According to a cost-effectiveness study of rotavirus vaccination in Pakistan, the vaccine would be the most cost-effective in the poorer provinces of Sindh and Balochistan (that also have the highest rates of death from rotavirus)- with a cost per disability-adjust life year averted $155-$167 compared to almost $600 in the wealthier region of Islamabad. Within all regions, vaccination was the most cost-effective among the two poorest income groups (quintiles), and was almost 12 times more cost-effective in the poorest households in the most marginalized region than in the wealthiest households in the most advantaged region (cost/DALY averted of $76 vs. $897).
Full Citation:
Rheingans R, Anderson JD, Bagamian KH et al.. 2018. Effects of geographic and economic heterogeneity on the burden of rotavirus diarrhea and the impact and cost-effectiveness of vaccination in Pakistan. Vaccine. 36(51).
Title of Article: Effects of geographic and economic heterogeneity on the burden of rotavirus diarrhea and the impact and cost-effectiveness of vaccination in Pakistan
Author(s): Rheingans R, Anderson JD, Bagamian KH et al.
Publication Year: 2018
Publication Name: Vaccine
Publication Volume: 36(51)
Publication Source URL: https://pubmed.ncbi.nlm.nih.gov/30007826/
DOI (Digital Object Identifier): 10.1016/j.vaccine.2018.02.008
Topics: Economics & Return on Investment
Disease Vaccines: Rotavirus
Immunization Terms: Cost-effectiveness | Wealth inequity
Countries: Pakistan
WHO Regions: Eastern Mediterranean