Table 1.

Measles cases, costs ($US), and DALYs averted through outreach vaccination when 25% of geographically hard-to reach children are included in catchment areas of proposed outreach vaccination sessions, Kenya 2016–2020.

Fixed vaccination posts catchment radius	Proportion of target population vaccinated within fixed post catchments*	Proportion of hard-to-reach target population vaccinated*	Proportion of total target population vaccinated*	Measles cases averted†	Deaths averted†	DALYs averted†	Direct medical costs averted†	Productivity losses averted†	Total societal costs averted†	Outreach vaccination strategy costs†
25% of Population that Received MCV1 Receives MCV2
2.5	MCV1: 100%	MCV1: 25%	MCV1: 61%	22,699	4086	119,399	617,653	150,497,104	151,114,757	583,866
	MCV2: 25%	MCV2: 6%	MCV2: 15%	(21,161–22,734)	(1693–9321)	(49,518–228,934)	(266,422–1,098,063)	(45,093,474–285,685,096)	(45,359,896–286,783,159)	(219,641–984,953)
5	MCV1: 100%	MCV1: 25%	MCV1: 84%	2247	404	11,818	61,135	14,896,019	14,957,154	264,027
	MCV2: 25%	MCV2: 6%	MCV2: 21%	(2234–2306)	(179–9450)	(5227–23,217)	(28,124–111,357)	(4,760,108–27,371,447)	(4,788,231–27,482,804)	(94,140–457,439)
10	MCV1: 100%	MCV1: 25%	MCV1: 95%	22	<5	116	601	146,389	146,989	130,790
	MCV2: 25%	MCV2: 6%	MCV2: 24%	(28–18)		(65–184)	(352–882)	(229,422–229,422)	(230,304–230,304)	(37,849–242,704)
50% of Population that Received MCV1 Receives MCV2
2.5	MCV1: 100%	MCV1: 25%	MCV1: 61%	23,234	4182	122,213	632,210	154,044,054	154,676,264	700,639
	MCV2: 50%	MCV2: 13%	MCV2: 31%	(21,806–24,194)	(1,744–9920)	(51,027–243,631)	(274,543–1,168,558)	(46,467,920–304,025,953)	(46,742,463–305,194,511)	(263,569–1,181,943)
5	MCV1: 100%	MCV1: 25%	MCV1: 84%	747	134	3927	20,313	4,949,355	4,969,667	316,832
	MCV2: 50%	MCV2: 13%	MCV2: 42%	(752–758)	(60–311)	(1759–7633)	(9466–36,612)	(1,602,250–8,999,175)	(1,611,717–9,035,787)	(112,968–548,927)
10	MCV1: 100%	MCV1: 25%	MCV1: 95%	23	<5	119	616	150,211	150,827	156,948
	MCV2: 50%	MCV2: 13%	MCV2: 47%	(30–29)		(69–293)	(372–1405)	(365,669–365,669)	(367,074–367,074)	(45,419–291,245)
75% of Population that Received MCV1 Receives MCV2
2.5	MCV1: 100%	MCV1: 25%	MCV1: 61%	26,505	4771	139,416	721,197	175,726,729	176,447,927	817,413
	MCV2: 75%	MCV2: 19%	MCV2: 46%	(25,662–26,135)	(2038–10,867)	(60,048–263,177)	(323,080–1,262,309)	(56,575,100–328,417,316)	(56,898,180–329,679,626)	(307,497–1,378,934)
5	MCV1: 100%	MCV1: 25%	MCV1: 84%	217	39	1143	5913	1,440,702	1,446,615	369,638
	MCV2: 75%	MCV2: 19%	MCV2: 63%	(242–226)	(17–99)	(566–2281)	(3045–10,939)	(515,453–2,688,855)	(518,498–2,699,794)	(131,797–640,415)
10	MCV1: 100%	MCV1: 25%	MCV1: 95%	22	<5	115	596	145,279	145,875	183,106
	MCV2: 75%	MCV2: 19%	MCV2: 71%	(24–27)		(56–275)	(304–1318)	(342,906–342,906)	(344,224–344,224)	(52,989–339,786)
100% of Population that Received MCV1 Receives MCV2
2.5	MCV1: 100%	MCV1: 25%	MCV1: 61%	25,806	4645	135,739	702,180	171,093,010	171,795,190	934,186
	MCV2: 100%	MCV2: 25%	MCV2: 61%	(25,424–25,923)	(2034–10,780)	(59,493–261,047)	(320,093–1,252,093)	(54,177,661–325,759,373)	(54,497,754–327,011,466)	(351,426–1,575,924)
5	MCV1: 100%	MCV1: 25%	MCV1: 84%	92	17	482	2494	607,660	610,154	422,443
	MCV2: 100%	MCV2: 25%	MCV2: 84%	(83–97)	(7–40)	(195–981)	(1050–4707)	(177,700–1,156,867)	(178,750–1,161,573)	(150,625–731,903)
10	MCV1: 100%	MCV1: 25%	MCV1: 95%	26	<5	138	713	173,712	174,425	209,264
	MCV2: 100%	MCV2: 25%	MCV2: 95%	(24–22)		(55–226)	(297–1086)	(282,621–282,621)	(283,707–283,707)	(60,559–388,327)

^*MCV1 = first dose of measles-containing vaccine; MCV2 = second dose of measles-containing vaccine; MCV1 target population = eligible children <12 months (i.e., surviving infants); MCV2 target population = eligible children 12–23 months;

^†Values are rounded to nearest whole number and cannot be used to reconstruct incremental cost-effectiveness ratios (ICERs) reported in the text, which used unrounded values. Note: Base value correspond to an outreach vaccination location catchment area radius of 10 km. Ranges represent the minimum and maximum values when varying parameters across their ranges, for an outreach vaccination location catchment area radius of 7.5–20 km. Logistics cost assumes a child is vaccinated every 15 min(2–30 min).