Bulletin of the World Health Organization

Delivery cost of human papillomavirus vaccination of young adolescent girls in Peru, Uganda and Viet Nam

Carol E Levin, Hoang Van Minh, John Odaga, Swampa Sarit Rout, Diep Nguyen Thi Ngoc, Lysander Menezes, Maria Ana Mendoza Araujo & D Scott LaMontagne

Volume 91, Number 8, August 2013, 585-592

Table 2. Incremental cost of delivering human papillomavirus vaccine to young adolescent girls in demonstration projects in Peru, Uganda and Viet Nam, 2008–2010

Country and delivery strategy Average delivery cost per dose (2009 US$)
No. of doses administered each year No. of fully immunized girlsa Annual delivery costsb (2009 US$)
Economicc Financiald Economicc Financiald
Peru
School-based 3.88 2.03 26 798 8 895 103 976 54 400
Uganda
School-based 3.15 2.10 9 729 3 038 30 646 20 431
Integrated outreach 1.44 1.11 8 624 2 388 12 419 9 573
Viet Nam
School-based 2.08 1.62 5 324 1 766 11 074 8 625
Health-centre-based 1.92 1.55 3 550 1 181 6 816 5 503

US$, United States dollars.

a A fully immunized girl was one who received all three vaccine doses.

b Annual delivery costs for the demonstration projects do not include the cost of the vaccine.

c The economic delivery cost was defined as the cost of all resources used, including donated or discounted goods and services, regardless of who paid.

d The financial delivery cost was defined as the actual expenditure on goods and services.