12 research outputs found
Estimating the government health care costs of treating pesticide poisoned and pesticide self-poisoned patients in Sri Lanka
Outstanding challenges for rotavirus vaccine introduction in low-income countries:a systematic review
Estimating the costs of implementing the rotavirus vaccine in the national immunisation programme: the case of Malawi.
OBJECTIVES: Worldwide, rotavirus infections cause approximately 453,000 child deaths annually. Two licensed vaccines could be life- and cost-saving in low-income countries where the disease burden is highest. The aim of our study was to estimate the total cost of implementing the rotavirus vaccine in the national immunisation programme of a low-income country. Furthermore, the aim was to examine the relative contribution of different components to the total cost. METHODS: Following the World Health Organization guidelines, we estimated the resource use and costs associated with rotavirus vaccine implementation, using Malawi as a case. The cost analysis was undertaken from a governmental perspective. All costs were calculated for a 5-years period (2012-2016) and discounted at 5%. The value of key input parameters was varied in a sensitivity analysis. RESULTS: The total cost of rotavirus vaccine implementation in Malawi amounted to US 5.8 per child in the birth cohort. With GAVI Alliance financial support, the total cost was reduced to US 26 per capita per year. This highlights the need for new financing opportunities for low-income countries to facilitate vaccine implementation and ensure sustainable financing