Approximating Vaccine Delivery Costs to Reach Zero-Dose Children¶
Portnoy, A., Clarke-Deelder, E., Holroyd, T. A., Hogan, D. R., & Mengistu, T. (2025). Approximating Vaccine Delivery Costs to Reach Zero-Dose Children: A Bayesian Meta-Regression Analysis. medRxiv.
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Primes¶
- Last Mile Delivery
- The cost ratio is stark: the cost per vaccinated child in a remote district vastly exceeds the dose cost, exactly as the model predicts
This sourceEstimates a mean economic delivery cost of roughly $8.65 per dose and ~$112 to fully immunize a hard-to-reach 'zero-dose' child — far exceeding the dose cost (~$1.87/dose in routine settings) — establishing that outreach/cold-chain/staff delivery dominates cost in remote districts.
- The cost ratio is stark: the cost per vaccinated child in a remote district vastly exceeds the dose cost, exactly as the model predicts
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