Table 2.

Measles cases, costs ($US), and DALYs averted through outreach vaccination when 50% 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 MCV! Receives MCV2
2.5	MCV1: 100%	MCV1: 50%	MCV1: 74%	43,858	7894	230,694	1,193,382	290,778,977	291,972,358	1,153,637
	MCV2: 25%	MCV2: 13%	MCV2: 19%	(43,742–43,929)	(3,463–18,011)	(102,355–442,365)	(550,706–2,121,772)	(93,210,173–552,025,216)	(93,760,879–554,146,987)	(439,591–1,955,085)
5	MCV1: 100%	MCV1: 50%	MCV1: 90%	2877	518	15,133	78,285	19,074,967	19,153,252	521,940
	MCV2: 25%	MCV2: 13%	MCV2: 22%	(2852–2863)	(228–1189)	(6673–28,834)	(35,901–138,301)	(6,076,371–33,994,263)	(6,112,272–34,132,564)	(187,397–891,469)
10	MCV1: 100%	MCV1: 50%	MCV1: 97%	55	10	290	1499	365,291	366,791	266,949
	MCV2: 25%	MCV2: 13%	MCV2: 24%	(49–40)	(3–23)	(115–405)	(617–1941)	(504,891–504,891)	(506,831–506,831)	(79,432–497,655)
50% of Population that Received MCVI Receives MCV2
2.5	MCV1: 100%	MCV1: 50%	MCV1: 74%	42,246	7604	222,212	1,149,501	280,087,153	281,236,654	1,384,364
	MCV2: 50%	MCV2: 25%	MCV2: 37%	(42,366–42,404)	(3380–17,431)	(99,136–427,009)	(533,383–2,048,117)	(90,278,170–532,862,383)	(90,811,553–534,910,500)	(527,509–2,346,102)
5	MCV1: 100%	MCV1: 50%	MCV1: 90%	938	169	4934	25,523	6,218,811	6,244,333	626,328
	MCV2: 50%	MCV2: 25%	MCV2: 45%	(938–934)	(75–388)	(2196–9405)	(11,815–45,109)	(1,999,720–11,087,687)	(2,011,535–11,132,796)	(224,876–1,069,763)
10	MCV1: 100%	MCV1: 50%	MCV1: 97%	34	6	177	917	223,347	224,264	320,339
	MCV2: 50%	MCV2: 25%	MCV2: 48%	(29–38)	(2–16)	(68–380)	(368–1821)	(473,834–473,834)	(475,656–475,656)	(95,319–597,187)
75% of Population that Received MCVI Receives MCV2
2.5	MCV1: 100%	MCV1: 50%	MCV1: 74%	41,620	7492	218,923	1,132,490	275,942,065	277,074,554	1,615,092
	MCV2: 75%	MCV2: 38%	MCV2: 56%	(41,587–41,538)	(3323–17,064)	(97,313–418,286)	(523,578–2,006,276)	(88,618,544–521,976,488)	(89,142,122–523,982,763)	(615,427–2,737,119)
5	MCV1: 100%	MCV1: 50%	MCV1: 90%	313	56	1647	8519	2,075,659	2,084,178	730,716
	MCV2: 75%	MCV2: 38%	MCV2: 67%	(319–313)	(25–131)	(746–3153)	(4013–15,121)	(679,144–3,716,806)	(683,157–3,731,927)	(262,356–1,328,667)
10	MCV1: 100%	MCV1: 50%	MCV1: 97%	33	6	171	886	215,862	216,748	373,729
	MCV2: 75%	MCV2: 38%	MCV2: 72%	(37–36)	(2–15)	(87–367)	(468–1762)	(458,382–458,382)	(460,144–460,144)	(111,205–696,718)
100% of Population that Received MCVl Receives MCV2
2.5	MCV1: 100%	MCV1: 50%	MCV1: 74%	37,489	6748	197,192	1,020,077	248,551,653	249,571,730	1,845,819
	MCV2: 100%	MCV2: 50%	MCV2: 74%	(37,513–37,466)	(2997–15,380)	(87,781–377,282)	(472,294–1,809,603)	(79,938,493–470,807,872)	(80,410,787–472,617,476)	(703,346–3,128,136)
5	MCV1: 100%	MCV1: 50%	MCV1: 90%	163	29	859	4446	1,083,204	1,087,650	835,104
	MCV2: 100%	MCV2: 50%	MCV2: 90%	(163–160)	(13–67)	(382–1612)	(2057–7731)	(348,156–1,900,251)	(350,213–1,907,981)	(299,835–1,426,351)
10	MCV1: 100%	MCV1: 50%	MCV1: 97%	33	6	171	886	215,888	216,774	427,119
	MCV2: 100%	MCV2: 50%	MCV2: 97%	(28–27)	(2–14)	(64–270)	(347–1293)	(336,361–336,361)	(337,654–337,654)	(127,092–796,249)

^*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).