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A new approach to assess the performance of the Brazilian National Immunization Program (NIP)


  • Castro Lobo, M.S.
  • Estellita Lins, M.P.
  • Menegolla, I.A.


The present study develops an alternative measure of efficiency to assess the Brazilian National Immunization Program (NIP) using Data Envelopment Analysis (DEA), an output-oriented variable returns to scale (VRS) model, to combine different homogeneity indicators within a unique composite index and evaluate the socio-demographic differences among states. The new DEA index allows homogeneity indicators to be measured for various vaccines in the same model, which enables the development of a composite index for “the first year of life” immunization cycle. In Brazil 2010, the mean efficiency score for the 26 states was 0.89 (0.14 SD). Eleven states were considered efficient, and eight of them were located in regions with a high Human Development Index (HDI) and small rural population, which reinforces the concept that regional and socioeconomic differences must be considered during immunization planning. To reach the frontier of best practice, each state should have an individual and attainable goal for vaccine homogeneity.

Suggested Citation

  • Castro Lobo, M.S. & Estellita Lins, M.P. & Menegolla, I.A., 2014. "A new approach to assess the performance of the Brazilian National Immunization Program (NIP)," Socio-Economic Planning Sciences, Elsevier, vol. 48(1), pages 49-56.
  • Handle: RePEc:eee:soceps:v:48:y:2014:i:1:p:49-56
    DOI: 10.1016/j.seps.2013.12.003

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    References listed on IDEAS

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    4. Zhu, Joe, 2001. "Multidimensional quality-of-life measure with an application to Fortune's best cities," Socio-Economic Planning Sciences, Elsevier, vol. 35(4), pages 263-284, December.
    5. Bruce Hollingsworth & Anthony Harris & Elena Gospodarevskaya, 2002. "The efficiency of immunization of infants by local government," Applied Economics, Taylor & Francis Journals, vol. 34(18), pages 2341-2345.
    6. Retzlaff-Roberts, Donna & Chang, Cyril F. & Rubin, Rose M., 2004. "Technical efficiency in the use of health care resources: a comparison of OECD countries," Health Policy, Elsevier, vol. 69(1), pages 55-72, July.
    7. Charnes, A. & Cooper, W. W. & Rhodes, E., 1978. "Measuring the efficiency of decision making units," European Journal of Operational Research, Elsevier, vol. 2(6), pages 429-444, November.
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