An economic evaluation of the controlled temperature chain approach for vaccine logistics: evidence from a study conducted during a meningitis A vaccine campaign in Togo

• DOI: 10.11604/pamj.supp.2017.27.3.12087
• Publication Date: 2017-06-23T05:52:51Z
• Authors: Mercy Mvundura; Patrick Lydon; Abdoulaye Gueye; Ibnou Khadim Diaw; Dadja Essoya Landoh; Bafei Toi; Anna-Lea Kahn; Debra Kristensen
• Keywords: Cold chain

A recent innovation in support of the final segment immunization supply chain is licensing certain vaccines for use a controlled temperature (CTC), which allows excursions into ambient temperatures up to 40°C specific number days immediately prior administration. However, limited evidence exists on CTC economics inform investments labeling other eligible use. Using data collected during MenAfriVac™ campaign Togo, we estimated economic costs vaccine logistics when using approach compared full cold (CCL) approach.We conducted study Togo's Central Region, where two districts were and relied fullCCL campaign. Data estimate obtained from primary costing questionnaires financial cost microplans. Costs are presented 2014 US dollars.Average per dose at $0.026±0.032 facilities $0.029±0.054 approach, but estimates not statistically different. if without refrigerators had used received daily deliveries vaccines, average would have increased $0.063 (range $0.007 $0.33), with larger increases occurring that far district.Using can reduce remote infrastructure, designed logistical challenges distribution.