Abstract
The authors consider how analyses of costs and cost-effectiveness help international health care specialists to monitor child survival program service delivery evaluate activities plan for improvements in programs and arrange for adequate financing. They discuss the comparison of the average costs of specific services among local health care facilities for monitoring and supervision purposes; the interpretation of total and average costs to increase program efficiency; consideration of the relative cost-effectiveness of various immunization strategies; the projection of recurrent costs to indicate the magnitude of future financing needs; and the derivation of information incidental to cost analyses but essential to program operations and personnel management. Examples are presented from child survival programs in Africa with particular emphasis upon evaluations of some national program components from the Combatting Childhood Communicable Diseases (CCCD) Project.
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