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Titolo:
COSTS OF POLIO IMMUNIZATION DAYS IN CHINA - IMPLICATIONS FOR MASS IMMUNIZATION CAMPAIGN STRATEGIES
Autore:
ZHANG J; YU JJ; ZHANG RZ; ZHANG XL; ZHOU J; WING JS; SCHNUR A; WANG KA;
Indirizzi:
TA YUAN DIPLOMAT COMPOUND BEIJING PEOPLES R CHINA CHINESE ACAD PREVENT MED,NATL EPI TECH CTR,EPIDEMIOL UNIT BEIJING 100050 PEOPLES R CHINA CHINESE ACAD PREVENT MED,NATL EPI TECH CTR,PROGRAMME OFF BEIJING 100050 PEOPLES R CHINA MINIST HLTH,DEPT DIS CONTROL,DIV EXPANDED IMMUNIZAT PROGRAMME BEIJINGPEOPLES R CHINA WHO BEIJING PEOPLES R CHINA
Titolo Testata:
The International journal of health planning and management
fascicolo: 1, volume: 13, anno: 1998,
pagine: 5 - 25
SICI:
0749-6753(1998)13:1<5:COPIDI>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
POLIOMYELITIS; ERADICATION;
Keywords:
COSTS; NATIONAL IMMUNIZATION DAYS; CHINA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Citazioni:
19
Recensione:
Indirizzi per estratti:
Citazione:
J. Zhang et al., "COSTS OF POLIO IMMUNIZATION DAYS IN CHINA - IMPLICATIONS FOR MASS IMMUNIZATION CAMPAIGN STRATEGIES", The International journal of health planning and management, 13(1), 1998, pp. 5-25

Abstract

Ten provinces of China were selected to estimate the cost per immunization of the 1994-95 national immunization days (NIDs) at five levels (e.g. province, prefecture, county, township and village). Personnel costs accounted for the largest overall share of costs (39 per cent), followed by publicity and promotion costs (27 per cent), and logistic costs (15 per cent). Without consideration of vaccine costs, the major part of NID expenses were shouldered at the township level, which paidfor 47 per cent of all incremental costs, while county and village level covered 28 per cent and 18 per cent respectively. Estimation of average costs per immunization was 2.86 RMB yuan, or $0.34, including vaccine costs, buildings and equipment amortization and salaries at all levels. The factors affecting average cost of NID included the output volume, socio-economic development and geographic features. Various approaches were recommended: to intensify the productivity of time and staff, to employ alternative inexpensive manpower resources, to make the best use of publicity and social promotion, the expansion of the agegroups and utilization of multi-intervention strategies. Good planning at township level was a decisive factor to ensure an effective NID conducted in an efficient manner. The average cost of China's NID was the lowest among all mass immunization campaigns ever documented. Much of the reduced average cost was attributable to economies of scale. (C) 1998 John Wiley & Sons, Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/06/18 alle ore 17:05:49