The economic burden of measles in children under five in Uganda
Background: There is very limited evidence about the economic cost of measles in low-income countries. We estimated the cost of treating measles in Uganda from a societal perspective. Methods: We conducted an incidence-based cost-of-illness study in Uganda. We surveyed the facility staff, recording...
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doaj-033afb8a11674b82a1957af9e7f876a32020-12-11T04:23:20ZengElsevierVaccine: X2590-13622020-12-016100077The economic burden of measles in children under five in UgandaGatien De Broucker0Anthony Ssebagereka1Rebecca Racheal Apolot2Mutebi Aloysius3Elizabeth Ekirapa Kiracho4Bryan Patenaude5Dagna Constenla6International Vaccine Access Center, Johns Hopkins Bloomberg School of Public Health, United States; Corresponding author at: International Vaccine Access Center, Johns Hopkins Bloomberg School of Public Health, 415 North Washington Street, #530, Baltimore, MD 21231, United States.Makerere University School of Public Health, UgandaMakerere University School of Public Health, UgandaMakerere University School of Public Health, UgandaMakerere University School of Public Health, UgandaInternational Vaccine Access Center, Johns Hopkins Bloomberg School of Public Health, United StatesInternational Vaccine Access Center, Johns Hopkins Bloomberg School of Public Health, United States; GlaxoSmithKline Plc., Panama City, PanamaBackground: There is very limited evidence about the economic cost of measles in low-income countries. We estimated the cost of treating measles in Uganda from a societal perspective. Methods: We conducted an incidence-based cost-of-illness study in Uganda. We surveyed the facility staff, recording hospital-related expenditures for measles patients. We interviewed caregivers of children with measles at 48 selected healthcare facilities. We conducted phone interviews with caregivers 7–14 days post-discharge to capture additional out-of-pocket expenses and time costs. Results: From a societal perspective, a hospitalized and an ambulatory episode of measles cost 2018 US$ 60 and $15, respectively. The government spent on average $12 and $5 per hospitalized and ambulatory episode of measles. Including both public and private facilities, caregivers incurred approximately $44 in economic costs, including $23 in out-of-pocket expenses. In 2018, 2614 cases of measles were confirmed, resulting in $135,627 in societal costs, including $59,357 in economic costs to Ugandan households. Conclusion: This cost-of-illness study is the first to use empirical methods to quantify the economic burden of measles in a low-income country. Information related to the cost of treating measles is important for guiding decisions related to changes in measles control and prevention.http://www.sciencedirect.com/science/article/pii/S2590136220300243MeaslesCost-of-illnessOutbreakUgandaVaccine-preventable diseaseEconomic burden |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gatien De Broucker Anthony Ssebagereka Rebecca Racheal Apolot Mutebi Aloysius Elizabeth Ekirapa Kiracho Bryan Patenaude Dagna Constenla |
spellingShingle |
Gatien De Broucker Anthony Ssebagereka Rebecca Racheal Apolot Mutebi Aloysius Elizabeth Ekirapa Kiracho Bryan Patenaude Dagna Constenla The economic burden of measles in children under five in Uganda Vaccine: X Measles Cost-of-illness Outbreak Uganda Vaccine-preventable disease Economic burden |
author_facet |
Gatien De Broucker Anthony Ssebagereka Rebecca Racheal Apolot Mutebi Aloysius Elizabeth Ekirapa Kiracho Bryan Patenaude Dagna Constenla |
author_sort |
Gatien De Broucker |
title |
The economic burden of measles in children under five in Uganda |
title_short |
The economic burden of measles in children under five in Uganda |
title_full |
The economic burden of measles in children under five in Uganda |
title_fullStr |
The economic burden of measles in children under five in Uganda |
title_full_unstemmed |
The economic burden of measles in children under five in Uganda |
title_sort |
economic burden of measles in children under five in uganda |
publisher |
Elsevier |
series |
Vaccine: X |
issn |
2590-1362 |
publishDate |
2020-12-01 |
description |
Background: There is very limited evidence about the economic cost of measles in low-income countries. We estimated the cost of treating measles in Uganda from a societal perspective. Methods: We conducted an incidence-based cost-of-illness study in Uganda. We surveyed the facility staff, recording hospital-related expenditures for measles patients. We interviewed caregivers of children with measles at 48 selected healthcare facilities. We conducted phone interviews with caregivers 7–14 days post-discharge to capture additional out-of-pocket expenses and time costs. Results: From a societal perspective, a hospitalized and an ambulatory episode of measles cost 2018 US$ 60 and $15, respectively. The government spent on average $12 and $5 per hospitalized and ambulatory episode of measles. Including both public and private facilities, caregivers incurred approximately $44 in economic costs, including $23 in out-of-pocket expenses. In 2018, 2614 cases of measles were confirmed, resulting in $135,627 in societal costs, including $59,357 in economic costs to Ugandan households. Conclusion: This cost-of-illness study is the first to use empirical methods to quantify the economic burden of measles in a low-income country. Information related to the cost of treating measles is important for guiding decisions related to changes in measles control and prevention. |
topic |
Measles Cost-of-illness Outbreak Uganda Vaccine-preventable disease Economic burden |
url |
http://www.sciencedirect.com/science/article/pii/S2590136220300243 |
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