Premium
Costes económicos de la malaria epidémica en hogares de Etiopía rural
Author(s) -
Deressa Wakgari,
Hailemariam Damen,
Ali Ahmed
Publication year - 2007
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2007.01901.x
Subject(s) - malaria , environmental health , medicine , rural area , socioeconomics , public health , demography , geography , economics , nursing , immunology , pathology , sociology
Summary Objective To estimate the direct and indirect costs of malaria morbidity among communities in an epidemic area in rural Southcentral Ethiopia. Methods Community‐based cross‐sectional study of 2195 households in Adami Tulu district from October to November 2003. Treatment‐seeking behaviour, expenditure on treatment and transportation, interruption of normal activities, time lost from working and household expenditure on preventive methods were ascertained through interview. Results Of 12 225 surveyed individuals, 1748 (14.3%) reported perceived malaria during the preceding 2 weeks. 77.1% sought any form of care and 70% had recovered at the time of interview. The average treatment cost per patient at private clinics was Birr 24.00 ($2.76) and Birr 12.50 ($1.44) at public facilities. The average estimated direct cost of malaria per patient was Birr 14.00 ($1.60); the average indirect cost, Birr 35.26 ($4.08). Only 5% of all households reported any preventive expenditure in the preceding month, with a mean of Birr 0.76 ($0.09). Conclusion Malaria poses a significant economic burden on rural households and individuals both through out‐of‐pocket payment and person‐days lost. The promotion and implementation of insecticide‐treated nets would alleviate the economic consequences of the disease.