Cost effectiveness of human papilloma virus vaccination in low and middle income countries: a systematic review of literature.

Autor:	Silas OA; a Pathology Department, Faculty of Medical Sciences , University of Jos , Jos , Nigeria., Achenbach CJ; b Feinberg School of Medicine, Department of Medicine , Northwestern University and Center for Global Health , Chicago , IL , USA., Murphy RL; b Feinberg School of Medicine, Department of Medicine , Northwestern University and Center for Global Health , Chicago , IL , USA., Hou L; b Feinberg School of Medicine, Department of Medicine , Northwestern University and Center for Global Health , Chicago , IL , USA., Sagay SA; c Department of Obstetrics and Gynecology Faculty of Medical Sciences , University of Jos/Jos University Teaching Hospital Plateau State , Jos , Nigeria., Banwat E; d Microbiology Department, Faculty of Medical Sciences , University of Jos/Jos University Teaching Hospital Plateau State , Jos , Nigeria., Adoga AA; e Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medical Sciences , University of Jos/Jos University Teaching Hospital Plateau State , Jos , Nigeria., Musa J; c Department of Obstetrics and Gynecology Faculty of Medical Sciences , University of Jos/Jos University Teaching Hospital Plateau State , Jos , Nigeria., French DD; b Feinberg School of Medicine, Department of Medicine , Northwestern University and Center for Global Health , Chicago , IL , USA.
Jazyk:	angličtina
Zdroj:	Expert review of vaccines [Expert Rev Vaccines] 2018 Jan; Vol. 17 (1), pp. 91-98. Date of Electronic Publication: 2017 Dec 06.
DOI:	10.1080/14760584.2018.1411195
Abstrakt:	Introduction: Low and middle income countries (LMICs) bear more than 50% of the current cervical cancer burden over the last decade with linkages to lack of HPV vaccination, high levels of poverty, illiteracy and nonexistent or poor screening programs. Governments of LMICs need enough convincing evidence that HPV vaccination will be more cost-effective in reducing the scourge of cervical cancer. Areas Covered: A systematic review to identify suitable studies from MEDLINE(via PubMed), EMBASE and Electronic search through GOOGLE for original and review articles from 2007 to 2014 on cost-effectiveness of human papilloma virus vaccination of pre-adolescent girls in LMICs was conducted. A total of 19 full articles were finally selected and reviewed after screening out those not consistent with the inclusion and exclusion criteria. Expert Commentary: Most studies on cost-effectiveness of HPV vaccine in LMICs show that lowering cost of HPV vaccination with or without Pap smear screening is cost-effective in areas with high incidence of cervical cancer.
Databáze:	MEDLINE
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