Pricing of pneumococcal vaccines under advance market commitments

摘要

In their Correspondence letter (June 27, p 2195), Gopal Dabade and Jacob Puliyel state: "Given that the vaccine costs dollar250 per child, dollar250 000 will be spent to prevent..four cases of pneumonia". In fact, the average cost to GAVI per dose of advance market commitment (AMC) vaccines is USdollar4-25 (a conservative estimate which averages the doses that will be bought at dollar7 in the AMC period and those that will be bought at maximum dollar3-50 in the tail period). Therefore the cost of vaccinating 1000 children is dollar12 750 (dollar4-25 multiplied by three doses per treatment multiplied by 1000 children), and not dollar250 000.