Dataset Information

The economic burden of measles in children under five in Bangladesh.

ABSTRACT:

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.

SUBMITTER: de Broucker G

PROVIDER: S-EPMC7653835 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Publications

The economic burden of measles in children under five in Bangladesh.

de Broucker Gatien G Ahmed Sayem S Hasan Md Zahid MZ Mehdi Gazi Golam GG Martin Del Campo Jorge J Ali Md Wazed MW Uddin Md Jasim MJ Constenla Dagna D Patenaude Bryan B

BMC health services research 20201110 1

<h4>Background</h4>This study estimated the economic cost of treating measles in children under-5 in Bangladesh from the caregiver, government, and societal perspectives.<h4>Method</h4>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 discha ...[more]

PMID: 33172442

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Dataset Information

The economic burden of measles in children under five in Bangladesh.

Background

Method

Results

Conclusion

Publications

The economic burden of measles in children under five in Bangladesh.

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