[Study on the cost of expanded programme on immunization in areas with different economic levels].
OBJECTIVE
The expanded programme on immunization (EPI) is an important part of the social commonwealth projects providing health care service by the government, which benefits communities. Government has the responsibility for EPI's financing which should be covered by the national budget. It is essential that the cost of EPI service be scientifically estimated to provide propriety information for policy makers.


METHODS
This study, using the cost accounting theory of health economics, to calculate EPI service cost at different levels. 3 provinces, 3 prefectures, 9 counties, 18 towns and 12 villages were selected from three provinces Guizhou, Heilongjiang and Zhejiang from the western, central and eastern regions of the country.


RESULTS
The average costs for one EPI-targeted child in Guizhou, Heilongjiang and Zhejiang, were 15.68 Yuan, 29.00 Yuan and 31.09 Yuan, and the costs for one dose were 10.99 Yuan, 18.64 Yuan and 16.51 Yuan, respectively. The costs for complete immunization program for one child were 131.88 Yuan, 242.32 Yuan and 280.67 Yuan, respectively. The main factors affecting the cost would include the average personnel cost (salary and benefit cost) by different economic levels of areas, the number of EPI items developed, and the number of total doses for one child.


CONCLUSIONS
(1) Obvious differences were found between different areas. (2) The proportion of the cost was not reasonably set because of the shortage of input. (3) Guideline for different areas to compensate the working item cost according to the number of the items should be formulated.
Lu
Li
L
Beijing Center of Disease Control and Prevention, Beijing 100013, China.
Jin
Shui-Gao
SG
Yu
Jing-Jin
JJ
Ze
Wen-Yuan
WY
Ling
Luo-Ya
LY
Wang
Shao-Liang
SL
Su
Hua
H
Yan
Bin
B
Liu
Hang
H
Song
Qun-Feng
QF
D002681:China / Q000453:epidemiology; D003362:Cost-Benefit Analysis; D005102:Health Expenditures / Q000706:statistics & numerical data; D006801:Humans; D017589:Immunization Programs / Q000191:economics / Q000458:organization & administration; D011159:Population Surveillance / Q000379:methods*; D015397:Program Evaluation; D012959:Socioeconomic Factors; D014611:Vaccination / Q000706:statistics & numerical data