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Table 3 Scaled-up class-based total costs of a human papillomavirus (HPV) vaccination program in Mwanza Region (in 2011 US$)*

From: Costs of delivering human papillomavirus vaccination to schoolgirls in Mwanza Region, Tanzania

  Financial costs Economic costs
Program element US$ % US$ %
1. Social mobilization/IEC (annuitized):     
1.1. Meetings (teachers, parents/pupils) 15,656 5.7% 23,504 1.8%
1.2. Campaign (radio, cultural troops) 3,254 1.2% 3,597 0.3%
1.3. Material development 20 0.0% 284 0.0%
Subtotal social mobilization/IEC 18,930 6.9% 27,385 2.1%
2. Training (annuitized):     
2.1. District staff training 1,004 0.4% 2,472 0.2%
2.2. Health facility staff training 8,144 3.0% 21,954 1.7%
2.3. Material development 0 0.0% 524 0.0%
Subtotal training 9,148 3.3% 24,950 1.9%
3. Cold storage:     
3.1. Regional level cold storage 111 0.0% 126 0.0%
3.2. District level cold storage 1,371 0.5% 1,596 0.1%
3.3. Health facility cold storage 13,536 4.9% 14,551 1.1%
Subtotal cold storage 15,018 5.4% 16,273 1.2%
4. Procurement:     
4.1. Vaccines and supplies 19,162 6.9% 856,264 64.5%
4.2. Shipment to regional level 65,116 23.6% 65,116 4.9%
4.3. Transport to districts 2,923 1.1% 4,048 0.3%
4.4. Distribution to health facilities 39,603 14.4% 46,688 3.5%
Subtotal procurement 126,805 46.0% 972,115 73.2%
5. Vaccination:     
5.1. School vaccination 62,992 22.8% 221,044 16.6%
5.2. Health facility vaccination 0 0.0% 5,247 0.4%
Subtotal vaccination 62,992 22.8% 226,291 17.0%
6. Waste management:     
Subtotal waste management 1,020 0.4% 1,020 0.1%
7. Admin/supervision:     
6.1. Regional level supervision 1,026 0.4% 2,047 0.2%
6.2. District level supervision 40,869 14.8% 57,955 4.4%
Subtotal admin/supervision 41,894 15.2% 60,002 4.5%
Overall total 275,807 100% 1,328,037 100%
  1. aCosts are for delivering 3 doses of HPV vaccine through class-based delivery (year 4 of primary school) to 50,290 girls in Mwanza Region. Financial costs exclude the costs of the vaccine itself, which will be donated to the Tanzanian government at least during the first years of the national vaccination program [8]. Economic costs include a vaccine price of US$5 per dose.
  2. IEC = information, education, communication.