American Journal of Preventive Medicine
June 2016 Volume 50, Issue 6, p677-810, e163-e194
http://www.ajpmonline.org/current
Research Articles
Cost Effectiveness of HIV Prevention Interventions in the U.S.
Feng Lin, Paul G. Farnham, Ram K. Shrestha, Jonathan Mermin, Stephanie L. Sansom
p699–708
Published online: March 2 2016
Preview
The purpose of this study was to assess and compare the cost effectiveness of current HIV prevention interventions in the U.S. using a consistent, standardized methodology.

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Guide to Community Preventive Services
Increasing Coverage of Appropriate Vaccinations: A Community Guide Systematic Economic Review
Verughese Jacob, Sajal K. Chattopadhyay, David P. Hopkins, Jennifer Murphy Morgan, Adesola A. Pitan, John M. Clymer, Community Preventive Services Task Force
p797–808
Published online: February 1 2016
Abstract
Context
Population-level coverage for immunization against many vaccine-preventable diseases remains below optimal rates in the U.S. The Community Preventive Services Task Force recently recommended several interventions to increase vaccination coverage based on systematic reviews of the evaluation literature. The present study provides the economic results from those reviews.
Evidence acquisition
A systematic review was conducted (search period, January 1980 through February 2012) to identify economic evaluations of 12 interventions recommended by the Task Force. Evidence was drawn from included studies; estimates were constructed for the population reach of each strategy, cost of implementation, and cost per additional vaccinated person because of the intervention. Analyses were conducted in 2014.
Evidence synthesis
Reminder systems, whether for clients or providers, were among the lowest-cost strategies to implement and the most cost effective in terms of additional people vaccinated. Strategies involving home visits and combination strategies in community settings were both costly and less cost effective. Strategies based in settings such as schools and MCOs that reached the target population achieved additional vaccinations in the middle range of cost effectiveness.
Conclusions
The interventions recommended by the Task Force differed in reach, cost, and cost effectiveness. This systematic review presents the economic information for 12 effective strategies to increase vaccination coverage that can guide implementers in their choice of interventions to fit their local needs, available resources, and budget.