• K Goguadze, I Chikovani, C Gaberi, D Maceira, M Uchaneishvili, N Chkhaidze, and G Gotsadze.
• Curatio International Foundation (CIF), 37d Chavchavadze Avenue, 0162, Tbilisi, Georgia. Electronic address: k.goguadze@curatio.com.
• Vaccine. 2015 May 7; 33 Suppl 1: A60-5.

ObjectiveAvailable estimates on how much it costs to provide routine immunization services are out-dated. This study attempts to address gaps in evidence by evaluating the total economic and unit costs of delivering routine immunization (RI) services in Moldova as part of a multi-country study on the costs and financing of routine immunization (EPIC).MethodsThis cross-sectional study is based on a multistage stratified random sample of fifty primary health care facilities. Data on inputs, prices, and outputs were collected retrospectively for 2011 and analyzed using an ingredient-based costing approach in Excel and SPSS.ResultsThe average total annual facility cost for RI was $11,943 ranging from $565 to $112,548 and labor cost was the main driver of routine immunization costs contributing 65%, followed by capital costs - 16.3% and the cost of vaccines and injection supplies accounting for 9%. The average cost per dose was $18.3, the cost per child was $316.6 and the cost per fully immunized child was $332.3. The results show considerable variation in the costs of routine immunization services across facility type and depending on a facility scale i.e. annual doses administered.ConclusionsThe study shows that the cost of fully immunizing a child in a middle-income country is much higher than previous estimates. These results will be used by the government for better planning and financing of routine immunization services, leading to greater sustainability.Copyright © 2015 Elsevier Ltd. All rights reserved.

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