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. 2023 Nov 10;8(11):e012204. doi: 10.1136/bmjgh-2023-012204

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© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.

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Income group level ICERs of introducing MR-MAPs using equal discounting (A) and differential discounting (B) approaches. Equal discounting applies a 3% rate to both costs and health outcomes (averted DALYs), while differential discounting applies a 3% rate only to costs and no discounting of health outcomes. Circles and triangles denote the ICERs with the lower and upper MR-MAP prices, respectively. Colours represent the sequential (green) and accelerated (red) introduction strategies and assumptions of higher (darker) and lower (lighter) coverage projections. Horizontal dashed lines indicate the cost-effectiveness thresholds at the income group level; for scenarios with an ICER below the lines, it would be cost-effective to introduce MR-MAPs. DALY, disability-adjusted life-years; ICER, incremental cost-effectiveness ratio; MR-MAP, measles-rubella microarray patch.