap(in millions of US$) 2 019 246 1 418 301 5 364 687 10 036
% of funding gap by region 20% 2% 14% 3% 53% 7% 100%

AFR, WHO African Region; AMR, WHO Region of the Americas; EMR, WHO Eastern Mediterranean Region; EUR, WHO European Region; SEAR, WHO South-East Asia Region; WPR, WHO Western Pacific Region; M & E, monitoring and evaluation.a Source of data on funding gaps: Assumes an optimistic funding scenario based on: (a) extrapolating the amounts national governments and external donors will contribute to immunization between 2006 and 2015 from the Financial Sustainability Plans19 and reported data on immunization financing18 (assuming that they will fund in the future at least as much as in the past); (b) taking funding scenarios provided by the GAVI Secretariat (as known in December 2005; optimistic expenditure scenario of approximately US$ 5.8 billion); (c) using the funding estimates for campaigns made by the WHO Polio Team and the Measles,45 Tetanus46 and Yellow Fever47 groups in GAVI Alliance investment cases.

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