Investigating payment coping mechanisms used for the treatment of uncomplicated malaria to different socio-economic groups in Nigeria

Investigating payment coping mechanisms used for the treatment of uncomplicated malaria to different socio-economic groups in Nigeria
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DOI:
10.4314/ahs.v15i1.6
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发表时间:
2015-01-01
影响因子:
1
通讯作者:
Adjagba, Alex
Adjagba, Alex
中科院分区:
医学4区
文献类型:
--
作者:
Etiaba, Enyi;Onwujekwe, Obinna;Adjagba, Alex

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背景资料:鉴于疟疾给尼日利亚和撒哈拉以南非洲造成的巨大经济负担,必须确定不同人口群体如何科普疟疾治疗费用。本文提供了新的信息家庭应对机制的差异疟疾treatment.Methods支出:这项研究是在两个社区在东南部尼日利亚。在疟疾咨询和治疗后,共与病人及其护理人员进行了200次离职面谈。确定了用于科普疟疾治疗费用的方法。应对机制按社会经济地位(SES)进行了分类。结果:治疗疟疾的平均支出为22.9美元,全部通过自付支付。一些家庭使用一种以上的应对方法,但没有一个家庭报告使用健康保险。结果发现,动用家庭储蓄(79.5%),其次是减少其他家庭开支(22.5%)是最常见的应对方法。其他家庭开支的减少在平均(Q4)SES组中更为普遍(p
Background: Given the enormous economic burden of malaria in Nigeria and in sub-Saharan Africa, it is important to determine how different population groups cope with payment for malaria treatment. This paper provides new information about the differences in household coping mechanisms for expenditures on malaria treatment.Methods: The study was undertaken in two communities in Southeast Nigeria. A total of 200 exit interviews were conducted with patients and their care givers after consultation and treatment for malaria. The methods that were used to cope with payments for malaria treatment expenditures were determined. The coping mechanisms were disaggregated by socio-economic status (SES).Results: The average expenditure to treat malaria was $22.9, which was all incurred through out-of-pocket payments. Some households used more than one coping method but none reported using health insurance. It was found that use of household savings (79.5%) followed by reduction in other household expenses (22.5%) were the most common coping methods. The reduction of other household expenses was significantly more prevalent with the average (Q4) SES group (p