The cost of treating paediatric malaria admissions and the potential impact of insecticide‐treated mosquito nets on hospital expenditure

Kirigia, J. M.; Snow, Robert W.; Fox-Rushby, Julia; Mills, Anne

doi:10.1046/j.1365-3156.1998.00204.x

Cited by 27 publications

(22 citation statements)

References 3 publications

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“…Cost per case in Nouna district hospital are comparable to what was found in similar settings in Senegal and Kenya [6][7][8]. However, this should not mislead the management to assume that the situation in Nouna hospital is sound.…”

Section: Discussionsupporting

confidence: 58%

“…Compared with the magnitude of studies on the epidemiology of Malaria in SSA, the number of studies focusing on the cost of this disease in hospitals is extremely low. Provider's cost per paediatric inpatient were estimated at 86 US$ (user fees 43 US$) in a tertiary hospital in Senegal for the year 1996/97 [6] and at 57 to 105 US$ in a district hospital and 33 to 44 US$ a sub-district hospital in Kenya for the year 1993/94 [7]. Recently, Ayieko et al [8] estimated provider's cost of treating paediatric Malaria in district hospitals in Kenya between 47 and 75 US$ for the year 2005 without distinction between mild and severe cases.…”

Section: Introductionmentioning

confidence: 99%

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Costing of Malaria treatment in a rural district hospital

Koné¹,

Marschall²,

Fleßa³

2010

Health

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Objective: It is the aim of this paper to estimate the provider's cost of treating paediatric cases of Malaria in a rural African hospital. Furthermore, we intend to give some insights into the possibilities of improving the efficiency of treating children with this disease in order to support policy makers in the resource allocation process. Methods: The cost analysis was done in the district hospital of Nouna, Burkina Faso. Based on a comprehensive cost-of-illness information system, the cost of treating paediatric Malaria in the district hospital in the year 2005 were estimated using a combination of topdown and activity-based costing. It divides the entire treatment process into a set of activities along the clinical pathway and allocates monetary values for the resource consumption to each activity. Results: The average actual provider's cost were 6.74 US$ for a paediatric outpatient with Malaria, 61.08 US$ for a paediatric Malaria inpatient with anaemia and, respectively 74.29 US$ for a case of paediatric Malaria with neurological affection. 54% of the cost was due to laboratory work. This high unit cost was mainly due to a severe underutilisation of the hospital capacity. The current cost recovery rate per case was between 18% and 43%. It would be between 32% and 73% if the occupancy increased to 80%. Conclusion: The paper demonstrates that detailed costing is possible in a district hospital in rural Africa. The unit cost seems to be extra-ordinary high and the share of laboratory cost is tremendous. However, this is mainly due to a very strong underutilisation of the existing capacities. This fact calls for intensive efforts of the management of the institution to attract more patients by improving the quality of services and in particular the satisfaction of the patients.

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Section: Discussionsupporting

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Costing of Malaria treatment in a rural district hospital

Koné¹,

Marschall²,

Fleßa³

2010

Health

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“…Malaria parasites, P. falciparum in particular, are highly pathogenic in humans and cause an immense public health burden, especially in sub-Saharan Africa (1,2). Each year, millions of affected people attend clinics, health centres and hospitals throughout the tropics(3), placing a huge financial constraint upon both the individuals themselves and healthcare infrastructures that serve them (4,5). The prevalence and incidence of malaria infection, morbidity and mortality is dictated by both the ecology of the mosquito vectors and the dynamics of infection within the human populations (1,6,7).…”

Section: Introductionmentioning

confidence: 99%

Infectivity of <i>Plasmodium falciparum</i> gametocytes in patients attending rural health centres in western Kenya

Gouagna

Okech²,

Kabiru³

et al. 2004

E Af Med Jrnl

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Background: Experimentally studying the transmission of the malaria parasite and its regulating factors requires availability of human blood donors carrying infectious gametocytes. The difficulty of identifying gametocyte carriers from the community is often limited due to financial and human resources constraints. The available alternative is rural health centres where malaria patients go for treatment. In this study, the potential of recruiting volunteers and acquiring infectious blood for experimental infections from rural health centers in malaria endemic area was examined through routine patient diagnosis.

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“…The economic cost of using capital inputs consists of (i) the opportunity cost of resources invested in its purchase; and (ii) the depreciation (wear and tear). The cost of a capital input equals its replacement value (price of a new item) divided by an annuity factor (usually obtained from an annuity table) to obtain cost per year [7,9]. Indirect cost refer to monetary value of productive or leisure time lost while undergoing training.…”

Section: Methodsmentioning

confidence: 99%

“…Lets assume that the average age of emigrating doctors is 30 years [3]; retirement age is 65 years in recipient countries; an emigrant doctor would work for 35 years before retirement; and market interest rate for fixed deposits is 10% per year [7][8][9]. If the US$65,997 (i.e.…”

Section: Economic Loss Due To Emigration Of Doctorsmentioning

confidence: 99%

The cost of health-related brain drain to the WHO African Region

Kirigia¹,

Ar²,

Nyoni³

et al. 2008

African Journal of Health Sciences

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SUMMARYThe African Region continues to experience loss of a sizeable number of highly skilled health professionals (physicians, nurses, dentists and pharmacists) to Australia, North America and European Union. Past attempts to estimate cost of migration were limited to education cost only and did not include the lost returns from investment. The objective of this study was to estimate the social cost of emigration of doctors and nurses from the African Region to the developed countries. The cost information used in this study was obtained from one nonprofit primary and secondary school and one public university in Kenya. The cost estimates represent unsubsidized cost. The loss incurred by African countries through emigration is obtained by compounding the cost of educating a medical doctor and a nurse over the period between the age of emigration and the retirement age in recipient countries. The main findings were as follows: total cost of educating a single medical doctor from primary school to university is US$65,997; for every doctor that emigrates, a country loses about US$1,854,677 returns from investment; total cost of educating one nurse from primary school to college of health sciences is US$43,180; for every nurse that emigrates, a country loses about US$1,213,463 returns from investment. Developed countries continue to deprive African countries of billions of dollars worth of invaluable investments embodied in their human resources. If the current trend of poaching of scarce human resources for health (and other professionals) from African countries is not curtailed, the chances of achieving the Millennium Development Goals would remain dismal. Such continued plunder of investments embodied in human resources contributes to further underdevelopment of Africa and to keeping majority of her people in the vicious circle of poverty. Therefore, both developed and developing countries need to urgently develop and implement strategies for addressing this issue.

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The cost of treating paediatric malaria admissions and the potential impact of insecticide‐treated mosquito nets on hospital expenditure

Cited by 27 publications

References 3 publications

Costing of Malaria treatment in a rural district hospital

Costing of Malaria treatment in a rural district hospital

Infectivity of <i>Plasmodium falciparum</i> gametocytes in patients attending rural health centres in western Kenya

The cost of health-related brain drain to the WHO African Region

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