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Volume 13, Number 3—March 2007


Human and Animal Vaccination Delivery to Remote Nomadic Families, Chad

Esther Schelling*1Comments to Author , Mahamat Bechir†, Mahamat Abdoulaye Ahmed†, Kaspar Wyss*, Thomas F. Randolph‡, and Jakob Zinsstag*
Author affiliations: *Swiss Tropical Institute, Basel, Switzerland; †Centre de Support en Santé Internationale-Institut Tropical Suisse, N’Djaména, Chad; ‡International Livestock Research Institute, Nairobi, Kenya;

Main Article

Table 2

Variable and fixed costs of vaccinations in the veterinary and public health sectors in Gredaya and AmDobak/Chaddra, Chad*

CostVeterinary sector
Public health sector
Gredaya, Euros (% Fixed)Chaddra/AmDobak, Euros (% Fixed)GredayaChaddra/AmDobak
Euros (% Fixed)% SharedEuros (% Fixed)% Shared
Personnel/administration2,559 (0)475 (0)3,627 (0)10.63,376 (0)2.7
Transportation2,835 (80)345 (75)4,004 (82)19.33,797 (79)3.3
Cold chain62 (36)45 (56)1,185 (37)6.2531 (36)10.1
Vaccines and vaccines-related7,541 (29)214 (21)12,146 (12)04,072 (12)0
Other (buildings, supplies)
480 (95)
152 (100)
938 (98)
938 (98)
Total costs13,4761,23121,9006.712,7122.8
Total costs without vaccines5,9351,0259,75415.186414.1

*In Gredaya, 3 vaccination rounds were conducted jointly between veterinarians and public health professionals and another 3 rounds were conducted by the public health sector alone to fully immunize children, whereas in Chaddra/AmDobak, only 1 of 6 rounds was conducted jointly with the veterinarians. The cost-sharing scheme and the proportion of reduced costs due to the joint approach are described in the text.

Main Article

1Current affiliation: International Livestock Research Institute, Nairobi, Kenya

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