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Related Experiment Videos

The Denver school-based adolescent hepatitis B vaccination program: a cost analysis with risk simulation.

R R Deuson1, E J Hoekstra, R Sedjo

  • 1National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Ga. 30333, USA. rgd3@cdc.gov

American Journal of Public Health
|November 30, 1999
PubMed
Summary

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School-based hepatitis B vaccination programs are more cost-effective than health maintenance organization (HMO) programs. This finding highlights the efficiency of school-based delivery for public health initiatives.

Area of Science:

  • Public Health
  • Health Economics
  • Vaccinology

Background:

  • Hepatitis B vaccination is crucial for preventing infection.
  • Evaluating different vaccine delivery models is essential for optimizing public health resources.

Purpose of the Study:

  • To compare the cost-effectiveness of school-based hepatitis B vaccination delivery versus a network health maintenance organization (HMO) program.

Main Methods:

  • A cohort of 3359 sixth-grade students in Denver, Colorado, participated.
  • Immunization data and program costs (direct and indirect) were collected.
  • Simulation methods were used to assess outcome sensitivity.

Main Results:

  • The school-based program had a per-dose cost-effectiveness ratio of $31, remaining stable under cost variations.

Related Experiment Videos

  • The network HMO program's direct cost was $68 per dose, and societal cost was $118.
  • There was a less than 5% probability that the HMO program could be more cost-effective than the school-based approach.

    • Conclusions:

    • School-based hepatitis B vaccination programs are significantly more cost-effective than network HMO-based programs.
    • Lower vaccine costs and reduced parental work-loss costs contribute to the school program's efficiency.