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Table 2 Parameter values including range used in sensitivity analysis

From: Strategies for the prevention of perinatal hepatitis B transmission in a marginalized population on the Thailand-Myanmar border: a cost-effectiveness analysis

Parameter

Base value

Low value

High value

Distribution (Parametersa)

Source

Probability HBsAg + for all women attending SMRU clinics

0.07

0.07

0.08

Beta (490.6, 6187.1)

SMRU data with 95% CI

Probability HBeAg carrier if HBsAg+

0.34

0.29

0.39

Beta (130.1, 253.6)

SMRU data with 95% CI

Probability women receive antenatal care (attend clinic at least 7 days before delivery)

0.96

0.96

0.96

Beta (999.9, 41.4)

SMRU data with 95% CI

Probability of clinic delivery after attending antenatal care

0.90

0.90

0.91

Beta (999.9, 107.6)

SMRU data with 95% CI

Probability that newborns birthed at home after attending antenatal care will receive HBV vaccine at the clinic (present within 12 h)

0.15

0.12

0.17

Beta (94.3, 552.5)

SMRU data with 95% CI

Probability of HBV perinatal infection for HBeAg- mothers without vaccination

0.11

0.05

0.31

Beta (1.7, 13.5)

[38, 39, 41, 42] with low from [42] and high from [38]

Probability of HBV perinatal infection for HBeAg + mothers without vaccination

0.84

0.66

1.00

Beta (15.5, 2.95)

[38, 40,41,42] with low from [41] and high from [39]

Probability of HBV perinatal infection for HBeAg- mothers if given vaccine

0.07

0.00

0.13

Beta (4.1, 57.9)

[7]

Probability of HBV perinatal infection for HBeAg + mothers if given vaccine

0.34

0.21

0.43

Beta (24.3, 47.6)

[7]

Probability of HBV perinatal infection for HBsAg- mothers if given vaccine and HBIG

0.01

0.00

0.03

Beta (1.6, 159.0)

[7]

Probability of HBV perinatal infection for HBeAg + mothers if given vaccine and HBIG

0.13

0.06

0.29

Beta (3.1, 21.7)

[7]

Sensitivity of the RDT for HBsAg

0.98

0.90

1.00

Beta (24.3, 0.5)

[44] with assumed range

Specificity of the RDT for HBsAg

0.97

0.95

0.98

Beta (306.4, 9.9)

[29] with 95% CI

Sensitivity of the confirmatory test for HBeAg

1.00

0.90

1.00

Beta (40.0, 0.0)

[43] with assumed range

Specificity of the confirmatory test for HBeAg

1.00

0.90

1.00

Beta (40.0, 0.0)

[43] with assumed range

Costs

 Cost of HBV vaccinations

4.71

2.36

7.07

Gamma (16.1, 0.3)

SMRU records ±50%. Cost of single vaccination at birth plus two doses of HBV diphtheria tetanus and pertussis combined vaccine given at 2 and 6 months

 Cost of a RDT for HBsAg

1.17

0.59

1.76

Gamma (16.1, 0.1)

SMRU records ±50%

 Cost of a confirmatory test for HBeAg at local hospital

17.85

8.93

26.78

Gamma (16.1, 1.1)

SMRU records ±50%

 Cost per dose of HBIG

43.00

21.50

64.50

Gamma (16.1, 2.7)

SMRU records ±50%

  1. All costs are in 2015 United States Dollars. Confidence interval (CI)
  2. aParameters: Beta (alpha, beta), Gamma (shape, scale)