A multi-country study of the economic burden of dengue fever based on patient-specific field surveys in Burkina Faso, Kenya, and Cambodia.
BACKGROUND:Dengue fever is a rapidly growing public health problem in many parts of the tropics and sub-tropics in the world. While there are existing studies on the economic burden of dengue fever in some of dengue-endemic countries, cost components are often not standardized, making cross-country...
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Online Access: | https://doi.org/10.1371/journal.pntd.0007164 https://doaj.org/article/4031817e8b1d4dfcb24a987095261f61 |
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ftdoajarticles:oai:doaj.org/article:4031817e8b1d4dfcb24a987095261f61 2023-05-15T15:17:16+02:00 A multi-country study of the economic burden of dengue fever based on patient-specific field surveys in Burkina Faso, Kenya, and Cambodia. Jung-Seok Lee Vittal Mogasale Jacqueline K Lim Sowath Ly Kang Sung Lee Sopheak Sorn Esther Andia Mabel Carabali Suk Namkung Sl-Ki Lim Valéry Ridde Sammy M Njenga Seydou Yaro In-Kyu Yoon 2019-02-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0007164 https://doaj.org/article/4031817e8b1d4dfcb24a987095261f61 EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC6394908?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0007164 https://doaj.org/article/4031817e8b1d4dfcb24a987095261f61 PLoS Neglected Tropical Diseases, Vol 13, Iss 2, p e0007164 (2019) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2019 ftdoajarticles https://doi.org/10.1371/journal.pntd.0007164 2022-12-31T16:09:32Z BACKGROUND:Dengue fever is a rapidly growing public health problem in many parts of the tropics and sub-tropics in the world. While there are existing studies on the economic burden of dengue fever in some of dengue-endemic countries, cost components are often not standardized, making cross-country comparisons challenging. Furthermore, no such studies have been available in Africa. METHODS/PRINCIPAL FINDINGS:A patient-specific survey questionnaire was developed and applied in Burkina Faso, Kenya, and Cambodia in a standardized format. Multiple interviews were carried out in order to capture the entire cost incurred during the period of dengue illness. Both private (patient's out-of-pocket) and public (non-private) expenditure were accessed to understand how the economic burden of dengue is distributed between private and non-private payers. A substantial number of dengue-confirmed patients were identified in all three countries: 414 in Burkina Faso, 149 in Kenya, and 254 in Cambodia. The average cost of illness for dengue fever was $26 (95% CI $23-$29) and $134 (95% CI $119-$152) per inpatient in Burkina Faso and Cambodia, respectively. In the case of outpatients, the average economic burden per episode was $13 (95% CI $23-$29) in Burkina Faso and $23 (95% CI $19-$28) in Kenya. Compared to Cambodia, public contributions were trivial in Burkina Faso and Kenya, reflecting that a majority of medical costs had to be directly borne by patients in the two countries. CONCLUSIONS/SIGNIFICANCE:The cost of illness for dengue fever is significant in the three countries. In particular, the current study sheds light on the potential economic burden of the disease in Burkina Faso and Kenya where existing evidence is sparse in the context of dengue fever, and underscores the need to achieve Universal Health Coverage. Given the availability of the current (CYD-TDV) and second-generation dengue vaccines in the near future, our study outcomes can be used to guide decision makers in setting health policy priorities. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 13 2 e0007164 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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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 Jung-Seok Lee Vittal Mogasale Jacqueline K Lim Sowath Ly Kang Sung Lee Sopheak Sorn Esther Andia Mabel Carabali Suk Namkung Sl-Ki Lim Valéry Ridde Sammy M Njenga Seydou Yaro In-Kyu Yoon A multi-country study of the economic burden of dengue fever based on patient-specific field surveys in Burkina Faso, Kenya, and Cambodia. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
BACKGROUND:Dengue fever is a rapidly growing public health problem in many parts of the tropics and sub-tropics in the world. While there are existing studies on the economic burden of dengue fever in some of dengue-endemic countries, cost components are often not standardized, making cross-country comparisons challenging. Furthermore, no such studies have been available in Africa. METHODS/PRINCIPAL FINDINGS:A patient-specific survey questionnaire was developed and applied in Burkina Faso, Kenya, and Cambodia in a standardized format. Multiple interviews were carried out in order to capture the entire cost incurred during the period of dengue illness. Both private (patient's out-of-pocket) and public (non-private) expenditure were accessed to understand how the economic burden of dengue is distributed between private and non-private payers. A substantial number of dengue-confirmed patients were identified in all three countries: 414 in Burkina Faso, 149 in Kenya, and 254 in Cambodia. The average cost of illness for dengue fever was $26 (95% CI $23-$29) and $134 (95% CI $119-$152) per inpatient in Burkina Faso and Cambodia, respectively. In the case of outpatients, the average economic burden per episode was $13 (95% CI $23-$29) in Burkina Faso and $23 (95% CI $19-$28) in Kenya. Compared to Cambodia, public contributions were trivial in Burkina Faso and Kenya, reflecting that a majority of medical costs had to be directly borne by patients in the two countries. CONCLUSIONS/SIGNIFICANCE:The cost of illness for dengue fever is significant in the three countries. In particular, the current study sheds light on the potential economic burden of the disease in Burkina Faso and Kenya where existing evidence is sparse in the context of dengue fever, and underscores the need to achieve Universal Health Coverage. Given the availability of the current (CYD-TDV) and second-generation dengue vaccines in the near future, our study outcomes can be used to guide decision makers in setting health policy priorities. |
format |
Article in Journal/Newspaper |
author |
Jung-Seok Lee Vittal Mogasale Jacqueline K Lim Sowath Ly Kang Sung Lee Sopheak Sorn Esther Andia Mabel Carabali Suk Namkung Sl-Ki Lim Valéry Ridde Sammy M Njenga Seydou Yaro In-Kyu Yoon |
author_facet |
Jung-Seok Lee Vittal Mogasale Jacqueline K Lim Sowath Ly Kang Sung Lee Sopheak Sorn Esther Andia Mabel Carabali Suk Namkung Sl-Ki Lim Valéry Ridde Sammy M Njenga Seydou Yaro In-Kyu Yoon |
author_sort |
Jung-Seok Lee |
title |
A multi-country study of the economic burden of dengue fever based on patient-specific field surveys in Burkina Faso, Kenya, and Cambodia. |
title_short |
A multi-country study of the economic burden of dengue fever based on patient-specific field surveys in Burkina Faso, Kenya, and Cambodia. |
title_full |
A multi-country study of the economic burden of dengue fever based on patient-specific field surveys in Burkina Faso, Kenya, and Cambodia. |
title_fullStr |
A multi-country study of the economic burden of dengue fever based on patient-specific field surveys in Burkina Faso, Kenya, and Cambodia. |
title_full_unstemmed |
A multi-country study of the economic burden of dengue fever based on patient-specific field surveys in Burkina Faso, Kenya, and Cambodia. |
title_sort |
multi-country study of the economic burden of dengue fever based on patient-specific field surveys in burkina faso, kenya, and cambodia. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2019 |
url |
https://doi.org/10.1371/journal.pntd.0007164 https://doaj.org/article/4031817e8b1d4dfcb24a987095261f61 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 13, Iss 2, p e0007164 (2019) |
op_relation |
http://europepmc.org/articles/PMC6394908?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0007164 https://doaj.org/article/4031817e8b1d4dfcb24a987095261f61 |
op_doi |
https://doi.org/10.1371/journal.pntd.0007164 |
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PLOS Neglected Tropical Diseases |
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13 |
container_issue |
2 |
container_start_page |
e0007164 |
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