Context
Population-level coverage for immunization against many vaccine-preventable diseases
remains below optimal rates in the U.S. The Community Preventive Services Task Force
recently recommended several interventions to increase vaccination coverage based
on systematic reviews of the evaluation literature. The present study provides the
economic results from those reviews.
Evidence acquisition
A systematic review was conducted (search period, January 1980 through February 2012)
to identify economic evaluations of 12 interventions recommended by the Task Force.
Evidence was drawn from included studies; estimates were constructed for the population
reach of each strategy, cost of implementation, and cost per additional vaccinated
person because of the intervention. Analyses were conducted in 2014.
Evidence synthesis
Reminder systems, whether for clients or providers, were among the lowest-cost strategies
to implement and the most cost effective in terms of additional people vaccinated.
Strategies involving home visits and combination strategies in community settings
were both costly and less cost effective. Strategies based in settings such as schools
and MCOs that reached the target population achieved additional vaccinations in the
middle range of cost effectiveness.
Conclusions
The interventions recommended by the Task Force differed in reach, cost, and cost
effectiveness. This systematic review presents the economic information for 12 effective
strategies to increase vaccination coverage that can guide implementers in their choice
of interventions to fit their local needs, available resources, and budget.
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Article info
Publication history
Published online: February 01, 2016
Footnotes
☆The names and affiliations of the Task Force members are at www.thecommunityguide.org/about/task-force-members.html
Identification
Copyright
Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine.
