Table 1 Background characteristics of the full economic evaluations
From: Are vaccination programmes delivered by lay health workers cost-effective? A systematic review
| Â | Deuson et al. [17] | San Sebastian et al. [18] | Weaver et al. [19] |
|---|---|---|---|
Area studied | Philadelphia, USA | Low-Napo area in Napo province, covering 300 km of the Napo river | Seattle, USA |
Timing of the study | October 1994 - February 1996 | 1993-1995 | October- November 1996 |
Type of intervention | Promotion prior to a catch-up campaign1 | Campaign | Promotion |
Type of LHW/role of LHW | Staff of community-based organisation | CHWs* | Senior volunteers, i.e. older people |
Training | Unstated | 3-year training in preventive medicine, including immunisation, and curative activities | Received training about the pneumococcal and influenza vaccines and received technical support from the project coordinator. |
Comparator(s) | (Implicitly) Doing nothing | Centrally planned strategy (District Hospital strategy) of immunizing children <1 year | (Implicitly) Doing nothing |
Study type | CEA & CUA | CEA | CEA |
Vaccines delivered | Hepatitis B | Routine childhood vaccines | Pneumococcal and influenza vaccines |
Age group(s) targeted | 2-13 year-olds | 0-5 years-old | 65 years + |
Perspective(s) | Societal | Societal | Societal |
$ per child vaccinated | Costs per child, per dose, and per completed series were $64, $119, and $537, respectively | $32 per FVC | Not stated |
CE results | The cost per discounted year of life saved was $11,525 and the benefit-cost ratio was 4.44:1 | CHW intervention dominated the District Hospital comparison | Intervention cost $35,486/QALY gained for the combined outreach initiative, $53,547/QALY for the pneumococcal vaccine and $130,908/QALY for the influenza vaccine. For seniors who had never received a vaccine, the combined outreach initiative cost $11,771/QALY gained, $38,030/QALY for the pneumococcal vaccine, and $22,431/QALY for the influenza vaccine. |
Funded by | Centers for Disease Control (CDC), USA | Medicus Mundi Andalucia, Spain | CDC |