Building Country Capacity for Immunization Delivery Costing Evidence Use


ThinkWell is leading a four-year project focused on increasing the visibility, availability, understanding, and use of evidence on the cost of delivering vaccines. The project, supported by the Bill & Melinda Gates Foundation, aims to build country capacity around the generation and use of cost evidence to work towards sustainable and predictable financing for immunization. The countries included in this project are India, Indonesia, Tanzania, and Vietnam, and will be expanding in 2019. See this video for a brief overview of the project.


ThinkWell, along with partner John Snow Inc. (JSI), is supporting countries to generate cost information to address priority domestic health and immunization financing challenges. ThinkWell is working with countries to improve interpretation and translation of cost information so that it is used in country decision-making processes, in addition to guiding fundraising and advocacy efforts and informing routine planning and budgeting. ThinkWell is facilitating a cross-country research and learning community – the Immunization Costing Action Network (ICAN) – to encourage knowledge sharing and co-production of effective strategies for generation of cost evidence and its policy translation. ThinkWell is also conducting a systematic review on immunization delivery costs in low- and middle-income countries, and is developing a cost repository and cost benchmarks to ensure that the data are globally accessible and easy to interpret.

Achievements in Years 1 and 2 (2016-2018)

Established and convened the Immunization Costing Action Network (ICAN) with country researchers, immunization managers, and Ministry of Health planners to collaborate on costing study designs, immunization costing methodological challenges, and challenges and best practices in interpreting and translating cost results for policy advocacy and planning.

Worked with country research partners and government to develop the costing study protocols and data collection instruments. Supported research partners with technical assistance for data collection and analysis.

Completed a systematic review that considered over 15,000 resources, including published and grey literature, on the delivery costs of immunization programs in low- and middle-income countries.

Launched the most comprehensive, current, and standardized global evidence on the cost of vaccine delivery, including a standardized and richly annotated Immunization Delivery Cost Catalogue (IDCC) and a summary report of findings, including pooled unit cost ranges for vaccine delivery through a variety of strategies and in a variety of contexts.

Kicked off work to develop methodological guidance and a costing tool for costing of vaccination campaigns.

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