Incorporation of private demand and herd protection into vaccine policy models: An example for cholera vaccination in Matlab, Bangladesh
by Maskery, Brian, Ph.D., THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL, 2009, 333 pages; 3387745

Abstract:

This dissertation examines cholera vaccination policy in a developing country context based on a combination of epidemiological and microeconomic data representing private demand for purchasing vaccinations, cost of illness, cost of vaccination, and herd protection impacts of vaccination. The dissertation incorporates data from Matlab, Bangladesh. Matlab’s population is subdivided into four distinct population groups based on variation in disease burden and age. Mathematical optimization is used to solve for the socially optimal prices across population groups that maximize either (1) societal net benefits; or (2) the number of DALYs saved across subject to a budget constraint. This analysis demonstrates that is optimal to charge the lowest prices to children in high incidence villages and the highest prices to adults in average incidence villages. Sensitivity analysis reveals that the use of cross-subsidies has only a small impact on program outcomes including both net societal benefits and total DALYs saved (e.g., adults who purchase vaccines in average incidence villages would pay more per vaccine to subsidize children in high incidence villages). This analysis shows that cross-subsidies may be less useful for scenarios in which the herd protection impacts of vaccination are similar across population groups.

 
AdviserDale Whittington
SchoolTHE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
SourceDAI/B 71-01, p. , Jan 2010
Source TypeDissertation
SubjectsPublic health; Epidemiology; Environmental engineering
Publication Number3387745
Adobe PDF Access the complete dissertation:
 

» Find an electronic copy at your library.
  Use the link below to access a full citation record of this graduate work:
  http://gateway.proquest.com/openurl%3furl_ver=Z39.88-2004%26res_dat=xri:pqdiss%26rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation%26rft_dat=xri:pqdiss:3387745
  If your library subscribes to the ProQuest Dissertations & Theses (PQDT) database, you may be entitled to a free electronic version of this graduate work. If not, you will have the option to purchase one, and access a 24 page preview for free (if available).

About ProQuest Dissertations & Theses
With over 2.3 million records, the ProQuest Dissertations & Theses (PQDT) database is the most comprehensive collection of dissertations and theses in the world. It is the database of record for graduate research.

The database includes citations of graduate works ranging from the first U.S. dissertation, accepted in 1861, to those accepted as recently as last semester. Of the 2.3 million graduate works included in the database, ProQuest offers more than 1.9 million in full text formats. Of those, over 860,000 are available in PDF format. More than 60,000 dissertations and theses are added to the database each year.

If you have questions, please feel free to visit the ProQuest Web site - http://www.proquest.com - or call ProQuest Hotline Customer Support at 1-800-521-3042.