Projected costs associated with school-based screening to inform deployment of Dengvaxia: Vietnam as a case study
Author(s)
Type
Journal Article
Abstract
Background: After new analysis, Sanofi Pasteur now recommends their dengue vaccine (Dengvaxia) should only be given to individuals previously infected with dengue and the World Health Organization's recommendations regarding its use are currently being revised. As a result, the potential costs of performing large-scale individual dengue screening and/or dengue serosurveys have become an important consideration for decision making by policymakers in dengue-endemic areas. Methods: We used an ingredients-based approach to estimate the financial costs for conducting both a school-based dengue serosurvey and school-based individual dengue screening within a typical province in Vietnam, using an existing commercial indirect immunoglobulin G enzyme-linked immunosorbent assay kit. This costing is hypothetical and based on estimates regarding the resources that would be required to perform such activities. Results: We estimated that performing a school-based individual screening of 9-year-olds would cost US$9.25 per child tested or US$197,827 in total for a typical province. We also estimated that a school-based serosurvey would cost US$10,074, assuming one class from each of the grades that include 8- to 11-year-olds are sampled at each of the 12 selected schools across the province. Conclusions: The study indicates that using this vaccine safely on a large-scale will incur noteworthy operational costs. It is crucial that these be considered in future cost-effectiveness analyses informing how and where the vaccine is deployed.
Date Issued
2018-08
Date Acceptance
2018-06-02
Citation
Transactions of the Royal Society of Tropical Medicine and Hygiene, 2018, 112 (8), pp.369-377
ISSN
0035-9203
Publisher
Oxford University Press (OUP)
Start Page
369
End Page
377
Journal / Book Title
Transactions of the Royal Society of Tropical Medicine and Hygiene
Volume
112
Issue
8
Copyright Statement
© The Author(s) 2018. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/29982700
PII: 5048716
Subjects
Child
Cost-Benefit Analysis
Costs and Cost Analysis
Delivery of Health Care
Dengue
Dengue Vaccines
Dengue Virus
Enzyme-Linked Immunosorbent Assay
Forecasting
Humans
Immunization Programs
Mass Screening
Patient Selection
Program Development
School Health Services
Schools
Seroepidemiologic Studies
Serogroup
Vaccination
Vietnam
World Health Organization
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2018-07-03