Cost-benefit analysis of haemophilus influenzae vaccanation programme in Malaysia

A cross-sectional study involving five public hospitals was undertaken to examine the cost-benefit of introducing mass immunisation against Haemophillus Influenzae Type B meningitis. Out of 435 cases of clinical meningitis reported in 1995, 71 cases (16.3%) fulfilled the diagnostic criteria for meni...

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Main Authors:	Hussain, I, HM.I., Syed Aljunid, Sofiah, A., Ong, L.C., Choo, K.E., Musa,M.N., The, K.H., Ng, H.P.
Format:	Article
Published:	Department Of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia 1999
Online Access:	http://journalarticle.ukm.my/4350/ http://journalarticle.ukm.my/4350/

id	ukm-4350
recordtype	eprints
spelling	ukm-43502012-04-16T03:29:51Z http://journalarticle.ukm.my/4350/ Cost-benefit analysis of haemophilus influenzae vaccanation programme in Malaysia Hussain, I, HM.I., Syed Aljunid, Sofiah, A., Ong, L.C., Choo, K.E., Musa,M.N., The, K.H., Ng, H.P., A cross-sectional study involving five public hospitals was undertaken to examine the cost-benefit of introducing mass immunisation against Haemophillus Influenzae Type B meningitis. Out of 435 cases of clinical meningitis reported in 1995, 71 cases (16.3%) fulfilled the diagnostic criteria for meningitis. A total of 28 cases (39.4%) were due to Haemophillus influenza Type B (Hib). The average length of stay for Hib meningitis cases were 19.1 days, 10 cases (35.7%) of were admitted to ICU for ventilatory support for the average duration of 4 days. It was found that 3 (10.7%) of children with Hib meningitis died, 13 (46.4%) of them were discharged well and 12 (42.9%) developed motor deficits. In estimating the benefit of Hib immunisation programme, it is assumed that 1.2% of all paediatric admissions are due to meningitis and 50% of these meningitis cases are due to Haemophillus influenzae Type B. Only the cost of hospitalisation, cost of long-term care for those with neurological deficits and cost incurred to family during admissions are included in this study. Since the proposed programme will be corporated with the current EPI programme, except for the cost of vaccines, no additional cost was included in the calculation. The total benefits for Hib mass vaccination programme is RM 32.2 million and benefit to cost ratio is 1.09 with net benefit of RM 2.8 million. However if the number of meningitis cases detected increased by 25% and cost of vaccine is reduced by 25%, the benefit to cost ratio is estimated to be 1.82 Department Of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia 1999 Article PeerReviewed Hussain, I, and HM.I., and Syed Aljunid, and Sofiah, A., and Ong, L.C., and Choo, K.E., and Musa,M.N., and The, K.H., and Ng, H.P., (1999) Cost-benefit analysis of haemophilus influenzae vaccanation programme in Malaysia. Jurnal Kesihatan Masyarakat, 5 (1). ISSN 1675-1663 http://www.communityhealthjournal.org/detailarticle.asp?id=71&issue=Vol5(1):1999
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
description	A cross-sectional study involving five public hospitals was undertaken to examine the cost-benefit of introducing mass immunisation against Haemophillus Influenzae Type B meningitis. Out of 435 cases of clinical meningitis reported in 1995, 71 cases (16.3%) fulfilled the diagnostic criteria for meningitis. A total of 28 cases (39.4%) were due to Haemophillus influenza Type B (Hib). The average length of stay for Hib meningitis cases were 19.1 days, 10 cases (35.7%) of were admitted to ICU for ventilatory support for the average duration of 4 days. It was found that 3 (10.7%) of children with Hib meningitis died, 13 (46.4%) of them were discharged well and 12 (42.9%) developed motor deficits. In estimating the benefit of Hib immunisation programme, it is assumed that 1.2% of all paediatric admissions are due to meningitis and 50% of these meningitis cases are due to Haemophillus influenzae Type B. Only the cost of hospitalisation, cost of long-term care for those with neurological deficits and cost incurred to family during admissions are included in this study. Since the proposed programme will be corporated with the current EPI programme, except for the cost of vaccines, no additional cost was included in the calculation. The total benefits for Hib mass vaccination programme is RM 32.2 million and benefit to cost ratio is 1.09 with net benefit of RM 2.8 million. However if the number of meningitis cases detected increased by 25% and cost of vaccine is reduced by 25%, the benefit to cost ratio is estimated to be 1.82
format	Article
author	Hussain, I, HM.I., Syed Aljunid, Sofiah, A., Ong, L.C., Choo, K.E., Musa,M.N., The, K.H., Ng, H.P.,
spellingShingle	Hussain, I, HM.I., Syed Aljunid, Sofiah, A., Ong, L.C., Choo, K.E., Musa,M.N., The, K.H., Ng, H.P., Cost-benefit analysis of haemophilus influenzae vaccanation programme in Malaysia
author_facet	Hussain, I, HM.I., Syed Aljunid, Sofiah, A., Ong, L.C., Choo, K.E., Musa,M.N., The, K.H., Ng, H.P.,
author_sort	Hussain, I,
title	Cost-benefit analysis of haemophilus influenzae vaccanation programme in Malaysia
title_short	Cost-benefit analysis of haemophilus influenzae vaccanation programme in Malaysia
title_full	Cost-benefit analysis of haemophilus influenzae vaccanation programme in Malaysia
title_fullStr	Cost-benefit analysis of haemophilus influenzae vaccanation programme in Malaysia
title_full_unstemmed	Cost-benefit analysis of haemophilus influenzae vaccanation programme in Malaysia
title_sort	cost-benefit analysis of haemophilus influenzae vaccanation programme in malaysia
publisher	Department Of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia
publishDate	1999
url	http://journalarticle.ukm.my/4350/ http://journalarticle.ukm.my/4350/
first_indexed	2023-09-18T19:41:16Z
last_indexed	2023-09-18T19:41:16Z
_version_	1777405606147129344

Cost-benefit analysis of haemophilus influenzae vaccanation programme in Malaysia

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