Table 4

Lowest and highest values identified for each cost category and subcategories

Cost category and subcategoryLowest value, $Highest value, $
1Research and development
  • -Phase I

  • -Phase II

  • -Phase III

100 million (Ebola, Phelps et al., 2017)
  • -0,9 million (Rotavirus – GSK, Light et al., 2009)

  • -0.1 million (Rotavirus – Merck, Light et al., 2009)

  • -0.9 million (Rotavirus – Merck, Light et al., 2009)

2 billion (generic vaccine, Oyston and Robinson, 2012)
  • -126 million (Rotavirus – Merck, Light et al., 2009)

  • -3.6 million (Rotavirus – Merck, Light et al., 2009)

  • -398,5 million (Rotavirus – Merck, Light et al., 2009)

2Investments in the production plant50 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)
3Cost 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)
4Delivery costs (per dose)
  • -Cold chain cost

  • -Supply chain cost

0.30 (Oral polio, mass vaccination campaign in Bangladesh, IVI 2012)
0.50 (Rotavirus, routine campaign, Senegal, Diop et al., 2015)
  • -0.15 (Measles, catch-up campaign, Cravioto et al., 2012)

  • -0.43 (Kenya 2012; Mvundura 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 (Malaria, Constenla, 2015)

  • -1.21 (Mozambique, Mvundura et al., 2015)

5Program 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, Mogasale et al., 2016)
  • -0.040 (Measles, Cravioto et al., 2012)

  • -0.040 (Measles, Cravioto et al., 2012)

  • -0.05 (Full immunization, South Sudan, 2013, pre-emptive vaccination, refugee camp, rural setting, oral cholera, Mogasale et al., 2016)

  • -0.067 (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)
  • -0.53 (Full immunization, South Sudan, 2013, pre-emptive vaccination, refugee camp, rural setting, oral cholera, Mogasale et al., 2016)

  • -0.53 (Full immunization, Tanzania, 2009, pre-emptive vaccination, urban and rural settings, oral cholera, Mogasale et al., 2016)

  • -0.69 (Full immunization, Tanzania, 2009 pre-emptive vaccination, urban and rural settings, oral cholera, Mogasale et al., 2016)

  • -0.58 (Full immunization, South Sudan, 2013, pre-emptive vaccination, refugee camp, rural setting, oral cholera, Mogasale et al., 2016)

6Administration costs (per dose)
  • -Materials and supplies

  • -Personnel cost

  • -Supervision

0.65 (Oral polio vaccine program across 94 low- and middle-income countries, Portnoy et al., 2015)
  • -0.05 (Syringes and safety boxes, Ethiopia, Memirie et al., 2020)

  • -0.05 (Estimated for 94 low- and middle-income countries, 2010 dollars, Portnoy et al., 2015)

  • -0.006 (Supervision, monitoring and surveillance, Hepatitis B birth dose, Senegal, 2016 dollars, Gosset et al., 2021)

5.51 (Rural health centers, Ghana, 2011 dollars, Le Gargasson et al., 2015)
  • -0.19 (Kenya, typhoid conjugate vaccines, Antillón et al., 2017)

  • -4.44 (Rural health centers, routine immunization in Zambia, Schü tte et al., 2015)

  • -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, Irurzun-Lopez et al., 2016)

7Procurement 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, Mogasale et al., 2016)

  • -0.94 (Kenya, Sigei et al., 2015)

  • -0.41 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, Portnoy et al., 2015)

  • -0.50 (Uganda, Carias et al., 2015)

  • -0.65 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, Portnoy et al., 2015)

  • -0.09 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, Portnoy et al., 2015)

  • -3.50 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, Portnoy et al., 2015)

  • -4.26 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, Portnoy et al., 2015)

  • -0.19 (Ghana, Le Gargasson et al., 2015)

… …
  • -6.70 (Dukoral oral cholera vaccination, 2009, urban and rural Tanzania, pre-emptive vaccination setting, Dollars 2014, Mogasale et al., 2016)

  • -7.00 (Initial price, Atherly et al., 2009)

  • -0.52 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, Portnoy et al., 2015)

  • -2.91 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, Portnoy et al., 2015)

  • -0.80 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, Portnoy et al., 2015)

  • -0.10 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, Portnoy et al., 2015)

  • -4.41 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, Portnoy et al., 2015)

  • -4.85 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, Portnoy et al., 2015)

  • -0.30 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, Portnoy et al., 2015)

… …
7Procurement 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, Portnoy et al., 2015)

  • -0.79 (weighted average price in 2019, UNICEF, 2018)

  • -0.15 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, Portnoy et al., 2015)

  • -0.85 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, Portnoy et al., 2015)

  • -0.12 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, Portnoy et al., 2015)

… …
  • -7.00 (Ghana, Le Gargasson et al., 2015)

  • -3.00 (Ghana, Le Gargasson et al., 2015)

  • -0.22 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, Portnoy et al., (2015) 

  • -0.97 (Average price computed for 73 GAVI countries between 2011 and 2020, US $2010, Portnoy et al., 2015)

  • -0.13 (Ghana, Le Gargasson et al., 2015)

8Costs borne by households (per dose)0.11 (Measles, economic opportunity cost corresponding to transport and time cost for households, Cravioto et al., 2012)
9Adverse events associated with the vaccineNo 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)

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