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Table 2 Basic assumptions for HPV vaccination program in Tanzania.

From: A case study using the United Republic of Tanzania: costing nationwide HPV vaccine delivery using the WHO Cervical Cancer Prevention and Control Costing Tool

Number Description of assumption
1. Vaccine will be phased in over three years: 3 regions the first year, 10 regions thesecond year, and all 26 regions the 3rd, 4th and 5th years.
2. Girls enrolled in Primary 4 are a proxy of 10-year-old girls.
3. Four visits will be made to each school for orientation and to reach all of the girls.
4. No additional costs for the cold chain will be required.
5. Transport for bringing the vaccine to the health facilities will be integrated into existingtransport for EPI vaccines.
6. The coverage for girls age 10 is 85%, 77% and 65% in the 1st, 2nd and 3rd roundrespectively, vaccine wastage is 5%, a buffer stock of 25% is maintained.
7. The price per dose is assumed to be US$5 per dose based on the price offered to theGAVI Alliance by Merck.
8. The health worker spends half a day at each school and receives outreach per diem
9. The transport allowance from the health facility for a health worker to and from theschool costs on average 10,000 Tsh (US$6.30)
10. Vaccines will be donated during the first three years but MOHSW will pay for syringes,receiving, clearance, storage and transport of the vaccines to the health facilities.
  1. EPI, Expanded Program on Immunization; GAVI, Global Alliance for Vaccines and Immunization; MOHSW, Ministry of Health and Social Welfare.