Avaliação de custos federais do Programa Nacional de Imunizações. Brasil, 2004-2015
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2016-06-13
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Universidade Federal de Goiás
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Introduction: vaccines are important technologies in health and have been used for decades
to prevent a series of high morbidity diseases through vaccination of children, adolescents,
adults and seniors. Knowledge of the immunization program costs is important for health
managers in strategic planning, decision making and incremental costs estimates the
introduction of new vaccines and budgetary impact of the same, supporting cost-effectiveness
studies. Objectives: estimate the cost of the National Immunization Program (NIP) in Brazil,
the federal considering the 2013 base year and analyze the acquisition of immunobiologics
used in Brazil considering quantitative and cost in the 2004-2015 period. Methods: two
studies were carried out. A retrospective descriptive study program cost for the NIP cost
analysis at the federal level, and the period considered from January to December 2013. A
restrospective study ecological descriptive type, historical series of quantity and
immunobiologics costs purchased by NIP between the periods of 2004-2015. For both
analyzes were considered the SUS perspective. The following cost components were
considered: inputs (immunobiologics, syringes and needles), human resources,
transportation, building infrastructure and services, office equipment, transfers to the Cold
Chain and other (social mobilization, training, publications and research). For historical trend
analysis, vaccines and serums /Immunoglobulins were considered. The analysis was stratified
by national and international production; purchasing mechanism; and conventional routine
schedule vaccines and vaccines introduced from 2006. Results: the total NIP costs at federal
level in 2013 was R$1,467,100,454.81, of which R$1,304,032,414.00 (88.9%) to inputs for
the routine and campaigns R$78,282,799.95 (5.3%) and transport R$3,210,769.92 (0.2%)
with human resources and R$81,574,470.94 (5.6%) with the other components (building
infrastructure, equipment, financial transfers and others). A total of 2,910,669,114 doses of
immunobiologics was acquired by the NIP in the 2004-2015 period, at a cost of
R$15,473,789,880. Conclusion: Federal costs of the NIP are significant, mainly due to costs of
vaccine purchase and transportation. With the introduction of new vaccines in the
immunization schedule, the PNI costs increase significantly, justifying the adoption of transfer
strategy technologies for production of new vaccines and self-sufficiency in the production of
immunobiologics adopted by MS.
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MOURA, W. C. B. Avaliação de custos federais do Programa Nacional de Imunizações. Brasil, 2004-2015. 2016. 103 f. Dissertação (Mestrado em Medicina Tropical e Saúde Publica) - Universidade Federal de Goiás, Goiânia, 2016.