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The costs of home delivery of a birth dose of hepatitis B vaccine in a prefilled syringe in Indonesia.
- Source :
-
Bulletin of the World Health Organization [Bull World Health Organ] 2005 Jun; Vol. 83 (6), pp. 456-61. Date of Electronic Publication: 2005 Jun 17. - Publication Year :
- 2005
-
Abstract
- Objective: To provide global policy-makers with decision-making information for developing strategies for immunization of infants with a birth dose of hepatitis B vaccine, this paper presents a retrospective cost analysis, conducted in Indonesia, of delivering this vaccine at birth using the Uniject prefill injection device.<br />Methods: Incremental costs or cost savings associated with changes in the hepatitis B immunization programme were calculated using sensitivity analysis to vary the estimates of vaccine wastage rates and prices for vaccines and injection devices, for the birth dose of hepatitis B vaccine.<br />Findings: The introduction of hepatitis B vaccine prefilled in Uniject (HB-Uniject) single-dose injection devices for use by midwives for delivering the birth dose is cost-saving when the wastage rate for multidose vials is greater than 33% (Uniject is a trademark of BD, Franklin Lakes, NJ, USA).<br />Conclusion: The introduction of HB-Uniject for birth-dose delivery is economically worthwhile and can increase coverage of the critical birth dose, improve resource utilization, reduce transmission of hepatitis B and promote injection safety.
- Subjects :
- Disposable Equipment
Hepatitis B economics
Hepatitis B Vaccines economics
Hepatitis B Vaccines supply & distribution
Humans
Immunization Programs economics
Indonesia
Infant, Newborn
Injections economics
Retrospective Studies
Child Health Services economics
Health Policy
Hepatitis B prevention & control
Hepatitis B Vaccines administration & dosage
Home Care Services economics
Injections instrumentation
Syringes economics
Subjects
Details
- Language :
- English
- ISSN :
- 0042-9686
- Volume :
- 83
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Bulletin of the World Health Organization
- Publication Type :
- Academic Journal
- Accession number :
- 15976897
- Full Text :
- https://doi.org//S0042-96862005000600014