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

Table 4.

Number of countries where introducing MR-MAPs is cost-effective

Projection assumption Higher coverage Lower coverage
Introduction strategy Sequential Accelerated Sequential Accelerated
MR-MAP price Lower Upper Lower Upper Lower Upper Lower Upper
Low income 3/20 0/20 3/20 0/20 17/20 9/20 18/20 10/20
Lower middle income 10/35 6/35 9/35 5/35 25/35 20/35 28/35 22/35
Upper middle income 5/15 5/15 7/15 6/15 11/15 11/15 11/15 11/15
Total 18/70 11/70 19/70 11/70 53/70 40/70 57/70 43/70

Introducing MR-MAPs is considered to be cost-effective if the country-specific ICER is below the country-specific threshold, under a 3% annual discount rate on both incremental costs and health benefits.

ICER, incremental cost-effectiveness ratio; MR-MAP, measles-rubella microarray patch.