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dc.contributor.author
Maceira, Daniel Alejandro
dc.contributor.author
Ketevan Goguadze
dc.contributor.author
George Gotsadze
dc.date.available
2018-03-09T15:37:35Z
dc.date.issued
2015-05
dc.identifier.citation
Maceira, Daniel Alejandro; Ketevan Goguadze; George Gotsadze; The drivers of facility-based immunization performance and costs. An application to Moldova; Elsevier; Vaccine; 33; 1; 5-2015; 72-78
dc.identifier.issn
0264-410X
dc.identifier.uri
http://hdl.handle.net/11336/38396
dc.description.abstract
Objective. This paper identifies factors that affect the cost and performance of the routine immunization program in Moldova through an analysis of facility-based data collected as part of a multi-country costing and financing study of routine immunization (EPIC). Methods. A nationally representative sample of health care facilities (50) was selected through multi-stage, stratified random sampling. Data on inputs, unit prices and facility outputs were collected during October 3rd 2012-January 14th 2013 using a pre-tested structured questionnaire. Ordinary least square (OLS) regression analysis was performed to determine factors affecting facility outputs (number of doses administered and fully immunized children) and explaining variation in total facility costs. Results. The study found that the number of working hours, vaccine wastage rates, and whether or not a doctor worked at a facility (among other factors) were positively and significantly associated with output levels. In addition, the level of output, price of inputs and share of the population with university education were significantly associated with higher facility costs. A 1% increase in fully immunized child would increase total cost by 0.7%. Conclusions. Few costing studies of primary health care services in developing countries evaluate the drivers of performance and cost. This exercise attempted to fill this knowledge gap and helped to identify organizational and managerial factors at a primary care district and national level that could be addressed by improved program management aimed at improved performance.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Elsevier
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
Routine Immunization
dc.subject
Productivity
dc.subject
Costs
dc.subject
Middle-Income Country
dc.subject.classification
Salud Ocupacional
dc.subject.classification
Ciencias de la Salud
dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
The drivers of facility-based immunization performance and costs. An application to Moldova
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2018-03-09T14:47:20Z
dc.journal.volume
33
dc.journal.number
1
dc.journal.pagination
72-78
dc.journal.pais
Países Bajos
dc.journal.ciudad
Amsterdam
dc.description.fil
Fil: Maceira, Daniel Alejandro. Centro de Estudios de Estado y Sociedad; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.description.fil
Fil: Ketevan Goguadze. Curatio International Foundation; Estados Unidos
dc.description.fil
Fil: George Gotsadze. Curatio International Foundation; Estados Unidos
dc.journal.title
Vaccine
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1016/j.vaccine.2014.12.041
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S0264410X14016946
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