Expanding japanese encephalitis vaccination to selected endemic indonesia provinces: A cost-effectiveness analysis.
Vaccine X
; 11: 100179, 2022 Aug.
Article
en En
| MEDLINE
| ID: mdl-35782720
ABSTRACT
Introduction:
A Markov model was used to evaluate the potential health and economic impact of introducing JE vaccine nationally and in selected endemic areas of Indonesia compared to no vaccination from government and societal perspectives over a child's lifetime horizon.Methods:
Costs were obtained from hospitalized JE suspected patient billing data from 2014 to 2019 in seven provinces. Local data burden data were derived from the literature. Analysis considered several scenarios, including national and sub-regional introduction in seven provinces via a one-time vaccination campaign in all children 1-15 years old followed by routine immunization among infants (RI), or RI alone without vaccination campaign. Results and discussions Across scenarios, JE vaccination was projected to range from cost-saving to cost-effective compared to no vaccination at a willingness-to-pay threshold of 0.5x gross domestic product per capita. Including a one-time campaign would avert nearly three times as many JE cases and deaths compared to RI alone while still providing good value for money.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_financiamento_saude
Tipo de estudio:
Health_economic_evaluation
Aspecto:
Patient_preference
Idioma:
En
Revista:
Vaccine X
Año:
2022
Tipo del documento:
Article
País de afiliación:
Indonesia