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Author: Pattara Leelahavarong

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    Variation of health-related quality of life assessed by caregivers and patients affected by severe childhood infections
    (2013-08-13) Wantanee Kulpeng; Vorasith Sornsrivichai; Virasakdi Chongsuvivatwong; Waranya Rattanavipapong; Pattara Leelahavarong; John Cairns; Yoel Lubell; Yot Teerawattananon; Thailand Ministry of Public Health; Prince of Songkla University; London School of Hygiene & Tropical Medicine; Mahidol University
    and their carers using different instruments.Methods: A hospital-based cross-sectional survey was conducted between August 2010 and March 2011. Children with meningitis, bacteremia, pneumonia, acute otitis media, hearing loss, chronic lung disease, epilepsy, mild... mental retardation, severe mental retardation, and mental retardation combined with epilepsy, aged between five to 14 years in seven tertiary hospitals were selected for participation in this study. The Health Utilities Index Mark 2 (HUI2), and Mark 3
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    PublicationOpen Access
    Cost-utility analysis of 10- and 13-valent pneumococcal conjugate vaccines: protection at what price in the Thai context?
    (2013-06) Wantanee Kulpenga; Pattara Leelahavarong; Waranya Rattanavipapong; Baggett, H. C; Vorasith Sornsrivichai; Aronrag Meeyai; Warunee Punpanich; อรุณรักษ์ มีใย; Wantanee Kulpenga; Mahidol University. Faculty of Public Health. Department of Epidemiology
    OBJECTIVE: This study aims to evaluate the costs and outcomes of offering the 10-valent pneumococcal conjugate vaccine (PCV10) and 13-valent pneumococcal conjugate vaccine (PCV13) in Thailand compared to the current situation of no PCV vaccination. METHODS: Two vaccination schedules were considered: two-dose primary series plus a booster dose (2+1) and three-dose primary series plus a booster dose (3+1). A cost-utility analysis was conducted using a societal perspective. A Markov simulation model was used to estimate the relevant costs and health outcomes for a lifetime horizon. Costs were collected and values were calculated for the year 2010. The results were reported as incremental cost-effectiveness ratios (ICERs) in Thai Baht (THB) per quality adjusted life year (QALY) gained, with future costs and outcomes being discounted at 3% per annum. One-way sensitivity analysis and probabilistic sensitivity analysis using a Monte Carlo simulation were performed to assess parameter uncertainty. RESULTS: Under the base case-scenario of 2+1 dose schedule and a five-year protection, without indirect vaccine effects, the ICER for PCV10 and PCV13 were THB 1,368,072 and THB 1,490,305 per QALY gained, respectively. With indirect vaccine effects, the ICER of PCV10 was THB 519,399, and for PCV13 was THB 527,378. The model was sensitive to discount rate, the change in duration of vaccine protection and the incidence of pneumonia for all age groups. CONCLUSIONS: At current prices, PCV10 and PCV13 are not cost-effective in Thailand. Inclusion of indirect vaccine effects substantially reduced the ICERs for both vaccines, but did not result in cost effectiveness.