A cost-benefit analysis of typhoid fever immunization programmes in an Indian urban slum community.

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dc.contributor.authorPoulos, Christineen_US
dc.contributor.authorBahl, Rajiven_US
dc.contributor.authorWhittington, Daleen_US
dc.contributor.authorBhan, Maharaj Ken_US
dc.contributor.authorClemens, John Den_US
dc.contributor.authorAcosta, Camilo Jen_US
dc.date.accessioned2004-09-22en_US
dc.date.accessioned2009-05-27T03:50:10Z
dc.date.available2004-09-22en_US
dc.date.available2009-05-27T03:50:10Z
dc.date.issued2004-09-22en_US
dc.descriptionJournal of Health, Population, and Nutrition.en_US
dc.description.abstractMany economic analyses of immunization programmes focus on the benefits in terms of public-sector cost savings, but do not incorporate estimates of the private cost savings that individuals receive from vaccination. This paper considers the implications of Bahl et al.'s cost-of-illness estimates for typhoid immunization policy by examining how community-level incidence estimates and information on distribution of costs of illness among patients and the public-health sector can be used in the economic analysis of vaccination-programme options. The findings illustrate why typhoid vaccination programmes may often appear to be unattractive to public-health officials who adopt a public budgetary perspective. Under many plausible sets of assumptions, public-sector expenditure on typhoid vaccination does not yield comparable public-sector cost savings. If public-health officials adopt a societal perspective on the economic benefits of vaccination, there are many situations in which different vaccination programmes will make economic sense. The findings show that this is especially true when public decision-makers recognize that (a) the incidence of typhoid fever is underestimated by blood culture-positive cases and (b) avoided costs of illness represent a significant underestimate of the actual economic benefits to individuals of vaccination.en_US
dc.description.affiliationResearch Triangle Institute, Research Triangle Park, North Carolina, NC 27709, USA. cpoulos@rti.orgen_US
dc.identifier.citationPoulos C, Bahl R, Whittington D, Bhan MK, Clemens JD, Acosta CJ. A cost-benefit analysis of typhoid fever immunization programmes in an Indian urban slum community. Journal of Health, Population, and Nutrition. 2004 Sep; 22(3): 311-21en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/912
dc.language.isoengen_US
dc.source.urihttps://www.icddrb.org/pub/publication.jsp?classificationID=30&typeClassificationID=2en_US
dc.source.urihttps://www.icddrb.org/publication.cfm?classificationID=30&pubID=5634en_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshCost of Illnessen_US
dc.subject.meshCost-Benefit Analysisen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshImmunization Programs --economicsen_US
dc.subject.meshIndiaen_US
dc.subject.meshInfanten_US
dc.subject.meshInfant, Newbornen_US
dc.subject.meshMaleen_US
dc.subject.meshPoverty Areasen_US
dc.subject.meshTreatment Outcomeen_US
dc.subject.meshTyphoid Fever --economicsen_US
dc.subject.meshTyphoid-Paratyphoid Vaccines --economicsen_US
dc.subject.meshUrban Healthen_US
dc.titleA cost-benefit analysis of typhoid fever immunization programmes in an Indian urban slum community.en_US
dc.typeJournal Articleen_US
dc.typeResearch Support, Non-U.S. Gov'ten_US
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