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Projected health benefits and costs of pneumococcal and rotavirus vaccination in Uganda
Jacqueline E Tate1, Annet Kisakye, Prosper Mugyenyi
1Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, MS-A47, Atlanta, GA 30333, USA. jqt8@cdc.gov
Insights
Pneumococcal and rotavirus vaccines in Uganda could save thousands of lives and prevent numerous illnesses in children under five. Both vaccines are cost-effective, with pneumococcal vaccine being cost-saving.
Area of Science:
- Public Health
- Vaccinology
- Health Economics
Background:
- Pneumonia and rotavirus are leading causes of child mortality and morbidity in Uganda.
- Vaccination programs are crucial for reducing the burden of vaccine-preventable diseases in children.
- Assessing the economic impact of vaccination is vital for resource allocation in public health.
Purpose of the Study:
- To evaluate the impact and cost-effectiveness of introducing pneumococcal and rotavirus vaccination programs in Uganda.
- To estimate the number of lives saved and disease cases averted by these vaccines.
- To determine the financial savings associated with vaccination from a public health system perspective.
Main Methods:
- Disease-specific models were utilized to compare disease burden and costs with and without vaccination programs.
- Impact was assessed by estimating lives saved and disease cases prevented in children under five.
- Cost-effectiveness was analyzed from the perspective of the public health system in Uganda.
Main Results:
- Pneumococcal vaccination could save 10,796 lives and prevent 94,071 Streptococcus pneumoniae cases annually.
- Rotavirus vaccination could save 5,265 lives and prevent 94,729 rotavirus cases annually.
- Pneumococcal vaccine is projected to be cost-saving, and rotavirus vaccine highly cost-effective at GAVI prices.
Conclusions:
- Introducing pneumococcal and rotavirus vaccines in Uganda offers substantial public health benefits.
- Both vaccination programs demonstrate excellent economic value, with significant cost savings and disease reduction.
- These findings support the integration of pneumococcal and rotavirus vaccines into Uganda's national immunization schedule.
Abstract:
We determined impact and cost-effectiveness of pneumococcal and rotavirus vaccination programs among children<5 years of age in Uganda from the public health system perspective. Disease-specific models compared the disease burden and cost with and without a vaccination program. If introduced, pneumococcal and rotavirus vaccine programs will save 10,796 and 5265 lives, respectively, prevent 94,071 Streptococcus pneumoniae and 94,729 rotavirus cases in children<5 years, and save 3886 and 996 million Ugandan shillings ($2.3 and $0.6 million US dollars), respectively, in direct medical costs annually. At the GAVI price ($0.15/dose), pneumococcal vaccine will be cost-saving and rotavirus vaccine highly cost-effective.
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