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1.
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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.
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2.
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Girls enrolled in Primary 4 are a proxy of 10-year-old girls.
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3.
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Four visits will be made to each school for orientation and to reach all of the girls.
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4.
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No additional costs for the cold chain will be required.
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5.
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Transport for bringing the vaccine to the health facilities will be integrated into existingtransport for EPI vaccines.
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6.
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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.
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7.
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The price per dose is assumed to be US$5 per dose based on the price offered to theGAVI Alliance by Merck.
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8.
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The health worker spends half a day at each school and receives outreach per diem
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9.
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The transport allowance from the health facility for a health worker to and from theschool costs on average 10,000 Tsh (US$6.30)
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10.
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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.
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