VoICE Immunization Evidence: Health Program Sustainability and Integration
Health program sustainability and integration
Immunization programs provide opportunities for cost-sharing and external funding when used alongside other health interventions.
This study investigated the cost-effectiveness of multiple interventions against childhood pneumonia (including vaccination), and found that different combinations of expanded vaccine coverage with community or facility-based management, nutritional programs, or indoor air pollution measures, maximized child health by providing the greatest health yield per dollar spent.
A systematic review of studies examining the broader economic impact of vaccination in low-middle income countries (LMICs) found that vaccination programs may improve the financial sustainability and affordability of healthcare programs in LMICs. The use of vaccines as part of a treatment cluster, or in combination with other infrastructure projects (such as water management systems) to maximize community health outcomes, offers opportunities for cost sharing between programs.
Introduction of vaccines or strengthening of immunization programs can provide opportunities for increased collaboration between agencies with potential for long-term benefits.
The American Academy of Pediatrics and the International Pediatric Association were included as partners in the measles and rubella elimination initiative, allowing for more direct collaboration around the interactions of primary health and immunization services and concerns.
Despite delivery of HPV vaccine through a mechanism new to the country (school-based campaigns), the HPV vaccine integrated well into the Rwandan health system and caused no major disruptions. In fact, its introduction resulted in strengthened collaboration between the Ministries of Health and Education and provision of additional health services to school-children including health promotion sessions and de-worming.