[Accepted Manuscript] Rotavirus vaccines contribute towards universal health coverage in a mixed public-private healthcare system.


Loganathan, T.; Jit, M.; Hutubessy, R.; Ng, C.W.; Lee, W.S.; Verguet, S.; (2016) [Accepted Manuscript] Rotavirus vaccines contribute towards universal health coverage in a mixed public-private healthcare system. Tropical medicine & international health. ISSN 1360-2276 DOI: https://doi.org/10.1111/tmi.12766 (In Press)

WarningThere is a more recent version of this item available.
[img]
Preview
Text - Accepted Version
License:

Download (239kB) | Preview
[img]
Preview
Text - Accepted Version
License:

Download (239kB) | Preview

Abstract

To evaluate rotavirus vaccination in Malaysia from the household's perspective. The ECEA framework quantifies the broader value of universal vaccination starting with non-health benefits such as financial risk protection and equity. These dimensions better enable decision-makers to evaluate policy on the public finance of health programs. We use an extended cost-effectiveness analysis (ECEA). The incidence, health service utilization and household expenditure related to rotavirus gastroenteritis according to national income quintiles were obtained from local data sources. Multiple birth cohorts were distributed into income quintiles and followed from birth over the first five years of life in a multi-cohort, static model. We found that the rich pay more out-of-pocket (OOP) than the poor, as the rich use more expensive private care. OOP payments among the poorest although small, are high as a proportion of household income. Rotavirus vaccination results in substantial reduction in rotavirus episodes and expenditure, and provides financial risk protection to all income groups. Poverty reduction benefits are concentrated amongst the poorest two income quintiles. We propose that universal vaccination complements health financing reforms in strengthening UHC. ECEA provides an important tool to understand the implications of vaccination for UHC, beyond traditional considerations of economic efficiency. This article is protected by copyright. All rights reserved.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
URI: http://researchonline.lshtm.ac.uk/id/eprint/3029327

Available Versions of this Item

Statistics


Download activity - last 12 months
Downloads since deposit
10Downloads
25Hits
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Impact and interest
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item