Lowest and highest values identified for each cost category and subcategories
| Cost category and subcategory | Lowest value, $ | Highest value, $ | |
|---|---|---|---|
| 1 | Research and development
| 100 million (Ebola, Phelps et al., 2017)
| 2 billion (generic vaccine, Oyston and Robinson, 2012)
|
| 2 | Investments in the production plant | 50 million (Facilities and equipment capitalized costs that depreciate over time, such as land, buildings, machinery, on-going costs of upkeeping repairs, maintenance and utilities, Plotkin et al., 2017) | 700 million (Facilities and equipment capitalized costs that depreciate over time, such as land, buildings, machinery, on-going costs of upkeeping repairs, maintenance and utilities, Plotkin et al., 2017) |
| 3 | Cost of goods sold (per dose) | 0.20 (Meningitis A vaccine, cost for a US vaccine manufacturer, considering volumes of 25–50 million doses annually, depending on composition, number of doses/vials and type of formulation, liquid or lyophilized, in case facilities and fill/finish lines are already available, Aguado et al., 2015) | 1.35 (Meningitis A vaccine, cost for a US vaccine manufacturer, considering volumes of 25–50 million doses annually, depending on composition, number of doses/vials and type of formulation, liquid or lyophilized, Aguado et al., 2015) |
| 4 | Delivery costs (per dose)
| 0.30 (Oral polio, mass vaccination campaign in Bangladesh, IVI 2012) 0.50 (Rotavirus, routine campaign, Senegal, Diop et al., 2015)
| 2.09 (Oral cholera, mass vaccination campaign, urban slum, Mozambique 2004, IVI 2012) 8.07 (Rural health center, routine campaign, Zambia, 2011; Schütte et al., 2015)
|
| 5 | Program preparation costs (per dose)
| 0.42 (Full immunization, Mozambique, 2003 pre-emptive vaccination, urban setting, oral cholera, Mogasale et al., 2016)
| 1.22 (Full immunization, Tanzania, 2009, pre-emptive vaccination, urban and rural settings, oral cholera, Mogasale et al., 2016)
|
| 6 | Administration costs (per dose)
| 0.65 (Oral polio vaccine program across 94 low- and middle-income countries, Portnoy et al., 2015)
| 5.51 (Rural health centers, Ghana, 2011 dollars, Le Gargasson et al., 2015)
|
| 7 | Procurement costs (per dose)
|
|
|
| 7 | Procurement costs (per dose) … …
| … …
| … …
|
| 8 | Costs borne by households (per dose) | 0.11 (Measles, economic opportunity cost corresponding to transport and time cost for households, Cravioto et al., 2012) | |
| 9 | Adverse events associated with the vaccine | No numerical estimation found for sub-Saharan Africa | |
| 4.24 (per dose survey reported cost, oral cholera vaccination, pre-emptive rural campaign, India, Mogasale et al., 2016) | 4.28 (per dose cost adjusted for country level inflation and converting to 2014 US $, oral cholera vaccination, pre-emptive rural campaign, India, Mogasale et al., 2016) | ||
| Cost category and subcategory | Lowest value, $ | Highest value, $ | |
|---|---|---|---|
| 1 | Research and development -Phase I -Phase II -Phase III | 100 million (Ebola, -0,9 million (Rotavirus – GSK, -0.1 million (Rotavirus – Merck, -0.9 million (Rotavirus – Merck, | 2 billion (generic vaccine, -126 million (Rotavirus – Merck, -3.6 million (Rotavirus – Merck, -398,5 million (Rotavirus – Merck, |
| 2 | Investments in the production plant | 50 million (Facilities and equipment capitalized costs that depreciate over time, such as land, buildings, machinery, on-going costs of upkeeping repairs, maintenance and utilities, | 700 million (Facilities and equipment capitalized costs that depreciate over time, such as land, buildings, machinery, on-going costs of upkeeping repairs, maintenance and utilities, |
| 3 | Cost of goods sold (per dose) | 0.20 (Meningitis A vaccine, cost for a US vaccine manufacturer, considering volumes of 25–50 million doses annually, depending on composition, number of doses/vials and type of formulation, liquid or lyophilized, in case facilities and fill/finish lines are already available, | 1.35 (Meningitis A vaccine, cost for a US vaccine manufacturer, considering volumes of 25–50 million doses annually, depending on composition, number of doses/vials and type of formulation, liquid or lyophilized, |
| 4 | Delivery costs (per dose) -Cold chain cost -Supply chain cost | 0.30 (Oral polio, mass vaccination campaign in Bangladesh, IVI 2012) -0.15 (Measles, catch-up campaign, -0.43 (Kenya 2012; | 2.09 (Oral cholera, mass vaccination campaign, urban slum, Mozambique 2004, IVI 2012) -5 (Malaria, -1.21 (Mozambique, |
| 5 | Program preparation costs (per dose) -Microplanning activities -Training of personnel -Community sensitization and social mobilization -Other costs | 0.42 (Full immunization, Mozambique, 2003 pre-emptive vaccination, urban setting, oral cholera, -0.040 (Measles, -0.040 (Measles, -0.05 (Full immunization, South Sudan, 2013, pre-emptive vaccination, refugee camp, rural setting, oral cholera, -0.067 (Full immunization, Mozambique, 2003, pre-emptive vaccination, urban setting, oral cholera, | 1.22 (Full immunization, Tanzania, 2009, pre-emptive vaccination, urban and rural settings, oral cholera, -0.53 (Full immunization, South Sudan, 2013, pre-emptive vaccination, refugee camp, rural setting, oral cholera, -0.53 (Full immunization, Tanzania, 2009, pre-emptive vaccination, urban and rural settings, oral cholera, -0.69 (Full immunization, Tanzania, 2009 pre-emptive vaccination, urban and rural settings, oral cholera, -0.58 (Full immunization, South Sudan, 2013, pre-emptive vaccination, refugee camp, rural setting, oral cholera, |
| 6 | Administration costs (per dose) -Materials and supplies -Personnel cost -Supervision | 0.65 (Oral polio vaccine program across 94 low- and middle-income countries, -0.05 (Syringes and safety boxes, Ethiopia, -0.05 (Estimated for 94 low- and middle-income countries, 2010 dollars, -0.006 (Supervision, monitoring and surveillance, Hepatitis B birth dose, Senegal, 2016 dollars, | 5.51 (Rural health centers, Ghana, 2011 dollars, -0.19 (Kenya, typhoid conjugate vaccines, -4.44 (Rural health centers, routine immunization in Zambia, -0.12 (Surveillance, including personnel (e.g. salaries), transport (e.g. vehicles), laboratory (e.g. microscopes) and office (e.g. buildings) and comprised recurrent and capital costs, meningitis, Niger, 2012 dollars, |
| 7 | Procurement costs (per dose) -Cholera -Rotavirus -Meningitis A -Typhoid -Yellow fever -Tuberculosis -Papilloma virus -Malaria -Measles | -1.00 (Reported price per dose of Shanchol procurement costs, -0.94 (Kenya, -0.41 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, -0.50 (Uganda, -0.65 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, -0.09 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, -3.50 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, -4.26 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, -0.19 (Ghana, | -6.70 (Dukoral oral cholera vaccination, 2009, urban and rural Tanzania, pre-emptive vaccination setting, Dollars 2014, Mogasale -7.00 (Initial price, -0.52 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, -2.91 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, -0.80 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, -0.10 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, -4.41 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, -4.85 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, -0.30 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, |
| 7 | Procurement costs (per dose) -Pneumococcal conjugate -Pentavalent -Diphtheria, tetanus, pertussis -Inactivated polio -Oral polio | … … -2.60 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, -0.79 (weighted average price in 2019, -0.15 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, -0.85 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, -0.12 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, | … … -7.00 (Ghana, -3.00 (Ghana, -0.22 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, -0.97 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, -0.13 (Ghana, |
| 8 | Costs borne by households (per dose) | 0.11 (Measles, economic opportunity cost corresponding to transport and time cost for households, | |
| 9 | Adverse events associated with the vaccine | No numerical estimation found for sub-Saharan Africa | |
| 4.24 (per dose survey reported cost, oral cholera vaccination, pre-emptive rural campaign, India, | 4.28 (per dose cost adjusted for country level inflation and converting to 2014 US $, oral cholera vaccination, pre-emptive rural campaign, India, | ||
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