Cost, health impacts and cost effectiveness of iceless refrigeration in India's last-mile vaccine cold chain delivery
Issued Date
2023-04-03
Resource Type
eISSN
18783503
Scopus ID
2-s2.0-85152154058
Pubmed ID
36537362
Journal Title
Transactions of the Royal Society of Tropical Medicine and Hygiene
Volume
117
Issue
4
Start Page
310
End Page
312
Rights Holder(s)
SCOPUS
Bibliographic Citation
Transactions of the Royal Society of Tropical Medicine and Hygiene Vol.117 No.4 (2023) , 310-312
Suggested Citation
Plewes K., Khonputsa P., Day N.P.J., Lubell Y. Cost, health impacts and cost effectiveness of iceless refrigeration in India's last-mile vaccine cold chain delivery. Transactions of the Royal Society of Tropical Medicine and Hygiene Vol.117 No.4 (2023) , 310-312. 312. doi:10.1093/trstmh/trac115 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/82660
Title
Cost, health impacts and cost effectiveness of iceless refrigeration in India's last-mile vaccine cold chain delivery
Author(s)
Other Contributor(s)
Abstract
BACKGROUND: Compared with ice-based vaccine carriers (IBVCs), iceless vaccine carrier (ILVC) last-mile delivery could optimize vaccine effectiveness by reducing spoilage. We estimated ILVC-associated spoilage costs averted and cost effectiveness. METHODS: IBVC vaccine spoilage costs were estimated for six vaccines. ILVC incremental costs were based on yearly ILVC cost over total doses. Cost effectiveness was estimated via Markov modeling of rotavirus vaccine. RESULTS: The spoilage cost using IBVCs was US$9 603 294. Using ILVCs, the incremental cost per vaccine dose was US$0.026, the cost-benefit ratio was 0.28, the number of averted disability-adjusted life years was 0.03 per child and there was a saving of US$0.80 per child vaccinated. CONCLUSIONS: ILVCs may bring cost savings and health gains compared with IBVCs.