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Expenditures on vaccine-preventable disease surveillance: Analysis and evaluation of comprehensive multi-year plans (cMYPs) for immunization

机译：可预防疫苗疾病监测的支出：综合多年计划（CMYP）的分析与评估免疫

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Despite the importance of vaccine-preventable disease (VPD) surveillance, little is known about the costs of monitoring disease. We used Comprehensive Multi-Year Plans for Immunization (cMYPs) - developed by countries following guidelines from the World Health Organization and United Nations Children's Fund - to estimate expenditures on VPD surveillance at the country level in 2015 US Dollars (USD) in 63 low- and middle-income countries. To evaluate the reliability of cMYP estimates, we also compared cMYP data with findings from previous research studies and assessed whether countries explicitly budgeted for major categories of surveillance activities in their plans for immunization. According to our analysis of cMYPs, countries spent an annual median of $406,108 on VPD surveillance ($0.04 per capita and $1.47 per infant), with reported expenditures ranging from $1,098 (Kiribati) to $21,644,770 (Nigeria). However, the majority of countries failed to explicitly mention several key categories of surveillance activities in their plans, especially laboratory-related surveillance activities. Our results show a large amount of variation in surveillance expenditures (total, per capita, and per infant) between countries and provide insights to improve costing guidelines and practices. (C) 2018 World Health Organization. Published by Elsevier Ltd.
机译：尽管疫苗可预防的疾病（VPD）监测的重要性，但对监测疾病的成本很少。我们使用了全面的免疫计划（CMYP） - 由各国卫生组织和联合国儿童基金的指南开发的国家开发 - 在2015年美国美元（USD）在2015年的国家一级（USD）在63次低低 - 和中等收入国家。为了评估CMYP估计的可靠性，我们还将CMYP数据与先前的研究研究的调查结果进行了比较，并评估了他们在其免疫计划中明确预算的各国是否有针对性的监督活动。根据我们对CMYPS的分析，各国在VPD监测（每人每人0.04美元和1.47美元）的年度中位数，报告的支出范围从1,098美元（基里巴斯）到21,644,770美元（尼日利亚）。然而，大多数国家未明确提及其计划中的几个关键类别的监督活动，特别是实验室相关的监视活动。我们的结果显示了各国之间的监测支出（总人均，每婴儿）的大量变化，并提供了改善成本调整准则和实践的见解。 （c）2018年世界卫生组织。 elsevier有限公司出版

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