Costs of treating childhood malaria, diarrhoea and pneumonia in rural Mozambique and Uganda
Abstract Background Globally, nearly half of all deaths among children under the age of 5 years can be attributed to malaria, diarrhoea, and pneumonia. A significant proportion of these deaths occur in sub-Saharan Africa. Despite several programmes implemented in sub-Saharan Africa, the burden of th...
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ftdoajarticles:oai:doaj.org/article:50a51a01e4f44c968de800e68150723e 2023-05-15T15:16:14+02:00 Costs of treating childhood malaria, diarrhoea and pneumonia in rural Mozambique and Uganda Neha Batura Frida Kasteng Juliao Condoane Benson Bagorogosa Ana Cristina Castel-Branco Edmound Kertho Karin Källander Seyi Soremekun Raghu Lingam Anna Vassall the inSCALE study group 2022-08-01T00:00:00Z https://doi.org/10.1186/s12936-022-04254-y https://doaj.org/article/50a51a01e4f44c968de800e68150723e EN eng BMC https://doi.org/10.1186/s12936-022-04254-y https://doaj.org/toc/1475-2875 doi:10.1186/s12936-022-04254-y 1475-2875 https://doaj.org/article/50a51a01e4f44c968de800e68150723e Malaria Journal, Vol 21, Iss 1, Pp 1-13 (2022) Costs Malaria Diarrhoea Pneumonia Mozambique Uganda Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2022 ftdoajarticles https://doi.org/10.1186/s12936-022-04254-y 2022-12-30T23:43:57Z Abstract Background Globally, nearly half of all deaths among children under the age of 5 years can be attributed to malaria, diarrhoea, and pneumonia. A significant proportion of these deaths occur in sub-Saharan Africa. Despite several programmes implemented in sub-Saharan Africa, the burden of these illnesses remains persistently high. To mobilise resources for such programmes it is necessary to evaluate their costs, costs-effectiveness, and affordability. This study aimed to estimate the provider costs of treating malaria, diarrhoea, and pneumonia among children under the age of 5 years in routine settings at the health facility level in rural Uganda and Mozambique. Methods Service and cost data was collected from health facilities in midwestern Uganda and Inhambane province, Mozambique from private and public health facilities. Financial and economic costs of providing care for childhood illnesses were investigated from the provider perspective by combining a top-down and bottom-up approach to estimate unit costs and annual total costs for different types of visits for these illnesses. All costs were collected in Ugandan shillings and Mozambican meticais. Costs are presented in 2021 US dollars. Results In Uganda, the highest number of outpatient visits were for children with uncomplicated malaria and of inpatient admissions were for respiratory infections, including pneumonia. The highest unit cost for outpatient visits was for pneumonia (and other respiratory infections) and ranged from $0.5 to 2.3, while the highest unit cost for inpatient admissions was for malaria ($19.6). In Mozambique, the highest numbers of outpatient and inpatient admissions visits were for malaria. The highest unit costs were for malaria too, ranging from $2.5 to 4.2 for outpatient visits and $3.8 for inpatient admissions. The greatest contributors to costs in both countries were drugs and diagnostics, followed by staff. Conclusions The findings highlighted the intensive resource use in the treatment of malaria and pneumonia for ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 21 1 |
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Costs Malaria Diarrhoea Pneumonia Mozambique Uganda Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Costs Malaria Diarrhoea Pneumonia Mozambique Uganda Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Neha Batura Frida Kasteng Juliao Condoane Benson Bagorogosa Ana Cristina Castel-Branco Edmound Kertho Karin Källander Seyi Soremekun Raghu Lingam Anna Vassall the inSCALE study group Costs of treating childhood malaria, diarrhoea and pneumonia in rural Mozambique and Uganda |
topic_facet |
Costs Malaria Diarrhoea Pneumonia Mozambique Uganda Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Globally, nearly half of all deaths among children under the age of 5 years can be attributed to malaria, diarrhoea, and pneumonia. A significant proportion of these deaths occur in sub-Saharan Africa. Despite several programmes implemented in sub-Saharan Africa, the burden of these illnesses remains persistently high. To mobilise resources for such programmes it is necessary to evaluate their costs, costs-effectiveness, and affordability. This study aimed to estimate the provider costs of treating malaria, diarrhoea, and pneumonia among children under the age of 5 years in routine settings at the health facility level in rural Uganda and Mozambique. Methods Service and cost data was collected from health facilities in midwestern Uganda and Inhambane province, Mozambique from private and public health facilities. Financial and economic costs of providing care for childhood illnesses were investigated from the provider perspective by combining a top-down and bottom-up approach to estimate unit costs and annual total costs for different types of visits for these illnesses. All costs were collected in Ugandan shillings and Mozambican meticais. Costs are presented in 2021 US dollars. Results In Uganda, the highest number of outpatient visits were for children with uncomplicated malaria and of inpatient admissions were for respiratory infections, including pneumonia. The highest unit cost for outpatient visits was for pneumonia (and other respiratory infections) and ranged from $0.5 to 2.3, while the highest unit cost for inpatient admissions was for malaria ($19.6). In Mozambique, the highest numbers of outpatient and inpatient admissions visits were for malaria. The highest unit costs were for malaria too, ranging from $2.5 to 4.2 for outpatient visits and $3.8 for inpatient admissions. The greatest contributors to costs in both countries were drugs and diagnostics, followed by staff. Conclusions The findings highlighted the intensive resource use in the treatment of malaria and pneumonia for ... |
format |
Article in Journal/Newspaper |
author |
Neha Batura Frida Kasteng Juliao Condoane Benson Bagorogosa Ana Cristina Castel-Branco Edmound Kertho Karin Källander Seyi Soremekun Raghu Lingam Anna Vassall the inSCALE study group |
author_facet |
Neha Batura Frida Kasteng Juliao Condoane Benson Bagorogosa Ana Cristina Castel-Branco Edmound Kertho Karin Källander Seyi Soremekun Raghu Lingam Anna Vassall the inSCALE study group |
author_sort |
Neha Batura |
title |
Costs of treating childhood malaria, diarrhoea and pneumonia in rural Mozambique and Uganda |
title_short |
Costs of treating childhood malaria, diarrhoea and pneumonia in rural Mozambique and Uganda |
title_full |
Costs of treating childhood malaria, diarrhoea and pneumonia in rural Mozambique and Uganda |
title_fullStr |
Costs of treating childhood malaria, diarrhoea and pneumonia in rural Mozambique and Uganda |
title_full_unstemmed |
Costs of treating childhood malaria, diarrhoea and pneumonia in rural Mozambique and Uganda |
title_sort |
costs of treating childhood malaria, diarrhoea and pneumonia in rural mozambique and uganda |
publisher |
BMC |
publishDate |
2022 |
url |
https://doi.org/10.1186/s12936-022-04254-y https://doaj.org/article/50a51a01e4f44c968de800e68150723e |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 21, Iss 1, Pp 1-13 (2022) |
op_relation |
https://doi.org/10.1186/s12936-022-04254-y https://doaj.org/toc/1475-2875 doi:10.1186/s12936-022-04254-y 1475-2875 https://doaj.org/article/50a51a01e4f44c968de800e68150723e |
op_doi |
https://doi.org/10.1186/s12936-022-04254-y |
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Malaria Journal |
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21 |
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1 |
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1766346520359075840 |