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Table 1 A case study of COVID-19 vaccination at a health clinic in Kenya illustrating the potential differences between financial and economic costs

From: What are economic costs and when should they be used in health economic studies?

Resource example

Financial costs

Economic cost

Healthcare personnel

There would be no financial costs related to using the existing healthcare personnel associated with COVID-19 vaccine delivery as they are already receiving a salary

There would be an economic cost associated with having the existing healthcare personnel spend time on COVID-19 vaccine delivery—as they could have used their time on another healthcare program/activity or have more breaks/leisure time

Use of physical space at the health clinic (such as beds or booths used for the vaccine administration)

There would be no financial cost to the COVID-19 vaccination program associated with using the space at the health clinic

There would be an economic cost associated with the time the space is used at the health clinic for COVID-19 vaccine delivery—as the space could have been used for another healthcare program/activities

A subsidised vaccine

The financial cost associated with the COVID-19 vaccines would be valued based on the negotiated price that the government paid for them

The economic cost associated with the COVID-19 vaccines would be based on their market price in the country setting (i.e. Kenya)

  1. A case study illustrating the difference between financial and economic costs for different resources associated with COVID-19 vaccination in Kenya (based on Orangi et al. [13]) using the health system perspective and a 1 year time horizon. Note that this is just an illustration of the principles and not a full list of the costs