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 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.