A case study using the United Republic of Tanzania: costing nationwide HPV vaccine delivery using the WHO Cervical Cancer Prevention and Control Costing Tool

Table 4 Financial Costs of Introducing HPV Vaccine in Tanzania, 2011-2015 (2011 US$).

Activity/Year Number of regions	2011 3 regions	2012 10 regions	2013 26 regions	2014 26 regions	2015 26 regions	Total
Procurement^a	132,880	552,459	963,346	10,162,160	10,491,906	22,302,751
Training ^b	140,489	203,783	298,912	-	-	643,184
Social mobilization and IEC	191,431	472,009	941,007	661,853	668,039	2,934,340
Service Delivery^c	97,907	393,447	754,040	754,040	754,040	2,753,473
M and E, Supervision^d	50,181	97,191	171,731	171,731	171,731	662,564
Other^e	72,972	312,303	583,713	602,214	619,534	2,190,735
Totals	685,860	2,031,190	3,712,749	12,351,998	12,705,250	31,487,047

^aProcurement includes the cost of vaccines, including shipping, receiving and storage, plus 5% wastage, and buffer stock; ^btraining includes costs of transport to the meeting venues, supplies, facilitators, hall rentals, and personnel allowances and lodging; ^cservice delivery includes transport to schools, outreach per diems/allowances for health workers and school teachers, and health workers and school teacher time (for economic costs); ^dmonitoring and evaluation and supervision include monitoring forms, vaccination cards, transport for supervisory visits, and health worker personnel allowances and lodging; ^eother includes fuel and transport for waste management. IEC, information, education and communication; M and E, management and evaluation.

ISSN: 1741-7015