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Title: Cost of illness due to typhoid fever in five Asian countries
Authors: Christine Poulos
Arthorn Riewpaiboon
John F. Stewart
John Clemens
Soyeon Guh
Magdarina Agtini
Dang Duc Anh
Dong Baiqing
Zulfiqar Bhutta
Dipika Sur
Dale Whittington
RTI International
Mahidol University
The University of North Carolina at Chapel Hill
International Vaccine Institute, Seoul
Badan Penelitian Dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia
National Institute of Hygiene and Epidemiology Hanoi
Centers for Disease Control and Prevention
The Aga Khan University
National Institute of Cholera and Enteric Diseases India
Keywords: Immunology and Microbiology;Medicine
Issue Date: 1-Mar-2011
Citation: Tropical Medicine and International Health. Vol.16, No.3 (2011), 314-323
Abstract: Objective To generate community-based estimates of the public (paid by the government) and private (paid by households) costs of blood culture-confirmed typhoid fever in Hechi, China; North Jakarta, Indonesia; Kolkata, India; Karachi, Pakistan and Hue, Vietnam. Methods To measure out-of-pocke t costs of illness and lost earnings, families with culture-proven cases were surveyed 7, 14 and 90days after onset of illness. Public costs of treatment were measured at local health facilities using a micro costing (bottom-up) method. Results The costs of hospitalized cases ranged from USD 129 in Kolkata to USD 432 in North Jakarta (hospitalization rates varied from 2% in Kolkata to 40% in Hechi) and the costs of non-hospitalized cases ranged from USD 13 in Kolkata to USD 67 in Hechi. Where costs were highest (Hechi, North Jakarta and Karachi), the bulk of the costs of hospitalized cases was borne by families, comprising up to 15% of annual household income. Conclusion Although these estimates may understate true costs due to the fact that higher quality treatment may have been provided earlier-than-usual, this multi-country community-based study contributes to evidence on the public and private costs of typhoid fever in developing countries. These cost estimates were used in a cost-effectiveness analysis of typhoid vaccines and will help policymakers respond to World Health Organization's updated typhoid fever immunization recommendations. © 2011 Blackwell Publishing Ltd.
ISSN: 13653156
Appears in Collections:Scopus 2011-2015

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