Table 2

Discounted rubella vaccination costs, CRS cases, treatment costs, net Costs, DALYs averted and cost per DALY averted in 2018 US$ over 2018–2047, 93 LMICs

Discounted rubella vaccination costs, treatment costs, net costs and DALYs averted
ScenarioDiscounted*
vaccination costs
(millions)
CRS cases (000 s)CRS
treatment costs
(millions)
DALYs
(millions)
Total costs
(millions)
Base CaseUS$2908892US$398023.8US$6887
Continuing TrendsUS$4473252US$14576.6US$5931
Constant ImprovementUS$4113298US$17467.8US$5859
Intensified InvestmentUS$4611223US$12965.9US$5907
Cost per DALY averted
ScenarioComparatorNet Costs (millions)DALYs averted
(millions)
Cost per DALY averted
Continuing TrendsBase Case−US$420.89.8Dominant
Constant ImprovementContinuing TrendsUS$6.41.2US$5.3
Intensified InvestmentContinuing TrendsUS$47.61.6US$29.3
Intensified InvestmentConstant ImprovementUS$41.10.4US$101.3
  • *The costs were discounted with a discount rate of 3%. Note: the cost-effectiveness threshold for the 92 LMICs, were estimated based on cost per DALYs averted that reflect health opportunity costs on mortality of changes in health expenditures.13

  • DALYs, disability-adjusted life years; LMICs, low-income and middle-income countries.