Evidence map›Paper›PMID 33950262›Full record

ArticleHealth policy and planning2021

The incremental cost of improving immunization coverage in India through the Intensified Mission Indradhanush programme.

Susmita Chatterjee, Palash Das, Anita Pinheiro, Pradeep Haldar, Arindam Ray, Logan Brenzel, Stephen Resch

Open access · hybridAbstract read
In one paragraph

Article in Health policy and planning, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Susmita ChatterjeeResearch department, The George Institute for Global Health, Research Department, 308-309, Elegance Tower, Plot No. 8, Jasola District Centre, New Delhi 110025, India.ORCID 0000-0002-0937-7205
Palash DasResearch department, The George Institute for Global Health, Research Department, 308-309, Elegance Tower, Plot No. 8, Jasola District Centre, New Delhi 110025, India.
Anita PinheiroResearch department, The George Institute for Global Health, Research Department, 308-309, Elegance Tower, Plot No. 8, Jasola District Centre, New Delhi 110025, India.
Pradeep HaldarImmunization Division, Ministry of Health and Family Welfare, Government of India, Nirman Bhawan, Maulana Azad Road, New Delhi 110011, India.
Arindam RayThe Bill & Melinda Gates Foundation, Capital Court, 5th Floor, Olof Palme Marg, Munirka, New Delhi 110067, India.
Logan BrenzelBill & Melinda Gates Foundation, 500 5th Ave N, Seattle, WA 98109, USA.
Stephen ReschCenter for Health Decision Science, Harvard T. H. Chan School of Public Health, 718 Huntington Avenue, Boston MA 02115, USA.
Gates Foundation · USGeorge Institute for Global Health · INGovernment of India · INManipal Academy of Higher Education · IN

Funding

Bill and Melinda Gates Foundation OPP1158709
6 · The paper itself

Abstract

Intensified Mission Indradhanush (IMI) was a strategic endeavour launched by the Government of India aiming to achieve 90% full immunization coverage in the country by 2018. The basic strategy of this special drive involved identifying missed children and vaccinating them in temporary outreach sites for 1 week over consecutive 4-month period starting from October 2017. This study estimated the incremental economic and financial cost of conducting IMI in India from a government provider perspective. Five states-Assam, Bihar, Maharashtra, Rajasthan and Uttar Pradesh were purposefully selected because of high concentration of IMI activities. The stratified random sample of 40 districts, 90 sub-districts and 289 sub-centres were included in this study. Cost data were retrospectively collected at all levels from administrative records, financial records and staff interviews involved in IMI. The weighted incremental economic cost per dose (including vaccine costs) was lowest in Uttar Pradesh (US$3.45) and highest in Maharashtra (U$12.23). Incremental economic cost per IMI dose was found to be higher than a recent routine immunization costing study by Chatterjee and colleagues in 2018, suggesting that it requires additional resources to immunize children through an intensified push in hard-to-reach areas. Incremental financial cost of the IMI programme estimated in this study will be helpful for the government for any future planning of such special initiative. The reasons for variation of unit costs of IMI across the study districts are not known, but lower baseline coverage, high population density, migration, geography and terrain and vaccinating small numbers of children per session could account for the range of findings. Further analysis is required to understand the determinants of cost variations of the IMI programme, which may aid in better planning and more efficient use of resources for future intensified efforts.

Indexed as

Immunization ProgramsVaccination CoverageChildHumansIndiaRetrospective StudiesVaccinationCosteconomic costfinancial costimmunizationincremental costIndiamission Indradhanush

Identifiers

PMID33950262
PMCPMC8428614
OpenAlexW3158922429

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.