Economic cost analysis of malaria case management at the household level during the malaria elimination phase in The People’s Republic of China

查看全文 作　　者：Shang [1,2,3]Xia;Jin-Xiang [4]Ma;Duo-Quan [1,2,3]Wang;Shi-Zhu [1,2,3]Li;David [5]Rollinson;Shui-Sen [1,2,3]Zhou;Xiao-Nong [1,2,3]Zhou

机构地区：[1]National Institute of Parasitic Diseases,Chinese Center for Disease Control and Prevention,Shanghai 200025,People’s Republic of China;[2]Key Laboratory of Parasite and Vector Biology,Ministry of Health,Shanghai 200025,People’s Republic of China;[3]WHO Collaborating Center for Tropical Diseases,Shanghai 200025,People’s Republic of China;[4]Department of Applied Statistics,School of Public Health,Guangzhou Medical University,Guangzhou 510182,China;[5]Life Sciences Department,The Natural History Museum,Cromwell Road,London SW75BD,UK

出　　处：《Infectious Diseases of Poverty》索引2016年第5卷第1期,共8页

基　　金：supported by the National Natural Science Foundation of China(No.81101280);the National Special Science and Technology Project for Major Infectious Diseases of China(Grant Nos.2012ZX10004-220,2008ZX10004-011,and 2012ZX10004-201);the China UK Global Health Support Programme(GHSP-CS-OP101)-China’s Experiences in Control of Malaria and Schistosomiasis:Relevant to LMICs through Distillation,Synthesis and Dissemination Approaches,the Public Health Overseas Fund,the Bureau of Health,Shanghai(Grant No.GWHW201216);the Shanghai Public Health Improvement Action Plan 2015–2017,and the Global Fund Project in China.The funders had no role in the study design,data collection and analysis,decision to publish,or preparation of the paper. 摘　　要：Background:In China,malaria has been posing a significant economic burden on households.To evaluate malaria economic burden in terms of both direct and indirect costs has its meaning in improving the effectiveness of malaria elimination program in China.Methods:A number of study sites(eight counties in five provinces)were selected from the malaria endemic area in China,representing the different levels of malaria incidence,risk classification,economic development.A number of households with malaria cases(n=923)were surveyed during the May to December in 2012 to collect information on malaria economic burden.Descriptive statistics were used to characterize the basic profiles of selected malaria cases in terms of their gender,age group,occupation and malaria type.The malaria economic costs were evaluated by direct and indirect costs.Comparisons were carried out by using the chi-square test(or Z-test)and the Mann-Whitney U test among malaria cases with reference to local/imported malaria patients,hospitalized/out patients,and treatment hospitals.Results:The average cost of malaria per case was 1691.23 CNY(direct cost was 735.41 CNY and indirect cost was 955.82 CNY),which accounted for 11.1%of a household’s total income.The average costs per case for local and imported malaria were 1087.58 CNY and 4271.93 CNY,respectively.The average cost of a malaria patient being diagnosed and treated in a hospital at the county level or above(3975.43 CNY)was 4.23 times higher than that of malaria patient being diagnosed and treated at a village or township hospital(938.80 CNY).Conclusion:This study found that malaria has been posing a significant economic burden on households in terms of direct and indirect costs.There is a need to improve the effectiveness of interventions in order to reduce the impact costs of malaria,especially of imported infections,in order to eliminate the disease in China. 关键词：MALARIA Economic cost analysis Direct costs Indirect costs Health facilities China

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Economic cost analysis of malaria case management at the household level during the malaria elimination phase in The People’s Republic of China

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