{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:45:42Z","timestamp":1777898742923,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T00:00:00Z","timestamp":1717459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The Federated States of Micronesia (FSM) experience periodic outbreaks of vaccine-preventable diseases. Our objective was to assess the cost-effectiveness of routine outreach and catch-up campaign strategies for increasing vaccination coverage for the measles, mumps, and rubella (MMR) vaccine among children aged 12 months through 6 years in Chuuk, FSM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We used a cost-effectiveness model to assess 4 MMR vaccination strategies from a public health perspective: routine outreach conducted 4 times per year (quarterly routine outreach), routine outreach conducted 2 times per year (biannual routine outreach), catch-up campaigns conducted once per year (annual catch-up campaign), and catch-up campaigns conducted every 2 years with quarterly routine outreach in non\u2013catch-up campaign years (status quo). We calculated costs and outcomes during a 5-year model horizon and summarized results as incremental cost-effectiveness ratios. We analyzed the following public health outcomes: additional protected person-month (PPM), doses administered and protected people (ie, a child who completed a 2-dose MMR series). We conducted 1-way sensitivity analyses to evaluate the stability of incremental cost-effectiveness ratios and to identify influential model inputs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among the 4 MMR vaccination strategies, quarterly routine outreach was the most effective and most expensive strategy, and biannual routine outreach was the least expensive and least effective strategy. Quarterly routine outreach (vs status quo) yielded approximately an additional 7001 PPMs and 132 vaccine doses administered, with incremental costs of about $4 per PPM, $193 per dose administered, and $123 per protected person.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Routine outreach and catch-up campaign vaccination strategies can be important interventions to improve health in Chuuk, FSM. More frequent routine outreach events could improve MMR coverage and reduce the likelihood of outbreaks of vaccine-preventable diseases such as measles and mumps.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00333549241249672","type":"journal-article","created":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T08:01:23Z","timestamp":1717488083000},"page":"48-56","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Cost-Effectiveness Analysis of Routine Outreach and Catch-Up Campaign Strategies for Measles, Mumps, and Rubella Vaccination in Chuuk, Federated States of Micronesia"],"prefix":"10.1177","volume":"140","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8977-2052","authenticated-orcid":false,"given":"Mehreen","family":"Meghani","sequence":"first","affiliation":[{"name":"National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamison","family":"Pike","sequence":"additional","affiliation":[{"name":"National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Tippins","sequence":"additional","affiliation":[{"name":"National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew J.","family":"Leidner","sequence":"additional","affiliation":[{"name":"National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,6,4]]},"reference":[{"key":"bibr1-00333549241249672","unstructured":"Centers for Disease Control and Prevention. Measles (Rubeola). For healthcare providers. Clinical features. Diagnosing and treating measles. November 5, 2020. Accessed January 10, 2022. https:\/\/www.cdc.gov\/measles\/hcp\/index.html"},{"key":"bibr2-00333549241249672","unstructured":"Centers for Disease Control and Prevention. Measles (Rubeola). Questions about measles. November 5, 2020. Accessed October 1, 2023. https:\/\/www.cdc.gov\/measles\/about\/faqs.html"},{"key":"bibr3-00333549241249672","unstructured":"World Health Organization. Measles vaccines: WHO position paper\u2014April 2017. Weekly Epidemiol Rec. 2017;92(17):205-228. Accessed January 10, 2022. http:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/255149\/WER9217.pdf;jsessionid=34A0EB3DF992FA7876BC3ED10A274609?sequence=1"},{"key":"bibr4-00333549241249672","unstructured":"World Health Organization. Immunization coverage. Fact sheet. July 10, 2023. Accessed November 17, 2023. https:\/\/www.who.int\/mediacentre\/factsheets\/fs378\/en"},{"key":"bibr5-00333549241249672","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7045a1"},{"key":"bibr6-00333549241249672","unstructured":"Federated States of Micronesia. Office of Statistics, Budget and Economic Management, Overseas Development Assistance, and Compact Management (SBOC). Micronesia population and housing census. Total population by age group. 2010. Accessed June 20, 2023. https:\/\/ghdx.healthdata.org\/organizations\/office-statistics-budget-and-economic-management-overseas-development-assistance-and"},{"key":"bibr7-00333549241249672","unstructured":"US Department of the Interior. Compacts of free association. 1849. Accessed January 10, 2022. https:\/\/www.doi.gov\/oia\/compacts-of-free-association"},{"key":"bibr8-00333549241249672","unstructured":"World Health Organization. Vaccination schedule for Micronesia (Federated States of Micronesia). 2024. Accessed October 31, 2023. https:\/\/immunizationdata.who.int\/pages\/schedule-by-country\/fsm.html?DISEASECODE=&TARGETPOP_GENERAL="},{"key":"bibr9-00333549241249672","unstructured":"US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health. Overview of the state\u2014Federated States of Micronesia. 2023. Accessed October 1, 2023. https:\/\/mchb.tvisdata.hrsa.gov\/Narratives\/Overview\/4cb122c1-e9f3-4e3d-908f-820b070e0577"},{"key":"bibr10-00333549241249672","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6720a3"},{"key":"bibr11-00333549241249672","unstructured":"World Health Organization. Health advisory: risk of measles importation to Pacific Islands. September 26, 2019. Accessed August 20, 2022. https:\/\/www.who.int\/westernpacific\/about\/how-we-work\/pacific-support\/news\/detail\/26-09-2019-health-advisory-risk-of-measles-importation-to-pacific-islands"},{"key":"bibr12-00333549241249672","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6438a7"},{"key":"bibr13-00333549241249672","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2017.08.075"},{"key":"bibr14-00333549241249672","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2017.1329968"},{"key":"bibr15-00333549241249672","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2017.10.001"},{"key":"bibr16-00333549241249672","volume-title":"Target Outcomes, Performance Measures, and Reporting. Internal Document","author":"Chuuk State Immunization Program","year":"2018"},{"key":"bibr17-00333549241249672","volume-title":"National Immunization Program. Catch-up Campaign Costs. Internal document","author":"Federated States of Micronesia","year":"2019"},{"key":"bibr18-00333549241249672","doi-asserted-by":"publisher","DOI":"10.1093\/oso\/9780195148978.001.0001"},{"key":"bibr19-00333549241249672","unstructured":"FRED Economic Data. Prices: consumer price index for Federated States of Micronesia. May 2, 2023. Accessed February 20, 2024. https:\/\/fred.stlouisfed.org\/series\/FSMPCPIPCPPPT"},{"key":"bibr20-00333549241249672","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyw111"},{"key":"bibr21-00333549241249672","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2019.08.050"},{"key":"bibr22-00333549241249672","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jir131"},{"key":"bibr23-00333549241249672","unstructured":"Kroger AT, Bahta L, Long S, Sanchez P, Advisory Committee on Immunization Practices (ACIP). General best practice guidelines for immunization. Accessed April 3, 2024. https:\/\/www.cdc.gov\/vaccines\/hcp\/acip-recs\/general-recs\/downloads\/general-recs.pdf"}],"container-title":["Public Health Reports\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00333549241249672","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00333549241249672","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00333549241249672","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T09:39:42Z","timestamp":1777628382000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00333549241249672"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,4]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1177\/00333549241249672"],"URL":"https:\/\/doi.org\/10.1177\/00333549241249672","relation":{},"ISSN":["0033-3549","1468-2877"],"issn-type":[{"value":"0033-3549","type":"print"},{"value":"1468-2877","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,4]]}}}