Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso.
Background Snakebite has become better recognized as a significant cause of death and disability in Sub-Saharan Africa, but the health economic consequences to victims and health infrastructures serving them remain poorly understood. This information gap is important as it provides an evidence-base...
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ftdoajarticles:oai:doaj.org/article:20f5b4d860b8427fa2cbb549626f8f8f 2023-05-15T15:15:22+02:00 Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso. Sayem Ahmed Guibehi B Koudou Maïwenn Bagot François Drabo Windtaré R Bougma Caisey Pulford Moses Bockarie Robert A Harrison 2021-06-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0009464 https://doaj.org/article/20f5b4d860b8427fa2cbb549626f8f8f EN eng Public Library of Science (PLoS) https://doi.org/10.1371/journal.pntd.0009464 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0009464 https://doaj.org/article/20f5b4d860b8427fa2cbb549626f8f8f PLoS Neglected Tropical Diseases, Vol 15, Iss 6, p e0009464 (2021) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.1371/journal.pntd.0009464 2022-12-31T11:13:25Z Background Snakebite has become better recognized as a significant cause of death and disability in Sub-Saharan Africa, but the health economic consequences to victims and health infrastructures serving them remain poorly understood. This information gap is important as it provides an evidence-base guiding national and international health policy decision making on the most cost-effective interventions to better manage snakebite. Here, we assessed hospital-based data to estimate the health economic burden of snakebite in three regions of Burkina Faso (Centre-Ouest, Hauts Bassins and Sud-Ouest). Methodology Primary data of snakebite victims admitted to regional and district health facilities (eg, number of admissions, mortality, hospital bed days occupied) was collected in three regions over 17 months in 2013/14. The health burden of snakebite was assessed using Disability-Adjusted Life Years (DALYs) calculations based upon hospitalisation, mortality and disability data from admitted patients amongst other inputs from secondary sources (eg, populations, life-expectancy and age-weighting constants). An activity-based costing approach to determine the direct cost of snake envenoming included unit costs of clinical staff wages, antivenom, supportive care and equipment extracted from context-relevant literature. Findings The 10,165 snakebite victims admitted to hospital occupied 28,164 hospital bed days over 17 months. The annual rate of hospitalisation and mortality of admitted snakebite victims was 173 and 1.39/100,000 population, respectively. The estimated annual (i) DALYs lost was 2,153 (0.52/1,000) and (ii) cost to hospitals was USD 506,413 (USD 49/hospitalisation) in these three regions of Burkina Faso. These costs appeared to be influenced by the number of patients receiving antivenom (10.90% in total) in each area (highest in Sud-Ouest) and the type of health facility. Conclusion The economic burden of snake envenoming is primarily shouldered by the rural health centres closest to snakebite ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 15 6 e0009464 |
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Directory of Open Access Journals: DOAJ Articles |
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English |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Sayem Ahmed Guibehi B Koudou Maïwenn Bagot François Drabo Windtaré R Bougma Caisey Pulford Moses Bockarie Robert A Harrison Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Background Snakebite has become better recognized as a significant cause of death and disability in Sub-Saharan Africa, but the health economic consequences to victims and health infrastructures serving them remain poorly understood. This information gap is important as it provides an evidence-base guiding national and international health policy decision making on the most cost-effective interventions to better manage snakebite. Here, we assessed hospital-based data to estimate the health economic burden of snakebite in three regions of Burkina Faso (Centre-Ouest, Hauts Bassins and Sud-Ouest). Methodology Primary data of snakebite victims admitted to regional and district health facilities (eg, number of admissions, mortality, hospital bed days occupied) was collected in three regions over 17 months in 2013/14. The health burden of snakebite was assessed using Disability-Adjusted Life Years (DALYs) calculations based upon hospitalisation, mortality and disability data from admitted patients amongst other inputs from secondary sources (eg, populations, life-expectancy and age-weighting constants). An activity-based costing approach to determine the direct cost of snake envenoming included unit costs of clinical staff wages, antivenom, supportive care and equipment extracted from context-relevant literature. Findings The 10,165 snakebite victims admitted to hospital occupied 28,164 hospital bed days over 17 months. The annual rate of hospitalisation and mortality of admitted snakebite victims was 173 and 1.39/100,000 population, respectively. The estimated annual (i) DALYs lost was 2,153 (0.52/1,000) and (ii) cost to hospitals was USD 506,413 (USD 49/hospitalisation) in these three regions of Burkina Faso. These costs appeared to be influenced by the number of patients receiving antivenom (10.90% in total) in each area (highest in Sud-Ouest) and the type of health facility. Conclusion The economic burden of snake envenoming is primarily shouldered by the rural health centres closest to snakebite ... |
format |
Article in Journal/Newspaper |
author |
Sayem Ahmed Guibehi B Koudou Maïwenn Bagot François Drabo Windtaré R Bougma Caisey Pulford Moses Bockarie Robert A Harrison |
author_facet |
Sayem Ahmed Guibehi B Koudou Maïwenn Bagot François Drabo Windtaré R Bougma Caisey Pulford Moses Bockarie Robert A Harrison |
author_sort |
Sayem Ahmed |
title |
Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso. |
title_short |
Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso. |
title_full |
Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso. |
title_fullStr |
Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso. |
title_full_unstemmed |
Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso. |
title_sort |
health and economic burden estimates of snakebite management upon health facilities in three regions of southern burkina faso. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2021 |
url |
https://doi.org/10.1371/journal.pntd.0009464 https://doaj.org/article/20f5b4d860b8427fa2cbb549626f8f8f |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 15, Iss 6, p e0009464 (2021) |
op_relation |
https://doi.org/10.1371/journal.pntd.0009464 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0009464 https://doaj.org/article/20f5b4d860b8427fa2cbb549626f8f8f |
op_doi |
https://doi.org/10.1371/journal.pntd.0009464 |
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PLOS Neglected Tropical Diseases |
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15 |
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6 |
container_start_page |
e0009464 |
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