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Household and Hospi...
Household and Hospitalization Costs of Pediatric Dengue Illness in Colombo, Sri Lanka
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Fernando, Enoka Sonali (author)
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Headley, Tyler Y. (author)
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Tissera, Hasitha (author)
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- Wilder-Smith, Annelies (author)
- Umeå universitet,Institutionen för epidemiologi och global hälsa,Heidelberg Institute of Global Health, University of Heidelberg, Germany; Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom
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De Silva, Amala (author)
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Tozan, Yesim (author)
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(creator_code:org_t)
- American Society of Tropical Medicine and Hygiene, 2021
- 2021
- English.
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In: American Journal of Tropical Medicine and Hygiene. - : American Society of Tropical Medicine and Hygiene. - 0002-9637 .- 1476-1645. ; 105:1, s. 110-116
- Related links:
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https://www.ajtmh.or...
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https://urn.kb.se/re...
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https://doi.org/10.4...
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Abstract
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- Dengue, a mosquito-borne viral infection that affects millions around the world, poses a substantial economic burden in endemic countries. We conducted a prospective costing study in hospitalized pediatric dengue patients at the Lady Ridgeway Hospital for Children (LRHC), a public pediatric hospital in Colombo district, Sri Lanka, to assess household out-of-pocket and hospitalization costs of dengue in pediatric patients during peak dengue transmission season. Between August and October 2013, we recruited 216 hospitalized patients (aged 0-3 years, 27%; 4-7 years, 29%; 8-12 years, 42%) who were clinically or laboratory diagnosed with dengue. Using 2013 US dollars, household outof-pocket spending, on average, was US$59 (SD 49) per episode and increased with disease severity (DF, US$52; DHF/ DSS, US$78). Pediatric dengue patients received free-of-charge medical care during hospitalization at LRHC, and this places a high financial burden on hospitals. The direct medical cost of hospitalization was US$68 (SD 31.4) for DF episode, and US$122.7 (SD 65.2) for DHF/DSS episode. Yet a hospitalized dengue illness episode still accounted for 20% to 35% of household monthly income due to direct and indirect costs. Additionally, a majority of caregivers (70%) sought outpatient care before hospitalization, most of whom (81%) visited private health facilities. Our findings indicate that hospitalized pediatric dengue illness poses a nontrivial cost burden to households and healthcare systems, emphasizing the importance of preventing and controlling the transmission of dengue in endemic countries.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Publication and Content Type
- ref (subject category)
- art (subject category)
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