IMPACT AND COST EFFECTIVENESS STUDY OF HARDO INTERVENTION IN POLIO ERADICATION

Ahmad I. M*., Yunusa I., Badayi M. Sani., Abba B., Abdullahi S., Ameen Y., Illo I.I., Hassan H. Suleiman., Abubakar A.S., Abubakar Y.K., Ali N.R., Umar M.S., Haladu S. And Gidado Z.M

ABSTRACT

The impact, Cost Effectiveness of Hardo intervention, being one of the 3 Demand Creation (DC) interventions used in polio eradication activities in Kano state, Nigeria during the year 2015, were studied from the providers (program funders) and community perspective. The cost of the intervention used was obtained from the budget line available with the program funders. During the year 2015, a total of $ 15,829, representing only 0.5% of the total demand creation budget, were spent for the conduct of Hardo intervention in Kano state, thereby immunising 165, 157 children. It costs average of $ 0.095 per child immunised during the 7 IPDs round in the year 2015 in Kano state, implying that, for every child immunised, the Average Cost Effectiveness Ratio (ACER) for Hardo intervention is $ 0.095. A total of 133,777 potential cases of poliomyelitis were averted with cost-effectiveness ratio of 0.1183, implying that Hardo intervention costs $ 0.1183 to avert one case of Polio in Kano, when compared to „doing nothing‟. A total of 571,095 DALYs were averted among the total children immunised in the year 2015, in Kano state using Hardo intervention. It costs $ 0.0277 to avert 1 DALY in Kano state during the 7 IPDs in the year 2015 using Hardo intervention. However, it was much less cost effective to immunise a child, avert a polio case and a DALY during the month of January 2015 ($ 0.1084, $ 0.1338, and $ 0.0313) and much more cost effective during the month of June, 2015($ 0.0884, $ 0.1091, and $ 0.0255).This corroborates the fact that more children were immunised during the latter month, for reason being the month when more Fulani herdsmen settle, despite using similar amount of resources. It is recommended that more resources for Hardo intervention to be allocated during such month of every year and that the intervention should be scale up and given more attention at the LGAs with high number of Fulani settlements or migrants.

Keywords: Hardo, Polio, Eradication, Impact, Cost, effectiveness, DALY.