Fiscal space for the immunisation program in Zambia- an efficiency analysis approach

The immunisation programme in Zambia remains one of the most effective public health programmes. Its financial sustainability is, however, uncertain. Using administrative data on immunisation coverage rate, vaccine utilisation, the number of health facilities and human resources, expenditure on heal...

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Bibliographic Details
Published in:BMC research notes 2024-06, Vol.17 (1), p.152-152, Article 152
Main Authors: Chompolola, Abson, Chama-Chiliba, Chitalu Miriam, Simuyemba, Moses Chikoti, Sinyangwe, Aaron Chisha, Bchir, Abdallah, Asiimwe, Gilbert, Masiye, Felix
Format: Article
Language:English
Subjects:
Analysis
Antigens
Cost control
Data envelopment analysis
Efficiency
Efficiency, Organizational
Estimates
Expenditures
Finance
Financial sustainability
Fiscal space
Health facilities
Health promotion
Humans
Immunisation programme
Immunization
Immunization Programs - economics
Immunization Programs - statistics & numerical data
Linear programming
Measles
Medical care, Cost of
Medicine, Preventive
Methods
Morbidity
Outreach services
Preventive health services
Public health
Research Note
Testing
Vaccination Coverage - statistics & numerical data
Vaccines
Vaccines - economics
Vaccines - supply & distribution
Zambia
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Summary:The immunisation programme in Zambia remains one of the most effective public health programmes. Its financial sustainability is, however, uncertain. Using administrative data on immunisation coverage rate, vaccine utilisation, the number of health facilities and human resources, expenditure on health promotion, and the provision of outreach services from 24 districts, we used Data Envelopment Analysis to determine the level of technical efficiency in the provision of immunisation services. Based on our calculated levels of technical efficiency, we determined the available fiscal space for immunisation. Out of the 24 districts in our sample, 9 (38%) were technically inefficient in the provision of immunisation services. The average efficiency score, however, was quite high, at 0.92 (CRS technology) and 0.95 (VRS technology). Based on the calculated level of technical efficiency, we estimated that an improvement in technical efficiency can save enough vaccine doses to supply between 5 and 14 additional districts. The challenge, however, lies in identifying and correcting for the sources of technical inefficiency.
ISSN:1756-0500
1756-0500
DOI:10.1186/s13104-024-06696-w