The Economic Burden of Preterm/Very Low Birth Weight Care in Nigeria
The Economic Burden of Preterm/Very Low Birth Weight Care in Nigeria
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DOI：
10.1093/tropej/fmn107
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发表时间：
2009-08-01
影响因子：
2
通讯作者：
Akinyinka, O. O.
中科院分区：
文献类型：
--
作者：
Tongo, O. O.;Orimadegun, A. E.;Akinyinka, O. O.
极低出生体重儿的护理可能会对护理人员的专业资源和财务造成巨大负担。本研究旨在评估发展中国家极低出生体重婴儿的直接护理成本。回顾了尼日利亚伊巴丹大学学院医院存活至出院1年的24例VLBW婴儿的医院病例记录。对管理这些婴儿的自付成本进行了估计。住院治疗的总费用从211.1美元到1，573.9美元不等。直接（中位数）和间接（中位数）护理成本分别为80美元至1055美元（247.3美元）和101.0美元至1128.1美元（257.2美元）。这些分别占家庭总收入的22.8%和3966.3%（中位数133.4%）。总之，在尼日利亚，极低出生体重儿分娩的护理费用相对于经济水平而言非常高，对家庭构成了重大的经济负担。
The care of very low birth weight (VLBW) neonates may impose an enormous burden on professional resources and finances of caregivers. This study seeks to evaluate the immediate cost of care of VLBW babies in a developing economy. Twenty-four hospital case records VLBW babies who survived till discharge over a 1 year period at the University College Hospital, Ibadan, Nigeria were reviewed. Estimates of the out of pocket costs of managing these babies were calculated. The overall cost of hospital care ranged from US$211.1 to US$1573.9. The direct (median) and indirect (median) cost of care ranged from US$80 to US$1055 (US$247.3) and US$101.0 to US$1128.1 (US$257.2), respectively. These constituted 22.8% and 3966.3% (median 133.4%) of the combined family income. In conclusion, the cost of care of the VLBW deliveries in Nigeria is very high for the level of the economy and constitutes a major financial burden on the family.