Robertson R L, Davis J H, Jobe K
Bull World Health Organ. 1984;62(5):729-36.
The total cost of the Expanded Programme on Immunization and of its various components in the Gambia over a period of one year (from July 1980 to June 1981) was investigated, and the costs per immunization dose and per fully immunized child were calculated. The total costs were to a large extent (45%) due to the cost of personnel and fixed costs. Where there was efficient delivery of immunizations, the average cost per dose was about one-fifth of that in the most costly facilities (range: US$2.32 to $0.41). The lower costs were related to more intensive use of the facilities. The national average cost was $1.09. The implications of the results of this study for policies to reduce costs are discussed, and further areas of research are suggested that will provide improved information to guide decision-makers in the use of scarce immunization programme resources for better health in the world.
对冈比亚扩大免疫规划及其各个组成部分在一年期间（1980年7月至1981年6月）的总成本进行了调查，并计算了每剂疫苗接种和每名完全免疫儿童的成本。总成本在很大程度上（45%）归因于人员成本和固定成本。在免疫接种高效开展的地方，每剂疫苗的平均成本约为成本最高的设施的五分之一（范围：2.32美元至0.41美元）。成本较低与设施的更密集使用有关。全国平均成本为1.09美元。讨论了本研究结果对降低成本政策的影响，并提出了进一步的研究领域，这些研究将提供更好的信息，以指导决策者利用稀缺的免疫规划资源，促进全球健康。
