Table 4. Cost of post-licensure oral cholera vaccinations, 1997–2013.
| Characteristic | Uganda, 199716 | Mozambique,a 2003–200420 | Indonesia, 200523,24 | United Republic of Tanzania, 200929 | India,a 201134 | Bangladesh, 201135 | Guinea, 201244 | South Sudan, 201346 |
|---|---|---|---|---|---|---|---|---|
| Oral cholera vaccine | Dukoral® | Dukoral® | Dukoral® | Dukoral® | Shanchol™ | Shanchol™ | Shanchol™ | Shanchol™ |
| Price per vaccine dose, US$ | Free | Free | 4.70 | 5.00 | 2.22 | 1.00 | 1.85b | 2.40b |
| Number fully immunized persons | 27 607 | 44 156 | 54 627 | 23 921 | 23 751 | 123 666 | 143 706 | 71 912 |
| Vaccine and/or international shipment costs, US$ | 4 421 | 6 608 | 665 247 | 555 000 | 122 629 | 284 529 | 632 782b | 661 690b |
| Computers and other capital expenses, US$ | 1 600 | 900 | 4 738 | NA | NA | NA | NA | NA |
| International consultants, US$ | NA | NA | 124 230 | 110 000 | NA | NA | NA | 133 917b |
| Local storage and transport, US$ | 3 239 | 33 510 | 5 159 | NA | 2 081 | 43 701 | 175 930b | 115 428b |
| Meetings, community mobilization, training, local salaries, supplies and waste management, US$ | 5 395 | 54 269 | 159 275 | 87 500 | 20 625c | 157 932 | 106 630b | 171 766b |
| Adverse event following immunization monitoring and management, US$ | NA | NA | NA | NA | 4 237 | NA | NA | NA |
| Total cost for the vaccination campaign, US$ | 14 655 (0.53) | 95 287 (2.16) | 958 649 (17.55) | 752 500 (31.46) | 149 572 (6.30) | 486 162 (3.93) | 915 342 (6.37)b | 1 082 801 (15.06)b |
| Total local delivery cost (per person), US$d | 14 655 (0.53) | 88 679 (2.01) | 169 172 (3.10) | 87 500 (3.66) | 26 943 (1.13) | 201 633 (1.63) | 282 560 (1.97)b | 287 197 (3.99)b |
NA: not available; US$: United States dollar.
a Including vaccinations outside the study target population.
b Costs originally reported in Euro. US$ was calculated using the conversion rate as of 1 February 2013: 1 Euro to US$ 1.37.
c Itemized as follows: Social mobilization US$ 5603 and vaccine administration US$ 15 022.
d Excluding vaccine, international shipment and consultant costs.