Assessing Efficiency for Financial Sustainability of EPI In Bangladesh
Globally, the Bangladesh Expanded Program on Immunization (EPI) is recognized for its excellence in coverage and reach. However, there have been some concerns recently over the financial sustainability of the EPI in the context of diminishing development partner support and competition for scarce resources within the government budget. This diagnostic efficiency analysis has two objectives: (i) analyze and diagnose to identify bottlenecks that are important sources of inefficiency, which could be the target for a reform agenda; and (ii) inform the EPI and relevant stakeholders on the identified inefficiencies in the Bangladesh EPI with possible options to address them. The study examines elements of the immunization system that are considered critical for effective and efficient immunization services. The paper uses qualitative and quantitative methods of data collection and analysis. Both key informant interviews and documentary analysis were used to collect data on EPI inefficiencies and options. Data analysis from the document review and key informant interviews were guided by the World Health Organization’s (WHO’s) system-wide approach to analyzing efficiency across the health program framework and approach. The assessment identified several areas for improving efficiency. Related savings could be made by (i) improving planning, budgeting, and projecting vaccine needs; (ii) reducing immunization sessions held per month; and (iii) reducing vaccine wastage and dropout. Strategies for improved planning and delivery of immunization services can lead to increased efficiency and result in further cost savings. The total recurrent costs of the immunization program are influenced by the quality of planning and immunization sessions. This quality is reflected by the accuracy of the forecasts of vaccine requirements, quality of stock management, efficient immunization services, and other measures. The assessment estimated some potential cost savings to the immunization program.
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Format: | Working Paper biblioteca |
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Washington, DC: World Bank
2021-02-01
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Subjects: | EFFICIENCY, IMMUNIZATION, SERVICE DELIVERY, PLANNING, BANGLADESH, |
Online Access: | http://documents.worldbank.org/curated/en/099500003132318343/IDU04df64d2604d5b0410309eaa0252675caae13 https://hdl.handle.net/10986/41531 |
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dig-okr-10986415312024-05-12T02:24:51Z Assessing Efficiency for Financial Sustainability of EPI In Bangladesh Ahmed, Shakil Hossain, Md Rafi Begum, Tahmina EFFICIENCY IMMUNIZATION SERVICE DELIVERY PLANNING BANGLADESH Globally, the Bangladesh Expanded Program on Immunization (EPI) is recognized for its excellence in coverage and reach. However, there have been some concerns recently over the financial sustainability of the EPI in the context of diminishing development partner support and competition for scarce resources within the government budget. This diagnostic efficiency analysis has two objectives: (i) analyze and diagnose to identify bottlenecks that are important sources of inefficiency, which could be the target for a reform agenda; and (ii) inform the EPI and relevant stakeholders on the identified inefficiencies in the Bangladesh EPI with possible options to address them. The study examines elements of the immunization system that are considered critical for effective and efficient immunization services. The paper uses qualitative and quantitative methods of data collection and analysis. Both key informant interviews and documentary analysis were used to collect data on EPI inefficiencies and options. Data analysis from the document review and key informant interviews were guided by the World Health Organization’s (WHO’s) system-wide approach to analyzing efficiency across the health program framework and approach. The assessment identified several areas for improving efficiency. Related savings could be made by (i) improving planning, budgeting, and projecting vaccine needs; (ii) reducing immunization sessions held per month; and (iii) reducing vaccine wastage and dropout. Strategies for improved planning and delivery of immunization services can lead to increased efficiency and result in further cost savings. The total recurrent costs of the immunization program are influenced by the quality of planning and immunization sessions. This quality is reflected by the accuracy of the forecasts of vaccine requirements, quality of stock management, efficient immunization services, and other measures. The assessment estimated some potential cost savings to the immunization program. 2024-05-09T13:15:37Z 2024-05-09T13:15:37Z 2021-02-01 Working Paper http://documents.worldbank.org/curated/en/099500003132318343/IDU04df64d2604d5b0410309eaa0252675caae13 https://hdl.handle.net/10986/41531 English en_US CC BY-NC 3.0 IGO https://creativecommons.org/licenses/by-nc/3.0/igo World Bank application/pdf text/plain Washington, DC: World Bank |
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EFFICIENCY IMMUNIZATION SERVICE DELIVERY PLANNING BANGLADESH EFFICIENCY IMMUNIZATION SERVICE DELIVERY PLANNING BANGLADESH |
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EFFICIENCY IMMUNIZATION SERVICE DELIVERY PLANNING BANGLADESH EFFICIENCY IMMUNIZATION SERVICE DELIVERY PLANNING BANGLADESH Ahmed, Shakil Hossain, Md Rafi Begum, Tahmina Assessing Efficiency for Financial Sustainability of EPI In Bangladesh |
description |
Globally, the Bangladesh Expanded
Program on Immunization (EPI) is recognized for its
excellence in coverage and reach. However, there have been
some concerns recently over the financial sustainability of
the EPI in the context of diminishing development partner
support and competition for scarce resources within the
government budget. This diagnostic efficiency analysis has
two objectives: (i) analyze and diagnose to identify
bottlenecks that are important sources of inefficiency,
which could be the target for a reform agenda; and (ii)
inform the EPI and relevant stakeholders on the identified
inefficiencies in the Bangladesh EPI with possible options
to address them. The study examines elements of the
immunization system that are considered critical for
effective and efficient immunization services. The paper
uses qualitative and quantitative methods of data collection
and analysis. Both key informant interviews and documentary
analysis were used to collect data on EPI inefficiencies and
options. Data analysis from the document review and key
informant interviews were guided by the World Health
Organization’s (WHO’s) system-wide approach to analyzing
efficiency across the health program framework and approach.
The assessment identified several areas for improving
efficiency. Related savings could be made by (i) improving
planning, budgeting, and projecting vaccine needs; (ii)
reducing immunization sessions held per month; and (iii)
reducing vaccine wastage and dropout. Strategies for
improved planning and delivery of immunization services can
lead to increased efficiency and result in further cost
savings. The total recurrent costs of the immunization
program are influenced by the quality of planning and
immunization sessions. This quality is reflected by the
accuracy of the forecasts of vaccine requirements, quality
of stock management, efficient immunization services, and
other measures. The assessment estimated some potential cost
savings to the immunization program. |
format |
Working Paper |
topic_facet |
EFFICIENCY IMMUNIZATION SERVICE DELIVERY PLANNING BANGLADESH |
author |
Ahmed, Shakil Hossain, Md Rafi Begum, Tahmina |
author_facet |
Ahmed, Shakil Hossain, Md Rafi Begum, Tahmina |
author_sort |
Ahmed, Shakil |
title |
Assessing Efficiency for Financial Sustainability of EPI In Bangladesh |
title_short |
Assessing Efficiency for Financial Sustainability of EPI In Bangladesh |
title_full |
Assessing Efficiency for Financial Sustainability of EPI In Bangladesh |
title_fullStr |
Assessing Efficiency for Financial Sustainability of EPI In Bangladesh |
title_full_unstemmed |
Assessing Efficiency for Financial Sustainability of EPI In Bangladesh |
title_sort |
assessing efficiency for financial sustainability of epi in bangladesh |
publisher |
Washington, DC: World Bank |
publishDate |
2021-02-01 |
url |
http://documents.worldbank.org/curated/en/099500003132318343/IDU04df64d2604d5b0410309eaa0252675caae13 https://hdl.handle.net/10986/41531 |
work_keys_str_mv |
AT ahmedshakil assessingefficiencyforfinancialsustainabilityofepiinbangladesh AT hossainmdrafi assessingefficiencyforfinancialsustainabilityofepiinbangladesh AT begumtahmina assessingefficiencyforfinancialsustainabilityofepiinbangladesh |
_version_ |
1802820870448611328 |