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 3. Incremental annual financial cost of nationwide human papillomavirus vaccination for young adolescent girls, Peru, Uganda and Viet Nam, 2008–2010
|Country and delivery strategy||No. of girls targeted for vaccinationa||Cost (2009 US$)
||National immunization budget in 2009b
|Vaccinec||Vaccine delivery||Total||Delivery cost as a fraction of total cost (%)||Total (2009 US$)||Percentage allocated to vaccination strategy|
|Peru||228 480||–||–||–||–||113 963 713||–|
|School-based||–||13 047 076||1 391 443||14 438 519||10||NA||13|
|Uganda||351 200||–||–||–||–||35 672 010||–|
|School-based||–||230 683||2 212 560||2 443 243||91||–||7|
|Integrated outreach||–||230 683||1 169 496||1 400 179||84||–||4|
|Viet Nam||534 720||–||–||–||–||28 083 812||–|
|School-based||–||351 227||2 598 739||2 949 966||88||–||11|
|Health-centre-based||–||351 227||2 486 448||2 837 675||88||–||10|
NA, not available; US$, United States dollars.
a The number of 10-year-old girls in each country was estimated using United Nations Development Programme population data. The number targeted was 80% of that number because it was assumed that only 80% would be fully vaccinated (i.e. would receive three vaccine doses).
b For Uganda and Viet Nam, the figure was derived from government multi-year plans; for Peru, information obtained from the National Expanded Program for Immunization was used.
c Each vaccine dose was assumed to cost US$ 14.00 for Peru and US$ 0.20 for Uganda and Viet Nam (US$ 0.20 is the current country co-payment for the procurement of vaccines for poor and intermediate countries through the GAVI Alliance). For Peru, a 3% Pan American Health Organization Revolving Fund fee and 3% supplement for freight and insurance was added. For Uganda and Viet Nam, a 4% handling fee was added. A 5% allowance was added for wastage in all countries.