Costs and barriers faced by households seeking malaria treatment in the Upper River Region, The Gambia.
Costs and barriers faced by households seeking malaria treatment in the Upper River Region, The Gambia.
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DOI：
10.1186/s12936-021-03898-6
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发表时间：
2021-09-16
期刊：
影响因子：
3
通讯作者：
D'Alessandro U
中科院分区：
文献类型：
--
作者：
Broekhuizen H;Fehr A;Nieto-Sanchez C;Muela J;Peeters-Grietens K;Smekens T;Kalleh M;Rijndertse E;Achan J;D'Alessandro U
过去20年来，由于控制干预措施的扩大，冈比亚的疟疾传播大幅减少。然而，冈比亚东部的疟疾流行率仍然相对较高，给家庭带来健康和经济负担。本研究旨在量化在家庭层面寻求疟疾治疗的自付成本和生产力损失。通过面对面访谈进行了家庭调查。受访者被问及疟疾预防方法、求医行为以及交通、服务、食物和/或过夜住宿的费用。自下而上的成本计算方法被用来计算治疗的单位成本和tobit回归方法调查成本驱动因素。该调查包括864名受访者，主要是自给农民。大多数答复者（87%）认为疟疾是影响他们履行正常职责能力的问题。受访者更愿意去卫生机构接受治疗。不去的主要原因与费用有关; 70%的受访者因寻求医疗保健而产生费用，中位数为3.62英镑（IQR：1.73英镑至6.10英镑）。费用的主要驱动因素是住在远离主要公路和/或远离卫生设施的那些村庄之一。66%的人报告说，他们或他们的孩子在疟疾发作期间平均损失5个工作日的生产力。虽然疟疾流行率正在下降，而且免费提供治疗，但寻求治疗的家庭面临自付费用和损失的工作日，特别是在偏远村庄。
Malaria transmission in The Gambia decreased substantially over the last 20 years thanks to the scale-up of control interventions. However, malaria prevalence is still relatively high in eastern Gambia and represents both a health and a financial burden for households. This study aims to quantify the out-of-pocket costs and productivity losses of seeking malaria treatment at household level. A household survey was carried out through in-person interviews. Respondents were asked about malaria prevention methods, their treatment-seeking behaviour, and any costs incurred for transport, services, food, and/or overnight stays. A bottom-up costing approach was used to calculate the unit cost of treatment and a tobit regression approach to investigate cost drivers. The survey included 864 respondents, mainly subsistence farmers. Most respondents (87%) considered malaria to be a problem affecting their ability to perform their regular duties. Respondents preferred going to a health facility for treatment. The primary reason for not going was related to costs; 70% of respondents incurred costs for seeking health care, with a median of £3.62 (IQR: £1.73 to £6.10). The primary driver of cost was living in one of the villages that are off the main road and/or far from health facilities. 66% reported productivity loss of 5 working days on average during a malaria episode of them or their child. Although malaria prevalence is decreasing and treatment is provided free of charge, households seeking treatment are confronted with out-of-pocket expenditures and lost working days; particularly in remote villages.
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影响因子：
3
作者：
Dixit, Amruta;Lee, Ming-Chieh;Yan, Guiyun
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DOI：
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发表时间：
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期刊：
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影响因子：
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