Evidence map›Paper›PMID 41059446›Full record

ArticleJournal of global health economics and policy2025

Cost-effectiveness of respiratory syncytial virus prevention strategies in Mozambique: a modelling study.

Esperança L Guimarães, Neele Rave, Assucênio Chissaque, Braiton Maculuve, Tufária Mussá, Cesar Palha, Farina L Shaaban, Louis J Bont, Clint Pecenka, Nilsa de Deus and 2 more

Abstract read
In one paragraph

Article in Journal of global health economics and policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Esperança L GuimarãesInstituto Nacional de Saúde, Marracuene district3943, Maputo, Mozambique.ORCID 0000-0003-3402-7597
Neele RaveDepartment of Paediatrics, University Medical Centre Utrecht, Utrecht, The Netherlands.
Assucênio ChissaqueInstituto Nacional de Saúde, Marracuene district3943, Maputo, Mozambique.
Braiton MaculuveMinistério da Saúde, Maputo, Mozambique.
Tufária MussáUniversidade Eduardo Mondlane-Faculdade de Medicina, Maputo, Mozambique.
Cesar PalhaUniversidade Eduardo Mondlane-Faculdade de Medicina, Maputo, Mozambique.
Farina L ShaabanDepartment of Paediatrics, University Medical Centre Utrecht, Utrecht, The Netherlands.
Louis J BontDepartment of Paediatrics, University Medical Centre Utrecht, Utrecht, The Netherlands.
Clint PecenkaCenter for Vaccine Innovation and Access, PATH, Seattle, WA, USA.
Nilsa de DeusInstituto Nacional de Saúde, Marracuene district3943, Maputo, Mozambique.
Andrew ClarkDepartment of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK.
RSV GOLD III – Health Economics Study Group

Funding

Gates Foundation INV-007610
6 · The paper itself

Abstract

Background: Respiratory syncytial virus (RSV) is a leading cause of severe acute lower respiratory infections in children. The World Health Organization recently recommended two passive RSV immunisation strategies for global use, but prices are yet to be determined in low- and middle-income countries (LMICs). Methods: We used a static cohort model to generate preliminary estimates of the potential health impact and cost-effectiveness of a maternal vaccine (RSVPreF, Abrysvo Results: Year-round administration of a maternal vaccine (USD 5/dose, 69% efficacy, 87% coverage, 6 months protection) could cost USD 80 million and prevent 4,671 RSV deaths. Year-round administration of the long-acting infant mAb (USD 5/dose, 77% efficacy, 94% coverage, 5 months protection) could cost USD 85 million and prevent 5,128 RSV deaths. Over half the cost of the respective programs would be offset by healthcare cost savings. Compared to the current status quo, the cost per DALY averted from a government perspective was USD 288 (95% uncertainty interval 140-574) for the maternal vaccine and USD 289 (95% uncertainty interval 160-583) for the mAb. At an intervention price of USD 5 per dose, the probability is around 20% that either intervention is cost-effective at a threshold of 0.4 times the national GDP per capita. Conclusions: New passive immunisation interventions have the potential to prevent a substantial number of infant deaths in Mozambique. Both interventions have the potential to be cost-effective if priced below USD 5 per dose. A seasonal strategy could further improve cost-effectiveness if feasible to implement.

Indexed as

cost-effectiveness analysislow-income countrymaternal vaccinemonoclonal antibodyRSV

Identifiers

PMID41059446
PMCPMC12499514

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.