Volume 13, Number 3—March 2007
Synopsis
Human and Animal Vaccination Delivery to Remote Nomadic Families, Chad
Esther Schelling*1
, Mahamat Bechir†, Mahamat Abdoulaye Ahmed†, Kaspar Wyss*, Thomas F. Randolph‡, and Jakob Zinsstag*
, Mahamat Bechir†, Mahamat Abdoulaye Ahmed†, Kaspar Wyss*, Thomas F. Randolph‡, and Jakob Zinsstag*
Table 2
Variable and fixed costs of vaccinations in the veterinary and public health sectors in Gredaya and AmDobak/Chaddra, Chad*
| Cost | Veterinary sector | Public health sector | ||||
|---|---|---|---|---|---|---|
| Gredaya, Euros (% Fixed) | Chaddra/AmDobak, Euros (% Fixed) | Gredaya | Chaddra/AmDobak | |||
| Euros (% Fixed) | % Shared | Euros (% Fixed) | % Shared | |||
| Personnel/administration | 2,559 (0) | 475 (0) | 3,627 (0) | 10.6 | 3,376 (0) | 2.7 |
| Transportation | 2,835 (80) | 345 (75) | 4,004 (82) | 19.3 | 3,797 (79) | 3.3 |
| Cold chain | 62 (36) | 45 (56) | 1,185 (37) | 6.2 | 531 (36) | 10.1 |
| Vaccines and vaccines-related | 7,541 (29) | 214 (21) | 12,146 (12) | 0 | 4,072 (12) | 0 |
| Other (buildings, supplies) | 480 (95) | 152 (100) | 938 (98) | 25.4 | 938 (98) | 9.1 |
| Total costs | 13,476 | 1,231 | 21,900 | 6.7 | 12,712 | 2.8 |
| Total costs without vaccines | 5,935 | 1,025 | 9,754 | 15.1 | 8641 | 4.1 |
*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.
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