AI Article Synopsis

  • The study aimed to assess the additional costs involved in delivering HPV vaccinations to young girls in Peru, Uganda, and Viet Nam, using various delivery methods like school-based and health-center-based approaches.
  • Data was collected through microcosting methods, focusing on resources used in demonstration projects, and delivery costs were expressed in US dollars, excluding vaccine and project-specific expenses.
  • Findings indicated that delivery costs per dose varied from $1.44 in Uganda to $3.88 in Peru, with integrated delivery methods generally resulting in lower costs compared to traditional vaccination methods.

Article Abstract

Objective: To estimate the incremental delivery cost of human papillomavirus (HPV) vaccination of young adolescent girls in Peru, Uganda and Viet Nam.

Methods: Data were collected from a sample of facilities that participated in five demonstration projects for hpv vaccine delivery: school-based delivery was used in Peru, Uganda and Viet Nam; health-centre-based delivery was also used in Viet Nam; and integrated delivery, which involved existing health services, was also used in Uganda. Microcosting methods were used to guide data collection on the use of resources (i.e. staff, supplies and equipment) and data were obtained from government, demonstration project and health centre administrative records. Delivery costs were expressed in 2009 United States dollars (US$). Exclusively project-related expenses and the cost of the vaccine were excluded.

Findings: The economic delivery cost per vaccine dose ranged from US$ 1.44 for integrated outreach in Uganda to US$ 3.88 for school-based delivery in Peru. In Viet Nam, the lowest cost per dose was US$ 1.92 for health-centre-based delivery. Cost profiles revealed that, in general, the largest contributing factors were project start-up costs and recurrent personnel costs. The delivery cost of HPV vaccine was higher than published costs for traditional vaccines recommended by the Expanded Programme on Immunization (EPI).

Conclusion: The cost of delivering HPV vaccine to young adolescent girls in Peru, Uganda and Viet Nam was higher than that for vaccines currently in the EPI schedule. The cost per vaccine dose was lower when delivery was integrated into existing health services.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3738308PMC
http://dx.doi.org/10.2471/BLT.12.113837DOI Listing

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