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. 2009 Nov 3;7:81. doi: 10.1186/1478-4491-7-81

Table 1.

Background characteristics of the full economic evaluations

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

* Local indigenous organization started a PHC programme in 25 communities with training of CHWs. Each community has two CHWs with 3 year training in preventive medicine, including immunisation and curative activities. CHWs are literate and elected by their own community and receive no financial reward.

1 Catch-up campaign: targeted efforts to vaccinate individuals that did not receive the vaccine that they would otherwise have received through routine immunisation

Campaign: targeted efforts of vaccinating a group of and/or a pre-determined number of individuals for vaccination