OBJECTIVES:

1. To compare various stakeholders policies to review the methodological approach of extending the national immunization program in Egypt for more than two years.
2. Reviewing the cost effectiveness of adding rotavirus vaccines to the compulsory free schedule of vaccination in the health care facilities in Egypt compared to other low and middle income countries.

METHODS:

1. Review of the literature about the extended immunization programs in different countries.
2. Reviewing the cost effectiveness modeling studies of adding rotavirus vaccines to the national immunization programs of some countries.
3. In depth interviews with the national immunization program stakeholders in ministry of health and population in Egypt.

RESULTS: It was found that it is highly cost effective to extend the immunization program in Egypt through the duration and the scope. CONCLUSIONS: The ministry of health and population in Egypt should start extending the coverage ages in the national immunization program gradually and adding the rotavirus vaccines to the compulsory schedule.