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.