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- W2350111412 abstract "Objective To comprehensively appraise the 30-year Expanded Program on Immunization(EPI)in Zhejiang province,and to improve the resources distribution and services delivering.Methods Item apportion and field investigation in 8 counties were applied to estimate the cost of EPI,in addition,time series model(ARIMA,Autoregressive Integrated Moving Average Model) and Delphi were used to measure the effectiveness of 7 vaccine preventable diseases,including polio,measles,etc.We developed CEA(Cost Effectiveness Analysis),CBA(Cost Benefit Analysis) and CUA(Cost Utility Analysis) to appraise EPI during 1978-2007.Results Firstly,the incidence of vaccine preventable diseases and the related mortality rate were controlled at low level or even eliminated.Secondly,for 30 years of running EPI,the cumulative reduced cases and related death number of 7 diseases in Zhejiang province were about 5,645,087 and 190,748 respectively,which reached to 1.91 billion yuan in economic benefits.Thirdly,the CEA for 30 years running EPI in Zhejiang province were reducing by 67 cases and 2 related deaths per 10 thousand yuan,meanwhile,the CBA and CUA were 1∶21.31,70.63 DALY per 10 thousand yuan.Of all aspects of health economic appraisal,the prevention of measles was the most effective.Conclusion EPI produces remarkable benefits and social efficiency.We suggest the government should provide steady finance support,make sure EPI can be strengthened continuously.What's more,we should enhance immunity vaccination rate of these high cost-effectiveness diseases,such as measles,for children." @default.
- W2350111412 created "2016-06-24" @default.
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- W2350111412 date "2010-01-01" @default.
- W2350111412 modified "2023-09-23" @default.
- W2350111412 title "Health economic appraisal for 30-year expanded program on immunization in Zhejiang province" @default.
- W2350111412 hasPublicationYear "2010" @default.
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