Decision-making on malaria vaccine introduction: the role of cost-effectiveness analysis

As highlighted earlier, cost–effectiveness is only one criterion among many that influence decision-making in public health. When deciding to implement an intervention, efficiency must always be balanced with other criteria, including implementation capacity, feasibility and impact on poverty and equity.14 In the case of RTS,S/AS01, WHO will provide an updated cost–effectiveness assessment in 2015, at the time when decision-making by countries will be necessary. The status of the field of malaria vaccine cost–effectiveness does not yet support the use of simple, national-level vaccine impact or cost–effectiveness tools by country programmes.