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Cost-effective analysis of childhood malaria vaccination in endemic hotspots of Bangladesh

INTRODUCTION: Bangladesh has a history of endemic malaria transmission, with 17.5 million people at risk. The objective of this study was to assess the cost-effectiveness of universal childhood malaria vaccination in Chittagong Hill Tracts (CHT) of Bangladesh with newly developed RTS,S/AS01 malaria...

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Autores principales: Sarker, Abdur Razzaque, Sultana, Marufa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7259743/
https://www.ncbi.nlm.nih.gov/pubmed/32470101
http://dx.doi.org/10.1371/journal.pone.0233902
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author Sarker, Abdur Razzaque
Sultana, Marufa
author_facet Sarker, Abdur Razzaque
Sultana, Marufa
author_sort Sarker, Abdur Razzaque
collection PubMed
description INTRODUCTION: Bangladesh has a history of endemic malaria transmission, with 17.5 million people at risk. The objective of this study was to assess the cost-effectiveness of universal childhood malaria vaccination in Chittagong Hill Tracts (CHT) of Bangladesh with newly developed RTS,S/AS01 malaria vaccines. METHODS: A decision model was been developed using Microsoft® Excel to examine the potential impact of future vaccination in Bangladesh. We estimated the economic and health burden due to malaria and the cost-effectiveness of malaria vaccination from the health system and societal perspective. The primary outcomes include the incremental cost per Disability-Adjusted Life Year (DALY) averted, incremental cost per case averted, and the incremental cost per death averted. RESULTS: Introducing childhood malaria vaccination in CHT in Bangladesh for a single birth cohort could prevent approximately 500 malaria cases and at least 30 deaths from malaria during the first year of vaccination. The cost per DALY averted of introducing the malaria vaccine compared to status quo is US$ 2,629 and US$ 2,583 from the health system and societal perspective, respectively. CONCLUSIONS: Introduction of malaria vaccination in CHT region is estimated to be a cost-effective preventive intervention and would offer substantial future benefits particularly for young children vaccinated today. Policies should, thus, consider the operational advantages of targeting these populations, particularly in the CHT area, with the vaccine along with other malaria control initiatives.
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spelling pubmed-72597432020-06-08 Cost-effective analysis of childhood malaria vaccination in endemic hotspots of Bangladesh Sarker, Abdur Razzaque Sultana, Marufa PLoS One Research Article INTRODUCTION: Bangladesh has a history of endemic malaria transmission, with 17.5 million people at risk. The objective of this study was to assess the cost-effectiveness of universal childhood malaria vaccination in Chittagong Hill Tracts (CHT) of Bangladesh with newly developed RTS,S/AS01 malaria vaccines. METHODS: A decision model was been developed using Microsoft® Excel to examine the potential impact of future vaccination in Bangladesh. We estimated the economic and health burden due to malaria and the cost-effectiveness of malaria vaccination from the health system and societal perspective. The primary outcomes include the incremental cost per Disability-Adjusted Life Year (DALY) averted, incremental cost per case averted, and the incremental cost per death averted. RESULTS: Introducing childhood malaria vaccination in CHT in Bangladesh for a single birth cohort could prevent approximately 500 malaria cases and at least 30 deaths from malaria during the first year of vaccination. The cost per DALY averted of introducing the malaria vaccine compared to status quo is US$ 2,629 and US$ 2,583 from the health system and societal perspective, respectively. CONCLUSIONS: Introduction of malaria vaccination in CHT region is estimated to be a cost-effective preventive intervention and would offer substantial future benefits particularly for young children vaccinated today. Policies should, thus, consider the operational advantages of targeting these populations, particularly in the CHT area, with the vaccine along with other malaria control initiatives. Public Library of Science 2020-05-29 /pmc/articles/PMC7259743/ /pubmed/32470101 http://dx.doi.org/10.1371/journal.pone.0233902 Text en © 2020 Sarker, Sultana http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Sarker, Abdur Razzaque
Sultana, Marufa
Cost-effective analysis of childhood malaria vaccination in endemic hotspots of Bangladesh
title Cost-effective analysis of childhood malaria vaccination in endemic hotspots of Bangladesh
title_full Cost-effective analysis of childhood malaria vaccination in endemic hotspots of Bangladesh
title_fullStr Cost-effective analysis of childhood malaria vaccination in endemic hotspots of Bangladesh
title_full_unstemmed Cost-effective analysis of childhood malaria vaccination in endemic hotspots of Bangladesh
title_short Cost-effective analysis of childhood malaria vaccination in endemic hotspots of Bangladesh
title_sort cost-effective analysis of childhood malaria vaccination in endemic hotspots of bangladesh
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7259743/
https://www.ncbi.nlm.nih.gov/pubmed/32470101
http://dx.doi.org/10.1371/journal.pone.0233902
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