THE SOCIOECONOMIC IMPACT OF MALARIA IN COLOMBIA AND ECUADOR
THE SOCIOECONOMIC IMPACT OF MALARIA IN COLOMBIA AND ECUADOR
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DOI：
10.1093/heapol/9.2.144
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发表时间：
1994-06-01
影响因子：
3.2
通讯作者：
KROEGER, A
中科院分区：
文献类型：
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作者：
RUIZ, W;KROEGER, A
对哥伦比亚和厄瓜多尔的三个社区进行了为期两至三个月的深入研究，这是本文件提出的经济分析的基础。在位于哥伦比亚里约纳亚的圣克鲁斯，每个疟疾病例的平均费用为17.30美元(间接费用15.80美元，直接费用1.50美元)；损失相当于最低月薪(1966年)的20.1%或5.6天工作的价值。在厄瓜多尔昆尼德州的Perla de Sade，每个疟疾病例的平均费用为10.40美元(间接费用为5.90美元，直接费用为4.50美元)；损失相当于最低月薪(1989年)的20.8%，相当于5.7天的工作。在厄瓜多尔圣洛伦索州的卡尔德隆，每个疟疾病例的平均成本为4.80美元(间接成本为3.50美元，直接成本为1.30美元)；损失相当于最低月工资(1991年)的16.0%，相当于4.4天的工作价值。这三个社区以及另外四个社区的结果表明，疟疾的主要经济影响是减少家庭劳动力(间接成本)，而减少护理和治疗的直接成本。这强调了疟疾在经济上的重要性，因为经济水平仅能维持生计的农村家庭的生存，特别是依靠维持其劳动力。
In-depth studies in three communities of Colombia and Ecuador, over a period of two to three months in each, were the basis of the economic analysis presented in this paper. In Santa Cruz, located at the rio Naya in Colombia, the average cost per case of malaria was US$17.30 (indirect costs US$15.80 and direct costs US$1.50); the loss corresponded to 20.1% of a minimum monthly wage (1966) or to a value of 5.6 days' work. In Perla de Sade, in the Canton Quininde of Ecuador, the average cost per case of malaria amounted to US$10.40 (indirect costs US$5.90 and direct costs US$4.50); the losses corresponded to 20.8% of a minimum monthly wage (1989) and to a value of 5.7 days work. In Calderon in the Canton of San Lorenzo in Ecuador, the average cost per case of malaria was US$4.80 (indirect costs US$3.50 and direct costs US$1.30); the losses corresponded to 16.0% of a minimum monthly wage (1991) with a value of 4.4 days' work.The results in these three communities, and in four additional ones, showed that the major economic impact of malaria is in the reduction of the labour force of families (indirect costs), and less so in the direct costs of care and cure. This emphasizes the economic importance of malaria because the rural familes with economies at subsistence level depend for survival particularly upon the maintenance of their labour force.