The economic burden of meningitis to households in Kassena-Nankana district of Northern Ghana.
The economic burden of meningitis to households in Kassena-Nankana district of Northern Ghana.
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DOI：
10.1371/journal.pone.0079880
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发表时间：
2013
期刊：
影响因子：
3.7
通讯作者：
Pandya R
中科院分区：
文献类型：
--
作者：
Akweongo P;Dalaba MA;Hayden MH;Awine T;Nyaaba GN;Anaseba D;Hodgson A;Forgor AA;Pandya R
估计加纳Kassena-Nankana区家庭脑膜炎的直接和间接费用。2010年至2011年期间进行了一项疾病成本调查。COI是通过对80例脑膜炎病例的回顾性分析计算的，这些病例回答了有关直接医疗费用、直接非医疗费用和最近脑膜炎事件造成的生产力损失的问题。该地区治疗脑膜炎的平均直接和间接费用为每户152.55加纳盾（101.7美元）。这相当于加纳人2009年从事非技术性有偿工作两个月的最低工资。每个脑膜炎病例使家庭失去29天的工作，因此，那些从事最低工资工作的人由于这种疾病而失去了每月76.85加纳盾（51.23美元）的最低工资。有保险的病人平均花费38.5 GH（25.67美元）的直接医疗费用，而没有保险的病人每例花费高达177.9 GH（118.6美元）。有后遗症的患者每例需额外支付22.63 GH（15.08美元）。最不贫穷的人比最贫穷的人更容易患脑膜炎。脑膜炎是一种使人衰弱但可预防的疾病，影响生活在萨赫勒地区和条件较差的人。脑膜炎治疗费用可能进一步导致这些家庭贫困。广泛的大规模疫苗接种将为家庭节省相当于175.18 GH（117美元）的费用和脑膜炎造成的损害。
To estimate the direct and indirect costs of meningitis to households in the Kassena-Nankana District of Ghana. A Cost of illness (COI) survey was conducted between 2010 and 2011. The COI was computed from a retrospective review of 80 meningitis cases answers to questions about direct medical costs, direct non-medical costs incurred and productivity losses due to recent meningitis incident. The average direct and indirect costs of treating meningitis in the district was GH¢152.55 (US$101.7) per household. This is equivalent to about two months minimum wage earned by Ghanaians in unskilled paid jobs in 2009. Households lost 29 days of work per meningitis case and thus those in minimum wage paid jobs lost a monthly minimum wage of GH¢76.85 (US$51.23) due to the illness. Patients who were insured spent an average of GH¢38.5 (US$25.67) in direct medical costs whiles the uninsured patients spent as much as GH¢177.9 (US$118.6) per case. Patients with sequelae incurred additional costs of GH¢22.63 (US$15.08) per case. The least poor were more exposed to meningitis than the poorest. Meningitis is a debilitating but preventable disease that affects people living in the Sahel and in poorer conditions. The cost of meningitis treatment may further lead to impoverishment for these households. Widespread mass vaccination will save households' an equivalent of GH¢175.18 (US$117) and impairment due to meningitis.
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