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  • Title: EPI Revolving Fund: quality vaccines at low cost.
    Journal: EPI Newsl; 1997 Aug; 19(4):6-7. PubMed ID: 12348218.
    Abstract:
    The Pan American Health Organization (PAHO)/Expanded Program on Immunization (EPI) Revolving Fund has been in operation since 1979, providing participating countries with a reimbursement mechanism for the purchase of vaccines, syringes and needles, and cold chain equipment. Orders from each country are consolidated and procured with money drawn from the fund, capitalized in US dollars, then each country reimburses the fund. Individual country orders are placed at the beginning of each quarter for delivery at the end of the quarter. One major benefit of the fund is the reduced cost of vaccines. PAHO studies conducted during the early 1980s found that manufacturers may charge widely different prices for the same vaccine. Competitive procurement through the revolving fund has helped to control vaccine costs. Vaccine prices over the period 1995-97 have remained very low and rather stable. Another benefit of the fund is its ability to rapidly secure supplies.
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