“…Each analysis used a different evaluation to determine whether the use of vaccinations was considered cost-effective, e.g. by considering the procurement of the vaccine program compared with the absence of a vaccination program [ 21 , 26 , 33 , 36 , 39 , 41 , 45 , 48 , 50 ], the coverage of the vaccine used [ 37 , 40 , 42 , 49 ], the existence of priority vaccines for specific populations [ 25 , 30 , 33 , 34 , 38 , 41 ], the efficacy of many vaccines on the market [ 23 , 24 , 29 , 35 , 41 , 43 ], and the provision of boosters following vaccination [ 34 ].…”