title: Intensified pulse polio immunization: time spent and cost incurred at a primary healthcare centre.
abstract: BACKGROUND
  Despite launching the polio eradication initiative in 1995, India is among the world's largest reservoir of wild poliovirus with 559 cases of poliomyelitis reported in 2008. This continued failure has been criticised for its negative impact on routine healthcare delivery. We assessed the impact of the pulse polio immunization programme at the primary health level in terms of services, time and cost.
  
  
  METHODS
  All activities during a single round of intensified pulse polio immunization were modelled on actual requirements at the primary health centre at Dayalpur in Haryana. Total person-hours and cost per child vaccinated at the primary health centre were computed.
  
  
  RESULTS
  Almost all routine healthcare services at the primary health centre were suspended during the round. Total person-hours consumed were 4446 and the total direct cost was Rs 24.2 per child vaccinated during a single round of the intensified pulse polio immunization programme.
  
  
  CONCLUSIONS
  A single round of intensified pulse polio immunization consumes a substantial number of person-hours and leads to a temporary suspension of routine services provided at the primary health centre. This should be factored in while planning any future strategy of polio eradication or control and suggests the need to re-think the 'intensified pulse polio strategy'.
authors.affiliation: All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.
authors.forename: Kapil
authors.initials: K
authors.lastname: Yadav
authors.forename: Sanjay K
authors.initials: SK
authors.lastname: Rai
authors.forename: Aditya
authors.initials: A
authors.lastname: Vidushi
authors.forename: C S
authors.initials: CS
authors.lastname: Pandav
mesh_terms: D004196:Disease Outbreaks / Q000191:economics / Q000517:prevention & control*; D017048:Health Care Costs; D006801:Humans; D017589:Immunization Programs / Q000191:economics; D007194:India / Q000453:epidemiology; D011051:Poliomyelitis / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control*; D017955:Poliovirus; D016730:Program Development; D015397:Program Evaluation; D013997:Time Factors