Table 2. Costs associated with PEP vaccination.
Cost type | Parameter | Estimate (USD) | Reference |
Medical | Material costs per injection (needles, syringes, swabs) | $0.1 | [7], Global |
$0.4 | [38], India | ||
Overhead costs per clinic visit (staff salaries, administration) | $0.5 | [39], Global | |
$1.2 | [38], India | ||
Vaccine costs per vial | $8.75–11.5 | [29], Thailand | |
$7.5 | http://www.msd.or.tz/ Tanzania | ||
$8–20 | M. Sambo, pers com, Tanzania, | ||
$11 | J. Girardi, pers com, Indonesia | ||
$18 | [40], China | ||
$7–18 | [41], South-East Asia | ||
$10 | [7], WHO procurement services | ||
$7–9 | D. Xuyen, pers com, Vietnam | ||
$6.6 | [38], India | ||
Non-medical | Transport, accommodation and income loss costs per clinic visit | $2.9–5.5 | [7], Africa, Asia |
$7–14 | [42], Tanzania |
Costs vary within and between countries. For the purpose of comparison, in our simulations we used the values that are emboldened, but absolute cost-effectiveness will depend on specific settings. Note that for analyses of costs from the patient perspective, we explore the full range of indirect costs.