What are the costs associated with introducing Tetanus-Diphtheria vaccine and ceasing delivery of Tetanus Toxoid vaccine in Vietnam?
This study was conducted by the Hanoi University of Public Health (HUPH) in Hanoi, Vietnam, in close collaboration with the Ministry of Health National Expanded Programme on Immunization (NEPI) as part of the Immunization Costing Action Network (ICAN). ICAN was facilitated by ThinkWell and John Snow, Inc. (JSI) and supported by the Bill & Melinda Gates Foundation.
The study found school-based delivery to be cheapest and outreach and campaign delivery to be most expensive. Study findings helped the Vietnam Ministry of Health understand the budget impact of introducing Td. When compared with the cost of the current TT program from 2018-2025, the findings showed that a cost saving of US$6.9 million could be realized if introducing Td in schools, compared with a cost saving of US$4.2 million for facility-based introduction. An additional cost of US$2.3 million would be incurred over that period if a combination of facility and outreach delivery would be used. The Ministry of Health is now piloting Td delivery through school- and facility-based strategies, leveraging the results of the costing study.
