Economic costs of epidemic malaria to households in rural Ethiopia
Economic costs of epidemic malaria to households in rural Ethiopia
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DOI：
10.1111/j.1365-3156.2007.01901.x
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发表时间：
2007-10-01
影响因子：
3.3
通讯作者：
Ali, Ahmed
中科院分区：
文献类型：
--
作者：
Deressa, Wakgari;Hailemariam, Damen;Ali, Ahmed
目的估算埃塞中部南部农村疟疾流行地区社区疟疾发病的直接和间接成本。方法2003年10~11月对阿达米·图图区2195户居民进行社区横断面调查。通过访谈了解就医行为、治疗和交通费用、正常活动中断、工作时间损失和家庭在预防方法上的支出。结果在12 225名被调查者中，1748人(14.3%)在前2周内感觉到疟疾。77.1%的人寻求任何形式的护理，70%的人在采访时已经康复。在私人诊所，每位病人的平均治疗费用为24.00比尔(2.76美元)，而在公共设施中，每位患者的平均治疗费用为12.50比尔(1.44美元)。每个病人平均估计的疟疾直接成本为14.00比尔(1.60美元)；平均间接成本为35.26比尔(4.08美元)。只有5%的家庭报告了前一个月的预防费用，平均为0.76(0.09美元)。结论疟疾通过自付和人日损失给农村家庭和个人带来了巨大的经济负担。推广和使用驱虫蚊帐将减轻该疾病的经济后果。
OBJECTIVE To estimate the direct and indirect costs of malaria morbidity among communities in an epidemic area in rural Soutlhcentral Ethiopia.METHODS Community-based cross-sectional study of 2195 households in Adami Tutu district from October to November 2003. Treatment-seeking behaviour, expenditure on treatment and transportation, interruption of normal activities, time lost from working and household expenditure on preventive methods were ascertained through interview.RESULTS Of 12 225 surveyed individuals, 1748 (14.3%) reported perceived malaria during the preceding 2 weeks. 77.1% sought any form of care and 70% had recovered at the time of interview. The average treatment cost per patient at private clinics was Birr 24.00 ($2.76) and Birr 12.50 ($1.44) at public facilities. The average estimated direct cost of malaria per patient was Birr 14.00 ($1.60); the average indirect cost, Birr 35.26 ($4.08). Only 5% of all households reported any preventive expenditure in the preceding month, with a mean of Birr 0.76 ($0.09).CONCLUSION Malaria poses a significant economic burden on rural households and individuals both through out-of-pocket payment and person-days lost. The promotion and implementation of insecticide-treated nets would alleviate the economic consequences of the disease.