The economic value of increasing geospatial access to tetanus toxoid immunization in Mozambique

Highlights • Tetanus is a leading cause of maternal and neonatal morbidity and mortality in LMICs. • Ensuring geographic access to tetanus toxoid (TT) immunization is vital. • We used SIGMA to quantify geographic access to TT and disease impact in Mozambique. • People must travel up to 35 km for 99%...

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Veröffentlicht in:	Vaccine 2016-07, Vol.34 (35), p.4161-4165
Hauptverfasser:	Haidari, Leila A, Brown, Shawn T, Constenla, Dagna, Zenkov, Eli, Ferguson, Marie, de Broucker, Gatien, Ozawa, Sachiko, Clark, Samantha, Lee, Bruce Y
Format:	Artikel
Sprache:	eng
Schlagworte:	Access Allergy and Immunology Catchment areas Cost control Cost of Illness Disease Female Geography Geospatial analysis Grey literature Health Services Accessibility - economics Humans Immunization Immunization Programs - economics Infant Medical Subject Headings-MeSH Mortality Mozambique Population density Pregnancy Pregnant Women Productivity Sensitivity analysis Spatial Analysis Studies Tetanus Tetanus - economics Tetanus - prevention & control Tetanus Toxoid - economics Tetanus Toxoid - supply & distribution Travel Vaccines Womens health
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Beschreibung
Zusammenfassung:	Highlights • Tetanus is a leading cause of maternal and neonatal morbidity and mortality in LMICs. • Ensuring geographic access to tetanus toxoid (TT) immunization is vital. • We used SIGMA to quantify geographic access to TT and disease impact in Mozambique. • People must travel up to 35 km for 99% of the population to reach health centers. • TT can prevent significant disease burden and costs if geographic access is improved.
ISSN:	0264-410X 1873-2518
DOI:	10.1016/j.vaccine.2016.06.065