Comparing the health and social protection effects of measles vaccination strategies in Ethiopia

An extended cost-effectiveness analysis

Datos Bibliográficos

ID4976692
AutoresJulia Driessen (0000-0003-1062-9358, University of Pittsburgh), Zachary D Olson, Zachary Olson (0000-0002-6985-8764, Policy Analysis (United States)), D T Jamison (0000-0003-4387-6064, Global Brain Health Institute), Stéphane Verguet (0000-0003-4128-0849, Harvard University)
Año2015
Volumen139
Páginas115-122
Fecha de publicación2015-08-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSocial Science & Medicine (JOURNAL)
Identificadores de la revistaISSN: 0277-9536 • E-ISSN: 1873-5347
EditorialElsevier BV (PUBLISHER)
DOI10.1016/j.socscimed.2015.06.018
PMID26189009
OpenAlexW1791744788
IdiomaEN
Citas recibidas4
Referencias citadas36

Vaccination coverage rates often mask wide variation in access, uptake, and cost of providing vaccination. Financial incentives have been effective at creating demand for social services in a variety of settings. Using methods of extended cost-effectiveness analysis, we compare the health and economic implications of three different vaccine delivery strategies for measles vaccination in Ethiopia: i) routine immunization, ii) routine immunization with financial incentives, and iii) mass campaigns, known as supplemental immunization activities (SIAs). We examine annual birth cohorts of almost 3,000,000 births over a ten year period, exploring variation in these outcomes based on economic status to understand how various options may improve equity. SIAs naturally achieve higher levels of vaccine coverage, but at higher costs. Routine immunization combined with financial incentives bolsters demand among more economically vulnerable households. The relative appeal of routine immunization with financial incentives and SIAs will depend on the policy environment, including short-term financial limitations, time horizons, and the types of outcomes that are desired. While the impact of financial incentives has been more thoroughly studied in other policy arenas, such as education, consideration of this approach alongside standard vaccination models such as SIAs is timely given the dialog around measles eradication

Business · Economics · Environmental health · Equity (law · Immunization · Incentive · Measles · Measles vaccine · Political science · Public economics · Vaccination · COVID-19 epidemiological studies · Global Maternal and Child Health · Medicine · Vaccine Coverage and Hesitancy · Finance · Immunology