Table 2. Discounted cost-effectiveness results over a 15-year period.
| Variable | No vaccination | 6–9m schedule plus 4 th dose | Cost savings * | ||
|---|---|---|---|---|---|
| USD 1 per dose | USD 5 per dose | USD 10 per dose | |||
| Healthcare system ICER (USD per DALY
averted) |
--- | 40 | 115 | 209 | --- |
| Societal ICER (USD per DALY averted) | --- | 34 | 109 | 202 | --- |
| DALYs | 1,237,356 | 1,176,557 | 1,176,557 | 1,176,557 | 96,799 |
| Vaccination costs | --- | 6,334,532 | 13,573,997 | 22,623,329 | --- |
| Healthcare system costs | 26,396,028 | 23,962,251 | 23,962,251 | 23,962,251 | 2,433,777 |
| Incremental costs for healthcare system | 3,900,755 | 11,140,220 | 20,189,552 | ||
| Household costs | 6,576,176 | 5,984,432 | 5,984,432 | 5,984,432 | 591,744 |
| Societal costs * | 32,972,204 | 29,946,683 | 29,946,683 | 29,946,683 | 3,025,521 |
| Incremental costs for the society | 3,309,011 | 10,548,476 | 19,597,808 | ||
DALY = disability-adjusted life year; ICER = Incremental Cost Effectiveness Ratio. Note 1. Societal costs = health care system + household level costs. * Cost savings are the difference in costs between no vaccination scenario and vaccination scenario