IDEAS home Printed from
MyIDEAS: Log in (now much improved!) to save this paper

Cost - effective integration of immunization and basic health services in developing countries : the problem of joint costs

Listed author(s):
  • Over, Mead

With limited budgets for rural primary health care, developing countries are under pressure to integrate the basic medical services that government health centres provide, with the vaccination programs that mobile immunization teams handle. Application of cost effectiveness analysis is complicated by two inherent difficulties. First, because the two types of health care programs improve the health of different target groups, some common measure of the effectiveness of the two programs must be agreed upon. Here the"healthy life years"saved by the two alternatives is implemented as a useful measure of effectiveness. The second difficulty is that of modelling the joint costs of simultaneously producing more than one health care service. Using the method described here, economists can address this problem in a way that does justice to both the superior efficiency of the mobile teams and the superior comprehensiveness of the fixed centres.

If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.

File URL:
Download Restriction: no

Paper provided by The World Bank in its series Policy Research Working Paper Series with number 23.

in new window

Date of creation: 31 Jul 1988
Handle: RePEc:wbk:wbrwps:23
Contact details of provider: Postal:
1818 H Street, N.W., Washington, DC 20433

Phone: (202) 477-1234
Web page:

More information through EDIRC

References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:

in new window

  1. Over, A. Jr. & Smith, Kenneth R., 1980. "The estimation of the ambulatory medical care technology where output is an unobservable variable," Journal of Econometrics, Elsevier, vol. 13(2), pages 225-251, June.
Full references (including those not matched with items on IDEAS)

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

When requesting a correction, please mention this item's handle: RePEc:wbk:wbrwps:23. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Roula I. Yazigi)

If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

If references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

Please note that corrections may take a couple of weeks to filter through the various RePEc services.

This information is provided to you by IDEAS at the Research Division of the Federal Reserve Bank of St. Louis using RePEc data.