Management of vaccinations in Italy: a national survey after healthcare regionalization

Figures & data

Figure 1.  Residential population in Italian regions.

Figure 2.  Estimated FTE personnel employed for vaccination by RHAs, related to their population. —— = mean FTE per 1,000,000 inhabitants. FTE, full-time equivalent; RHA, regional health authority.

Figure 3.  CIRs in the 14 RHAs analysed. CIR, computerized immunization registry; LHA, local health authority; RHA, regional health authority.

Figure 4.  Vaccination coverage by RHA. *All children were vaccinated by LHA services. GP, general practitioner; LHA, local health authority; NVP, national vaccination plan; RHA, regional health authority; WHO, World Health Organization. (A) Measles-rubella-parotitis* (B) Influenza.

Figure 5.  Administered volumes and purchase prices per dose by RHA – single price (

); mean price (

). RHA, regional health authority. (A) Combined measles-rubella-parotitis. (B) Varicella. (C) Influenza and (D) Pneumococcal 23-valent.

Table 1.  Purchase prices and administered doses of vaccines by RHA (2007).

Region*	Influenza			MRP			Pneumococcal 23-valent			Varicella
	Price (€)		Doses	Price (€)		Doses	Price (€)		Doses	Price (€)		Doses
	Min	Max		Min	Max		Min	Max		Min	Max
Piedmont	3.00	4.50	749,564	7.00	12.00	80,793	–		–	33.00	42.00	3,635
Valle d'Aosta	5.45		19,145	10.91		1,800	16.36		1,230	na		10
Lombardy	2.46	5.68	1,398,715	5.01	11.37	266,269	16.06		33,931	32.15	37.98	924
Bolzano	4.50		na	10.40		na	15.80		na	35,50		na
Veneto	na		847,235	9.80		105,427	14.90		na	35,75		17,374
Friuli V.G.	4.49	5.13	252,205	11.30		24,718	16.05		36,607	37,90		1,327
Emilia Romagna	4.63	5.24	993,476	9.84		106,526	15.50		18,985	na		na
Tuscany	3.45	4.94	807,133	6.09	8.49	61,492	14.09	15.71	12,142	29.09		5,679
Marche	3.71	4.94	303,510	9.15	10.07	12,533	13.88	15.70	10,200	33.56	36.92	637
Puglia	1.50	5.77	855,639	7.45	9.40	91,477	12.95	15.74	43,346	30.00	36.80	35,705
Basilicata	4.00	8.00	120,000	9.97	20.00	4,315	16.60	33.20	10,032	33.00	66.00	1,301

*Abruzzo, Liguria and Sicily were not included as they did not provide any purchase price.

Highest and lowest prices are indicated in bold type.

RHA, Regional health authority; MRP, measles-rubella-parotitis; na, not available.