Bulletin of the World Health Organization

Cost and effectiveness analysis of immunization service delivery support in Andhra Pradesh, India

Chutima Suraratdecha, CBS Venkata Ramana, Satish Kaipilyawar, JVG Krishnamurthy, Srilatha Sivalenka, Naveena Ambatipudi, Sanjay Gandhi, K Umashankar, James Cheyne

Volume 86, Number 3, March 2008, 221-228

Table 4. Implementation costs associated with the integrated ISDS model per supervision round, 23 districts

Item	Integrated ISDS^a		Original ISDS^b
Item	Cost per round (current price, US$)	Cost per round (2000 price, US$)	(2000 price, US$)
Wages, benefits and per diem	15 113.06 (43.3%)	13 586.00 (43.3%)	26 925.44
Transportation, vehicle and accommodation	19 743.69 (56.6%)	17 748.73 (56.6%)	24 221.85
Printing	39.01^c (0.1%)	35.07 (0.1%)	35.07
Total	34 895.76	31 369.80	51 182.37

ISDS, immunization service delivery support.^a Assuming no additional training is required and RCOs will be responsible for administration of the programme following the integration.^b Costs incurred in 16 districts, excluding training and administration costs, were extrapolated to cover 23 districts.^c Printing cost was estimated from an average printing cost in 16 districts (Table 1).