Cost-Effectiveness and Budget Impact Analyses of Pneumococcal Vaccination in Indonesia
Table 2
Budget impact analysis of PCV13 vaccination in Indonesia.
Year
2019
2020
2021
2022
2023
2024
Province/district
NTB
NTB
Indonesia
Indonesia
Indonesia
Indonesia
Bangka Belitung
Bangka Belitung
Kota Bogor
DKI Jakarta
Kota Bekasi
Jawa Barat
Kota Surabaya
Jawa Timur
Gresik
Sidoarjo
Total provinces
4
5
34
34
34
34
Total districts
22
88
514
514
514
514
Total birth cohort
399,146
1,723,600
4,712,500
4,678,300
4,638,200
4,600,600
Total targeted population
374,866
1,618,753
4,425,837
4,393,718
4,356,057
4,323,518
Total number of vaccine required
1,180,828
5,099,072
13,941,387
13,840,212
13,721,580
13,619,082
Total introduction cost of PCV13
$198,211
$733,378
$4,187,641
$4,187,641
$4,196,448
$4,195,405
Introduction cost of PCV13 per child
$0.91
Total national healthcare budget
$4,439,025,459
$4,502,303,273
$4,566,483,106
$4,631,577,814
$4,697,600,441
$4,764,564,213
Total routine immunization budget
$377,811,070
$374,478,982
$539,164,943
$523,553,250
$574,860,622
$574,349,928
UNICEF price
Total vaccination cost of PCV13
$5,378,643
$21,880,629
$75,006,787
$74,462,451
$73,824,193
$73,272,738
Vaccination cost per child (3 doses)
$16.61
Total vaccination cost of PCV13, compared with healthcare budget (%)
0.12%
0.49%
1.64%
1.61%
1.57%
1.54%
Total vaccination cost of PCV13, compared with routine immunization budget (%)
1.42%
5.84%
13.91%
14.22%
12.84%
12.76%
Government contract price
Total vaccination cost of PCV13
$22,317,647
$96,372,460
$263,492,206
$261,580,001
$259,337,855
$257,400,644
Vaccination cost per child (3 doses)
$59.54
Total vaccination cost of PCV13, compared with healthcare budget (%)
0.50%
2.14%
5.77%
5.65%
5.52%
5.40%
Total vaccination cost of PCV13, compared with routine immunization budget (%)
5.91%
25.74%
48.87%
49.96%
45.11%
44.82%
Surviving infant x vaccination coverage, 3 doses of vaccine required + buffer stock (5%), including social mobilization/IEC, microplanning, training, supervision, and monitoring, vaccine price ($3,3 1-dose; $2,95 4-dose nationwide) + tax (10%) + import duty (5%) + forwarder (2,5%) + distribution (12%) + wastage cost (25% for 4-dose presentation), according to government contract in 2017, district, province, and national.
