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Thirty years of vaccination in Vietnam: Impact and cost-effectiveness of the national Expanded Programme on Immunization.
- Source :
-
Vaccine [Vaccine] 2015 May 07; Vol. 33 Suppl 1, pp. A233-9. - Publication Year :
- 2015
-
Abstract
- Introduction: Countries like Vietnam transitioning to middle-income status increasingly bear the cost of both existing and new vaccines. However, the impact and cost-effectiveness of the Expanded Programme on Immunization (EPI) as a whole has never been assessed on a country level.<br />Methods: Data on vaccine-preventable disease incidence and mortality from Vietnam's national surveillance was analysed to estimate the likely impact that vaccination in 1980-2010 may have had. Adjustment for under-reporting was made by examining trends in reported mumps incidence and in case-fatality risks for each disease. The same data were separately analysed using the Lives Saved Tool (LiST) to give an alternative estimate of impact. The financial cost of EPI in 1996-2010 was also estimated from the perspective of service provider.<br />Results: National surveillance data suggests that up to 5.7 million diseases cases and 26,000 deaths may have been prevented by EPI. Analysis using LiST suggests that even more deaths (370,000) may have been prevented by measles and pertussis vaccination alone. The cost-effectiveness of EPI is estimated to be around $1000-$27,000 per death prevented.<br />Conclusion: Two separate approaches to assessing EPI impact in Vietnam give different quantitative results but a common conclusion: that EPI has made a substantial impact on mortality and represents good value for money.<br /> (Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.)
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Communicable Diseases mortality
Cost-Benefit Analysis
Health Policy
Humans
Incidence
Infant
Infant, Newborn
Middle Aged
Models, Statistical
Survival Analysis
Vaccination statistics & numerical data
Vietnam epidemiology
Young Adult
Communicable Diseases economics
Communicable Diseases epidemiology
Immunization Programs economics
Vaccination economics
Vaccination methods
Subjects
Details
- Language :
- English
- ISSN :
- 1873-2518
- Volume :
- 33 Suppl 1
- Database :
- MEDLINE
- Journal :
- Vaccine
- Publication Type :
- Academic Journal
- Accession number :
- 25919167
- Full Text :
- https://doi.org/10.1016/j.vaccine.2014.12.017