Academic Journal
The economic burden of measles in children under five in Bangladesh
| العنوان: | The economic burden of measles in children under five in Bangladesh |
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| المؤلفون: | Gatien de Broucker, Sayem Ahmed, Md. Zahid Hasan, Gazi Golam Mehdi, Jorge Martin Del Campo, Md. Wazed Ali, Md. Jasim Uddin, Dagna Constenla, Bryan Patenaude |
| المصدر: | BMC Health Services Research, Vol 20, Iss 1, Pp 1-9 (2020) |
| بيانات النشر: | BMC |
| سنة النشر: | 2020 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | Economic burden, Cost of illness, Measles, Bangladesh, Caregiver cost, Public aspects of medicine, RA1-1270 |
| الوصف: | Background This study estimated the economic cost of treating measles in children under-5 in Bangladesh from the caregiver, government, and societal perspectives. Method We conducted an incidence-based study using an ingredient-based approach. We surveyed the administrative staff and the healthcare professionals at the facilities, recording their estimates supported by administrative data from the healthcare perspective. We conducted 100 face-to-face caregiver interviews at discharge and phone interviews 7 to 14 days post-discharge to capture all expenses, including time costs related to measles. All costs are in 2018 USD ($). Results From a societal perspective, a hospitalized and ambulatory case of measles cost $159 and $18, respectively. On average, the government spent $22 per hospitalized case of measles. At the same time, caregivers incurred $131 and $182 in economic costs, including $48 and $83 in out-of-pocket expenses in public and private not-for-profit facilities, respectively. Seventy-eight percent of the poorest caregivers faced catastrophic health expenditures compared to 21% of the richest. In 2018, 2263 cases of measles were confirmed, totaling $348,073 in economic costs to Bangladeshi society, with $121,842 in out-of-pocket payments for households. Conclusion The resurgence of measles outbreaks is a substantial cost for society, requiring significant short-term public expenditures, putting households into a precarious financial situation. Improving vaccination coverage in areas where it is deficient (Sylhet division in our study) would likely alleviate most of this burden. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1472-6963 |
| Relation: | http://link.springer.com/article/10.1186/s12913-020-05880-5; https://doaj.org/toc/1472-6963; https://doaj.org/article/e6cf78db91364b6c9c6d3a423726df42 |
| DOI: | 10.1186/s12913-020-05880-5 |
| الاتاحة: | https://doi.org/10.1186/s12913-020-05880-5 https://doaj.org/article/e6cf78db91364b6c9c6d3a423726df42 |
| رقم الانضمام: | edsbas.95EF6427 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 14726963 |
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| DOI: | 10.1186/s12913-020-05880-5 |