Costing tools


Costing and Financing Tool for Childhood Immunization

World Health Organization

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As a companion to the 2005 joint WHO - UNICEF guidelines for preparing a strategic multi-year plan for immunization, the cMYP tool was developed to make projections of future costs, future resources requirements, future financing needs to achieve programme objectives, and analyse the corresponding financing gaps and sustainability.

This tool can help countries align with regional and global immunization strategies (ex: GIVS) and is primarily targeted for low-income countries which do not have existing systems in place for this.

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Claudio Politi



Summary of main features

Purpose This tool was designed for strategic planning for immunization to help answer fundamental questions of how much resources are needed to reach program objectives, who will funding the needs and what are the shortfalls, and how to prioritize activities based on available funds. The Tool is used to estimate past and future costs and financing for immunization, and analyze financing gaps and sustainability.
Health MDG addressed 4 (child health, immunization)
Scope of interventions National immunization programs
Type of software Excel-spreadsheet based
User manual available Yes (English, French and Russian)
Potential users National planners and immunization program managers will be the principal users. It can be used by researchers, consultants, international donors and other health planners in developing countries.
Skills required Good excel skills, knowledge of immunization, some experience with costing, financing, planning and budgeting
Type and length of training required 1 day either hands on or in a training workshop setting with specific computer exercises. 1-4 days self teaching depending on experience
Costing strategy and methods Standard cost categories with user defined demographics, coverage and scale-up needs. Ingredients approach for main cost drivers that account for 80% of total costs (vaccines, injection supplies, human resources, vehicles, cold chain); rules of thumb and budgeting approach for other cost categories
Level of aggregation National and sub-national information
Program/system costs included Yes - both specific and shared health systems costs
Time-frame Medium-term (annual up to 5 years)
Modeling intervention impact or interactions on epidemiology or demography No
Output Total and unit costs (cost per capita, per child...), costs by strategy (routine, fix site delivery, outreach and campaigns), total financing and future funding gaps, composition of funding gaps, financial sustainability indicators
Automatic generation of reports Automatic generation of tables and charts
Country applications Yes, in over 48 low income countries and 4 middle income countries
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