This section hosts guidelines, manuals and toolkits to strengthen public health practice.
The costs of delivering routine immunization services in India vary widely across facilities, districts and states. This analysis found that facility costs were significantly associated with total doses administered, type of facility, salary of main vaccinators, number of immunization sessions, and distance of facility from the nearest cold chain point. Use of pentavalent vaccine by the state was found to be an important determinant of total facility costs, including the vaccine cost. Understanding the factors influencing this cost variation could help policy makers predict future immunization costs and suggest approaches for improving the efficiency of service provision. The article can be accessed here.