Logan Brenzel
Bill & Melinda Gates Foundation
FinanceGovernmentActivity-based costingService delivery frameworkMedicine
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Publications 26
#1Emma Clarke-Deelder (Harvard University)
#2Christian SuharlimH-Index: 4
Last. Nicolas A. MenziesH-Index: 11
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Introduction: The world is not on track to achieve the goals for immunization coverage and equity described by the World Health Organization in the Global Vaccine Action Plan. In India, only 62 percent of children had received a full course of basic vaccines in 2016. We evaluated the Intensified Mission Indradhanush (IMI), a campaign-style intervention to increase routine immunization coverage and equity in India, implemented in 2017-2018. Methods: We conducted a comparative interrupted time-ser...
#1Nicolas A. MenziesH-Index: 11
#2Christian SuharlimH-Index: 4
Last. Logan BrenzelH-Index: 7
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Abstract Background Few studies have systematically examined the efficiency of routine infant immunization services. Using a representative sample of infant immunization sites in Benin, Ghana, Honduras, Moldova, Uganda and Zambia (316 total), we estimated average efficiency levels and variation in efficiency within each country, and investigated the properties of published efficiency estimation techniques. Methods Using a dataset describing 316 immunization sites we estimated site-level efficien...
#1Tania Banerjee (Johns Hopkins University)
#2Shreena Malaviya (Johns Hopkins University)
Last. David M Bishai (Johns Hopkins University)H-Index: 32
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#1Cristina Munk (Harvard University)
#2Allison Portnoy (Harvard University)H-Index: 6
Last. Nicolas A. Menzies (Harvard University)H-Index: 11
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Background In recent years, several large studies have assessed the costs of national infant immunization programs, and the results of these studies are used to support planning and budgeting in low- and middle-income countries. However, few studies have addressed the costs and cost-effectiveness of interventions to improve immunization coverage, despite this being a major focus of policy attention. Without this information, countries and international stakeholders have little objective evidence...
Last. Logan Brenzel (BMGF: Bill & Melinda Gates Foundation)H-Index: 7
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Abstract Introduction Information on immunization delivery costs (IDCs) is essential for better planning and budgeting for the sustainability and performance of national programs. However, delivery cost evidence is fragmented and of variable quality, making it difficult for policymakers, planners, and other stakeholders to understand and use. This study aimed to consolidate and summarize the evidence on delivery costs, answering the question: What are the unit costs of vaccine delivery across lo...
#1Ann LevinH-Index: 6
#2Spy Munthali (UNIMA: University of Malawi)H-Index: 4
Last. Logan BrenzelH-Index: 7
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Abstract Background Little is known about the role of private sector providers in providing and financing immunization. To fill this gap, the authors conducted a study in Benin, Malawi, and Georgia to estimate (1) the proportion of vaccinations taking place through the private sector; (2) private expenditures for vaccination; and (3) the extent of regulation. Methods In each country, the authors surveyed a stratified random sample of 50 private providers (private for-profit and not-for-profit) u...
#1Isabelle Feldhaus (Harvard University)H-Index: 4
#2Carl SchütteH-Index: 3
Last. Anthony KinghornH-Index: 3
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1 CitationsSource
#1Allison Portnoy (Harvard University)H-Index: 6
#2Mark Jit (Lond: University of London)H-Index: 37
Last. Stéphane Verguet (Harvard University)H-Index: 20
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Summary Background In the 21st century, increases in immunisation coverage and decreases in under-5 mortality have substantially reduced the global burden of measles mortality. However, the assessment of measles mortality burden is highly dependent on estimates of case-fatality ratios for measles, which can vary according to geography, health systems infrastructure, prevalence of underlying risk factors, and measles endemicity. With imprecise case-fatality ratios, there is continued uncertainty ...
4 CitationsSource
#1Angela Y. A.Y. Chang (Harvard University)H-Index: 1
#2Carlos C. Riumallo-Herl (Harvard University)H-Index: 1
Last. Stéphane Verguet (Harvard University)H-Index: 20
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Background Equitable access to vaccines has been suggested as a priority for low- and middle-income countries (LMICs). However, it is unclear whether providing equitable access is enough to ensure health equity. Furthermore, disaggregated data on health outcomes and benefits gained across population subgroups are often unavailable. This paper develops a model to estimate the distribution of childhood disease cases and deaths across socioeconomic groups, and the potential benefits of three vaccin...
4 CitationsSource
#1Natasha Howard (Lond: University of London)H-Index: 14
#2Sadie Bell (Lond: University of London)H-Index: 3
Last. Sandra Mounier-Jack (Lond: University of London)H-Index: 20
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ABSTRACTNational Immunisation Technical Advisory Groups (NITAGs) provide independent guidance to health ministries to support evidence-based and nationally relevant immunisation decisions. We examined NITAGs' value, sustainability, and need for support in low and middle-income countries, drawing from a mixed-methods study including 130 global and national-level key informant interviews. NITAGs were particularly valued for providing independent and nationally owned evidence-based decision-making ...
6 CitationsSource