Rotavirus vaccines contribute towards universal health coverage in a mixed public–private healthcare system

Loganathan, Tharani; Jit, Mark; Hutubessy, Raymond; Ng, Chiu Wan; Lee, Way Seah; Verguet, Stéphane

doi:10.1111/tmi.12766

Cited by 4 publications

(19 citation statements)

References 44 publications

(55 reference statements)

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“…A database search identified 613 records, of which 19 articles met the eligibility criteria [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ]. Citation searching of the eligible articles further identified two articles [ 34 , 35 ].…”

Section: Resultsmentioning

confidence: 99%

“…Studies were performed in many regions of the world, with most studies conducted in Sub-Saharan African countries ( n = 8, 38%) [ 6 , 7 , 8 , 11 , 12 , 23 , 24 , 33 ], and six of them were performed in Ethiopia [ 6 , 7 , 8 , 11 , 12 , 33 ]. A large proportion of studies focused on vaccination programs in low- and middle-income countries (LMICs) ( n = 17, 81%) [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 23 , 24 , 27 , 28 , 29 , 30 , 33 , 34 , 35 ]. These studies included a total of 11 antigens, of which rotavirus was commonly evaluated ( n = 11, 52%) [ 10 , 11 , 13 , 23 , 27 , 28 , 29 , 30 , 33 , 34 , 35 ], followed by human papillomavirus (HPV) ( n = 5, 24%) [ 9 , 12 , 25 , 26 , 35 ] and Streptococcus pneumoniae ( n = 4, 19%) [ …”

Section: Resultsmentioning

confidence: 99%

“…A large proportion of studies focused on vaccination programs in low- and middle-income countries (LMICs) ( n = 17, 81%) [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 23 , 24 , 27 , 28 , 29 , 30 , 33 , 34 , 35 ]. These studies included a total of 11 antigens, of which rotavirus was commonly evaluated ( n = 11, 52%) [ 10 , 11 , 13 , 23 , 27 , 28 , 29 , 30 , 33 , 34 , 35 ], followed by human papillomavirus (HPV) ( n = 5, 24%) [ 9 , 12 , 25 , 26 , 35 ] and Streptococcus pneumoniae ( n = 4, 19%) [ 8 , 31 , 32 , 35 ]. Rotavirus vaccine was the most commonly studied in LMICs (11 out of 17 studies, 65%) [ 10 , 11 , 13 , 23 , 27 , 28 , 29 , 30 , 33 , 34 , 35 ], while HPV vaccines [ …”

Section: Resultsmentioning

confidence: 99%

“…These studies included a total of 11 antigens, of which rotavirus was commonly evaluated ( n = 11, 52%) [ 10 , 11 , 13 , 23 , 27 , 28 , 29 , 30 , 33 , 34 , 35 ], followed by human papillomavirus (HPV) ( n = 5, 24%) [ 9 , 12 , 25 , 26 , 35 ] and Streptococcus pneumoniae ( n = 4, 19%) [ 8 , 31 , 32 , 35 ]. Rotavirus vaccine was the most commonly studied in LMICs (11 out of 17 studies, 65%) [ 10 , 11 , 13 , 23 , 27 , 28 , 29 , 30 , 33 , 34 , 35 ], while HPV vaccines [ 25 , 26 ] and pneumococcal vaccination [ 31 , 32 ] (two out of four studies, 50% each) were the most commonly studied vaccines in HICs. The breakdown of antigen by income economy is shown in Table S5 in the Supplementary Materials .…”

Section: Resultsmentioning

confidence: 99%

“…Based on these data, decision-makers can better balance the efficient use of limited budgets and foster equitable access to healthcare. Health equity impact analysis has been increasingly incorporated into the economic evaluations of health technologies and public health policies, including vaccines [ 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 ]. Health equity impact analysis is conducted to estimate the distribution of impact of alternative policy options, broken down by one or more variables of concern to policymakers from an equity perspective [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Equity-Informative Economic Evaluations of Vaccines: A Systematic Literature Review

et al. 2023

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The Immunization Agenda 2030 prioritizes the populations without access to vaccines. Health equity has been increasingly incorporated into economic evaluations of vaccines to foster equitable access. Robust and standardized methods are needed to evaluate the health equity impact of vaccination programs to ensure monitoring and effective addressing of inequities. However, methods currently in place vary and potentially affect the application of findings to inform policy decision-making. We performed a systematic review by searching PubMed, Embase, Econlit, and the CEA Registry up to 15 December 2022 to identify equity-informative economic evaluations of vaccines. Twenty-one studies were included that performed health equity impact analysis to estimate the distributional impact of vaccines, such as deaths averted and financial risk protection, across equity-relevant subgroups. These studies showed that the introduction of vaccines or improved vaccination coverage resulted in fewer deaths and higher financial risk benefits in subpopulations with higher disease burdens and lower vaccination coverage—particularly poorer income groups and those living in rural areas. In conclusion, methods to incorporate equity have been evolving progressively. Vaccination programs can enhance equity if their design and implementation address existing inequities in order to provide equitable vaccination coverage and achieve health equity.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Equity-Informative Economic Evaluations of Vaccines: A Systematic Literature Review

et al. 2023

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Equity in Economic Evaluations of Early Childhood Development Interventions in Low-and Middle-Income Countries: Scoping Review

Baek

Ademi

Fisher

et al. 2023

Matern Child Health J

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Objectives This study aimed to examine how equity is integrated into economic evaluations of early childhood development interventions in low-and middle-income countries (LMICs), and to narratively synthesize the study characteristics and findings. Methods We conducted a scoping review by searching three electronic databases with terms including equity, early childhood development intervention, economic evaluation, and LMICs. Interventions that aimed to improve child cognitive, physical, language, motor, or social and emotional development through health, nutrition, security and safety, responsive caregiving, and early learning interventions between conception and age 8 years were considered. Studies published in English peer-reviewed journals in the year 2000 and later were included. Results The review included 24 cost-effectiveness studies out of 1460 identified articles based on eligibility criteria. The included studies addressed health, nutrition, social protection, and water, sanitation and hygiene interventions for child development. The common type of intervention was immunization. Mostly, equity was measured using household wealth or geographic areas, and the study findings were presented through subgroup analyses. The study settings were LMICs, but most studies were conducted by research teams from high-income countries. Overall, 63% of included studies reported that early childhood development interventions improved equity with greater intervention benefits observed in disadvantaged groups. Conclusions Consideration of equity in evaluations of early childhood interventions provides a more complete picture of cost-effectiveness, and can improve equity. Greater focus on promoting equity consideration, multi-sectoral interventions, and researchers in LMICs would support evidence-based interventions and policies to achieve equity in child development.

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Effects of public financing of essential maternal and child health interventions across wealth quintiles in Nigeria: an extended cost-effectiveness analysis

Mao¹,

Watkins²,

Sabin³

et al. 2023

The Lancet Global Health

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Rotavirus vaccines contribute towards universal health coverage in a mixed public–private healthcare system

Abstract: We propose that universal vaccination complements health financing reforms in strengthening Universal Health Coverage (UHC). ECEA provides an important tool to understand the implications of vaccination for UHC, beyond traditional considerations of economic efficiency.

Cited by 4 publications

References 44 publications

Equity-Informative Economic Evaluations of Vaccines: A Systematic Literature Review

Equity-Informative Economic Evaluations of Vaccines: A Systematic Literature Review

Equity in Economic Evaluations of Early Childhood Development Interventions in Low-and Middle-Income Countries: Scoping Review

Effects of public financing of essential maternal and child health interventions across wealth quintiles in Nigeria: an extended cost-effectiveness analysis

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