The economic burden of malaria on households and the health system in a high transmission district of Mozambique
Abstract Background Malaria remains a leading cause of morbidity and mortality in Mozambique. Increased investments in malaria control have reduced the burden, but few studies have estimated the costs of malaria in the country. This paper estimates the economic costs associated with malaria care to...
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ftdoajarticles:oai:doaj.org/article:2ab73f4b7f194298b46ca69a62245233 2023-05-15T15:18:16+02:00 The economic burden of malaria on households and the health system in a high transmission district of Mozambique Sergi Alonso Carlos J. Chaccour Eldo Elobolobo Amilcar Nacima Baltazar Candrinho Abuchahama Saifodine Francisco Saute Molly Robertson Rose Zulliger 2019-11-01T00:00:00Z https://doi.org/10.1186/s12936-019-2995-4 https://doaj.org/article/2ab73f4b7f194298b46ca69a62245233 EN eng BMC http://link.springer.com/article/10.1186/s12936-019-2995-4 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-019-2995-4 1475-2875 https://doaj.org/article/2ab73f4b7f194298b46ca69a62245233 Malaria Journal, Vol 18, Iss 1, Pp 1-10 (2019) Malaria Mozambique Household costs Health system costs Economic burden Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2019 ftdoajarticles https://doi.org/10.1186/s12936-019-2995-4 2022-12-31T14:24:01Z Abstract Background Malaria remains a leading cause of morbidity and mortality in Mozambique. Increased investments in malaria control have reduced the burden, but few studies have estimated the costs of malaria in the country. This paper estimates the economic costs associated with malaria care to households and to the health system in the high burden district of Mopeia in central Mozambique. Methods Malaria care-seeking and morbidity costs were routinely collected among 1373 households with at least one child enrolled in an active case detection (ACD) cohort in Mopeia, and through cross-sectional surveys with 824 families in 2017 and 805 families in 2018. Household costs included direct medical expenses, transportation and opportunity costs of the time lost due to illness. Structured questionnaires were used to estimate the health system costs associated with malaria care in all 13 district health facilities. Cost estimations followed an ingredient-based approach with a top-down allocation approach for health system expenses. Results Among participants in cross-sectional studies, households sought care for nine severe malaria cases requiring hospital admission and for 679 uncomplicated malaria cases. Median household costs associated with uncomplicated malaria among individuals of all ages were US$ 3.46 (IQR US$ 0.07–22.41) and US$ 81.08 (IQR US$ 39.34–88.38) per severe case. Median household costs were lower among children under five (ACD cohort): US$ 1.63 (IQR US$ 0.00–7.79) per uncomplicated case and US$ 64.90 (IQR US$ 49.76–80.96) per severe case. Opportunity costs were the main source of household costs. Median health system costs associated with malaria among patients of all ages were US$ 4.34 (IQR US$ 4.32–4.35) per uncomplicated case and US$ 26.56 (IQR US$ 18.03–44.09) per severe case. Considering household and health system costs, the overall cost of malaria care to society was US$ 7.80 per uncomplicated case and US$ 107.64 per severe case, representing an economic malaria burden of US$ 332,286.24 ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 18 1 |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Malaria Mozambique Household costs Health system costs Economic burden Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Malaria Mozambique Household costs Health system costs Economic burden Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Sergi Alonso Carlos J. Chaccour Eldo Elobolobo Amilcar Nacima Baltazar Candrinho Abuchahama Saifodine Francisco Saute Molly Robertson Rose Zulliger The economic burden of malaria on households and the health system in a high transmission district of Mozambique |
topic_facet |
Malaria Mozambique Household costs Health system costs Economic burden Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Malaria remains a leading cause of morbidity and mortality in Mozambique. Increased investments in malaria control have reduced the burden, but few studies have estimated the costs of malaria in the country. This paper estimates the economic costs associated with malaria care to households and to the health system in the high burden district of Mopeia in central Mozambique. Methods Malaria care-seeking and morbidity costs were routinely collected among 1373 households with at least one child enrolled in an active case detection (ACD) cohort in Mopeia, and through cross-sectional surveys with 824 families in 2017 and 805 families in 2018. Household costs included direct medical expenses, transportation and opportunity costs of the time lost due to illness. Structured questionnaires were used to estimate the health system costs associated with malaria care in all 13 district health facilities. Cost estimations followed an ingredient-based approach with a top-down allocation approach for health system expenses. Results Among participants in cross-sectional studies, households sought care for nine severe malaria cases requiring hospital admission and for 679 uncomplicated malaria cases. Median household costs associated with uncomplicated malaria among individuals of all ages were US$ 3.46 (IQR US$ 0.07–22.41) and US$ 81.08 (IQR US$ 39.34–88.38) per severe case. Median household costs were lower among children under five (ACD cohort): US$ 1.63 (IQR US$ 0.00–7.79) per uncomplicated case and US$ 64.90 (IQR US$ 49.76–80.96) per severe case. Opportunity costs were the main source of household costs. Median health system costs associated with malaria among patients of all ages were US$ 4.34 (IQR US$ 4.32–4.35) per uncomplicated case and US$ 26.56 (IQR US$ 18.03–44.09) per severe case. Considering household and health system costs, the overall cost of malaria care to society was US$ 7.80 per uncomplicated case and US$ 107.64 per severe case, representing an economic malaria burden of US$ 332,286.24 ... |
format |
Article in Journal/Newspaper |
author |
Sergi Alonso Carlos J. Chaccour Eldo Elobolobo Amilcar Nacima Baltazar Candrinho Abuchahama Saifodine Francisco Saute Molly Robertson Rose Zulliger |
author_facet |
Sergi Alonso Carlos J. Chaccour Eldo Elobolobo Amilcar Nacima Baltazar Candrinho Abuchahama Saifodine Francisco Saute Molly Robertson Rose Zulliger |
author_sort |
Sergi Alonso |
title |
The economic burden of malaria on households and the health system in a high transmission district of Mozambique |
title_short |
The economic burden of malaria on households and the health system in a high transmission district of Mozambique |
title_full |
The economic burden of malaria on households and the health system in a high transmission district of Mozambique |
title_fullStr |
The economic burden of malaria on households and the health system in a high transmission district of Mozambique |
title_full_unstemmed |
The economic burden of malaria on households and the health system in a high transmission district of Mozambique |
title_sort |
economic burden of malaria on households and the health system in a high transmission district of mozambique |
publisher |
BMC |
publishDate |
2019 |
url |
https://doi.org/10.1186/s12936-019-2995-4 https://doaj.org/article/2ab73f4b7f194298b46ca69a62245233 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 18, Iss 1, Pp 1-10 (2019) |
op_relation |
http://link.springer.com/article/10.1186/s12936-019-2995-4 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-019-2995-4 1475-2875 https://doaj.org/article/2ab73f4b7f194298b46ca69a62245233 |
op_doi |
https://doi.org/10.1186/s12936-019-2995-4 |
container_title |
Malaria Journal |
container_volume |
18 |
container_issue |
1 |
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1766348477410836480 |