A Markov model taking a health system perspective compared two measles vaccination scenarios in Kenya against a base case over ten years, adding a new birth cohort each year. Maintaining current funding, with annual coverage gains of 0.3% and 2% for first and second dose plus supplementary campaigns, was estimated to avert 213 deaths at $1,269 per DALY averted, while reaching 95% coverage for both doses averted 879 deaths at $1,093 per DALY averted. The intensified scenario was assessed as having a very high budget impact relative to Kenyan health expenditure.
Why it is interesting: It sets the modelled mortality gain from closing measles coverage gaps against what it would take from a national health budget.