The effects of health spending on the propagation of infectious diseases

Castro, Marcelo Araújo; Mattos, Enlinson; Patriota, Fernanda

doi:10.1002/hec.4388

Cited by 3 publications

(2 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In any case, RRMs can benefit from investments in health in same-health-region cities because health expenditures have significant spatial externalities [ 55 ]. In this sense, synergistically, the municipal health expenditure reduces the hospitalization of residents in neighboring smaller municipalities and curbs the demand for hospitals in neighboring larger municipalities [ 55 ].…”

Section: Discussionmentioning

confidence: 99%

Challenges to the provision of specialized care in remote rural municipalities in Brazil

Nunes

Santos

Carneiro

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

This case study analyses the challenges to providing specialized care in Brazilian remote rural municipalities (RRM). Interviews were conducted with managers from two Brazilian states (Piauí and Bahia). We identified that the distance between municipalities is a limiting factor for access and that significant care gaps contribute to different organizational arrangements for providing and accessing specialized care. Physicians in all the RRMs offer specialized care by direct disbursement to users or sale of procedures to managers periodically, compromising municipal and household budgets. Health regions do not meet the demand for specialized care and exacerbate the need for extensive travel. RRM managers face additional challenges for the provision of specialized care regarding the financing, implementation of cooperative arrangements, and the provision of care articulated in networks to achieve comprehensive care, seeking solutions to the locoregional specificities.

show abstract

Section: Discussionmentioning

confidence: 99%

Challenges to the provision of specialized care in remote rural municipalities in Brazil

Nunes

Santos

Carneiro

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Potential effect modifiers were obtained from literature as shown in S1 Table . The socioeconomic factors included were poverty incidence, population density, people living in urban areas, number of people per household, health expenditure, and latitude per province, which were sourced from relevant literatures [20][21][22][29][30][31][32][33][34]. The socio-economic factors used were province specific.…”

Section: Data Sourcementioning

confidence: 99%

Socio-economic factors and its influence on the association between temperature and dengue incidence in 61 Provinces of the Philippines, 2010–2019

Seposo,

Valenzuela,

Apostol

2023

PLoS Negl Trop Dis

View full text Add to dashboard Cite

Background Temperature has a significant impact on dengue incidence, however, changes on the temperature-dengue relationship across axes of socio-economic vulnerability is not well described. This study sought to determine the association between dengue and temperature in multiple locations in the Philippines and explore the effect modification by socio-economic factors. Method Nationwide dengue cases per province from 2010 to 2019 and data on temperature were obtained from the Philippines’ Department of Health–Epidemiological Bureau and ERA5-land, respectively. A generalized additive mixed model (GAMM) with a distributed lag non-linear model was utilized to examine the association between temperature and dengue incidence. We further implemented an interaction analysis in determining how socio-economic factors modify the association. All analyses were implemented using R programming. Results Nationwide temperature-dengue risk function was noted to depict an inverted U-shaped pattern. Dengue risk increased linearly alongside increasing mean temperature from 15.8 degrees Celsius and peaking at 27.5 degrees Celsius before declining. However, province-specific analyses revealed significant heterogeneity. Socio-economic factors had varying impact on the temperature-dengue association. Provinces with high population density, less people in urban areas with larger household size, high poverty incidence, higher health spending per capita, and in lower latitudes were noted to exhibit statistically higher dengue risk compared to their counterparts at the upper temperature range. Conclusions This observational study found that temperature was associated with dengue incidence, and that this association is more apparent in locations with high population density, less people in urban areas with larger household size, high poverty incidence, higher health spending per capita, and in lower latitudes. Differences with socio-economic conditions is linked with dengue risk. This highlights the need to develop interventions tailor-fit to local conditions.

show abstract

Projecting temperature-related dengue burden in the Philippines under various socioeconomic pathway scenarios

Seposo,

Valenzuela,

Apostol

et al. 2024

Front. Public Health

View full text Add to dashboard Cite

IntroductionAs climate change advances, the looming threat of dengue fever, intricately tied to rising temperatures, intensifies, posing a substantial and enduring public health challenge in the Philippines. This study aims to investigate the historical and projected excess dengue disease burden attributable to temperature to help inform climate change policies, and guide resource allocation for strategic climate change and dengue disease interventions.MethodsThe study utilized established temperature-dengue risk functions to estimate the historical dengue burden attributable to increased temperatures. Future projections were derived using Coupled Model Intercomparison Project Phase 6 (CMIP6) Shared Socioeconomic Pathway (SSP) scenarios to estimate the excess dengue burden on a national scale. Current health burden estimates were calculated by charting the attributable fraction per epidemiological week against the exponential risk function.ResultsProjections indicate a substantial increase in temperature-related dengue incidence across all SSP climate scenarios by 2100. Between 2010-2019, 72.1% of reported dengue cases in the Philippines were attributable to temperature, demonstrating that temperature is a significant driver in dengue transmission. The highest attributable fractions were observed between the warm-dry season to early rainy season (Epi Weeks 15–25). Southern, periequatorial areas, particularly those undergoing rapid urbanization, had the highest temperature-related dengue incidence.DiscussionThe findings emphasize the critical interplay between climate change and socioeconomic factors in shaping future dengue risk. By incorporating future climate scenarios and provincial-level projections, this study provides valuable insights for policy planning, early warning systems, and public health programming. Strengthening health infrastructure, promoting sustainable urban development, and implementing effective vector control measures are crucial to mitigating the future dengue burden in the Philippines.

show abstract

The effects of health spending on the propagation of infectious diseases

Cited by 3 publications

References 59 publications

Challenges to the provision of specialized care in remote rural municipalities in Brazil

Challenges to the provision of specialized care in remote rural municipalities in Brazil

Socio-economic factors and its influence on the association between temperature and dengue incidence in 61 Provinces of the Philippines, 2010–2019

Projecting temperature-related dengue burden in the Philippines under various socioeconomic pathway scenarios

Contact Info

Product

Resources

About