The cost of treatment for child pneumonias and meningitis in the Northern Areas of Pakistan

Hussain, Hamidah; Waters, Hugh; Omer, Saad B.; Khan, Aamir; Baig, Imam Yar; Mistry, Rozina; Halsey, Neal A.

doi:10.1002/hpm.847

Cited by 46 publications

(48 citation statements)

References 12 publications

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“…They divide the entire treatment process into several activities or sub-processes and calculate the total cost of a particular patient or diagnosis by adding up the cost along the clinical pathway [15]. This activity-based (or bottom-up) costing has become a standard in the developed world [16][17][18], but it is hardly applied in hospitals of developing countries as it is quite detailed and requires a degree of precision of documentation and recording that is frequently not existing in these countries [19,20].…”

Section: Methodsmentioning

confidence: 99%

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: Methodsmentioning

confidence: 99%

Costing of Malaria treatment in a rural district hospital

Koné¹,

Marschall²,

Fleßa³

2010

Health

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“…12,[17][18][19][20] The number of averted cases who would have sought treatment from various facilities was then multiplied by the country-specific cost of care at each facility, as estimated by the World Health Organization. 8,9,[21][22][23][24][25] A diagram of the analysis is available in the online Appendix. Lost Productivity In addition to treatment costs averted, caretakers' lost productivity from seeking care for a sick child was calculated.…”

Section: -14mentioning

confidence: 99%

Estimated Economic Benefits During The ‘Decade Of Vaccines’ Include Treatment Savings, Gains In Labor Productivity

et al. 2011

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“…Two previous studies in Pakistan estimated costs associated with clinical syndromes of invasive pneumococcal disease (24,25). For hospitalized care, the healthcare provider spent, on average, US$ 71 …”

Section: Costing Of Illnessmentioning

confidence: 99%

“…The cost of drugs represented 40-63% of the total treatment costs. per episode for pneumonia, US$ 235 for severe pneumonia, and US$ 2,043 for meningitis (25).…”

Section: Estimation Of Costsmentioning

confidence: 99%

Treatment Costs of Pneumonia, Meningitis, Sepsis, and Other Diseases among Hospitalized Children in Viet Nam

Anh

Riewpaiboon

Tho³

et al. 2010

J Health Popul Nutr

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The aim of this study was to estimate the costs of treatment of children who present with the signs and symptoms of invasive bacterial diseases in Khanh Hoa province, Viet Nam. The study was an incidencebased cost-of-illness analysis from the health system perspective. The hospital costs included labour, materials and capital costs, both direct and indirect. Costs were determined for 980 children, with an average age of 12.67 months (standard deviation±11.38), who were enrolled in a prospective surveillance at the Khanh Hoa General Hospital during [2005][2006]. Of them, 57% were male. By disease-category, 80% were suspected of having pneumonia, 8% meningitis, 3% very severe disease consistent with pneumococcal sepsis, and 9% other diseases. Treatment costs for suspected pneumonia, meningitis, very severe disease, and other diseases were US$ 31, US$ 57, US$ 73, and US$ 24 respectively. Costs ranged from US$ 24 to US$ 164 across different case-categories. Both type of disease and age of patient had statistically significant effects on treatment costs. The results showed that treatment costs for bacterial diseases in children were considerable and might differ by as much as seven times among invasive pneumococcal diseases. Changes in costs were sensitive to both age of patient and case-category. These cost-of-illness data will be an important component in the overall evidence base to guide the development of vaccine policy in Viet Nam.

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The cost of treatment for child pneumonias and meningitis in the Northern Areas of Pakistan

Cited by 46 publications

References 12 publications

Costing of Malaria treatment in a rural district hospital

Costing of Malaria treatment in a rural district hospital

Estimated Economic Benefits During The ‘Decade Of Vaccines’ Include Treatment Savings, Gains In Labor Productivity

Treatment Costs of Pneumonia, Meningitis, Sepsis, and Other Diseases among Hospitalized Children in Viet Nam

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