Project Reports

July 23, 2012

Policy Simulation Of Measles Immunization Programs For Children In Borno State

This
study conducts a policy simulation exercise on two measles immunization
programs for children of age 9-23 months to determine the effectiveness and
success of measles vaccination coverage in Borno State, Northern Nigeria.

Read →

Author:Eberechukwu Uneze,Sabastine Akongwale&Ibrahim Tajudeen

Publication Date:June, 2011

Document Size:52 pages


Despite the efforts made by the Nigerian government, policy makers and other stakeholder toincrease children vaccination against infections, measles vaccination coverage remains verylow. While this problem is more profound in the northern part of Nigeria, its present form inBorno State even requires urgent attention. This study is an attempt to expose the issue. Itconducts a policy simulation exercise on two measles immunization programs for children ofage 9-23 months free immunization against measles with media awareness campaign (PolicyA) and free immunization against measles with house to house campaign (Policy B) to boostchildren measles immunization coverage. The study estimates the relative cost and theeffectiveness measure such as the health benefits morbidity avoided and mortality averted. Inwhat follows, it compares the cost per child covered and the cost-effectiveness ratios of thepolicy alternatives. The cost per child indicates that policy A has a lower cost and lower level ofcoverage, while policy B has a higher cost and a higher level of immunization coverage. In termsof cost of treating measles and the value of statistical life (VSL), the results of the costeffectivenessanalysis show that both policies are efficient. However, policy A has a lower costeffectivenessratio than policy B.

In terms of paying for the policy alternatives, two funding scenarios as well as the equitydistribution were analysed. The equity aspect of the exercise is to ensure that the policies arepro-poor. The findings of sensitivity analysis performed to determine the stability of the resultsshow that the results are not sensitive to changes in the values of the parameters. Overall,since both programs can be implemented (as shown by their cost-effectiveness ratios), therecommendation is that policy B be introduced in the rural areas characterized with high levelof illiteracy, uneven distribution of government hospitals, and poor electronic and print mediacoverage which often discourage or keep parent out of touch of the next vaccination date.However, policy A can be deployed in urban areas where there is reasonable distribution andaccessibility of government hospitals, organized electronic and print media coverage and highlevel of literacy. Lastly, in semi urban areas with moderate literacy, and electronic and mediacoverage, the best option will be for the government to implement both policies ascomplements, depending on resource availability.




Related

 

Nigeria Economic Update (Issue 3)

Provisional Monetary statistics by the CBN show an increase in currency in circulation a portion of overall money supply. Specifically, currency in circulation rose (Month-on-Month) by 14.2 percent to N2.2 million in December 2016  the highest Month-on-Month increase recorded for the year 2016. The rise in currency- outside-bank may be attributed to the growing demand for cash balances for spending activities during the festive period. This development would largely compound the liquidity problem associated with TSA implementation and ongoing CBN monetary tightening as deposit money banks might be cash-strapped. Going forward, efforts should be geared towards intensifying initiatives that promote a cashless economy that encourages cashless transactions.

Nigeria Economic Update (Issue 31)

The Nigeria Stock Exchange market advanced further as equity indices pitched higher in the review week. Benchmark indices, All-share Index and Market Capitalization rose by 1.5 percent to settle at remarkable points, 37,425 and N12.90 trillion respectively an exceptional first-time record in more than two years. The uptrend has been sustained by stronger demand for investment securities due to outstanding H1 performance reports submitted by some listed companies during the week10.

Re-examining The Determinants Of Current Account Balance In An Oil-Rich Exporting Country

The paper examines the determinants of current accounts balance in Nigeria with emphasis on oil-related variables.

Regional Trade For Inclusive Development In West Africa

This study examines the potential of regional trade in facilitating the achievement of inclusive development in the West African region. It employs descriptive analysis to examine the nature, composition and dimension of ECOWAS trade within the group and with the rest of the world, vis--vis three other Regional Economic Communities (RECs) in sub-Saharan Africa (SSA). From the preliminary study, it can be observed that the growth rate of West African economies is increasing, but the rising economic growth does not translate to improvement in inclusive development, as there was no significant reduction in poverty levels in the region. Further evidence reveals that extra-regional trade of the region is increasing at a very high rate, and also at a disproportionate rate with intra-regional trade, compared with SADC. This indicates the existence of opportunity to boost regional trade for inclusive development through conversion of part of the extra-regional trade into regional trade.