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Economic costs analysis of uncomplicated malaria case management in the Peruvian Amazon

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dc.contributor.author Moreno-Gutierrez, Diamantina
dc.contributor.author Rosas-Aguirre, Angel
dc.contributor.author Llanos-Cuentas, Alejandro
dc.contributor.author Bilcke, Joke
dc.contributor.author Barboza, José Luis
dc.contributor.author Hayette, Marie-Pierre
dc.contributor.author Contreras-Mancilla, Juan
dc.contributor.author Aguirre, Kristhian
dc.contributor.author Gamboa, Dionicia
dc.contributor.author Rodriguez, Hugo
dc.contributor.author Speybroeck, Niko
dc.contributor.author Beutels, Philippe
dc.date.accessioned 2020-07-14T00:02:35Z
dc.date.available 2020-07-14T00:02:35Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/20.500.12866/8345
dc.description.abstract Background: Case management is one of the principal strategies for malaria control. This study aimed to estimate the economic costs of uncomplicated malaria case management and explore the influence of health-seeking behaviours on those costs. Methods: A knowledge, attitudes and practices (KAP) survey was applied to 680 households of fifteen communities in Mazan-Loreto in March 2017, then a socio-economic survey was conducted in September 2017 among 161 individuals with confirmed uncomplicated malaria in the past 3 months. Total costs per episode were estimated from both provider (Ministry of Health, MoH) and patient perspectives. Direct costs were estimated using a standard costing estimation procedure, while the indirect costs considered the loss of incomes among patients, substitute labourers and companions due to illness in terms of the monthly minimum wage. Sensitivity analysis evaluated the uncertainty of the average cost per episode. Results: The KAP survey showed that most individuals (79.3%) that had malaria went to a health facility for a diagnosis and treatment, 2.7% received those services from community health workers, and 8% went to a drugstore or were self-treated at home. The average total cost per episode in the Mazan district was US$ 161. The cost from the provider's perspective was US$ 30.85 per episode while from the patient's perspective the estimated cost was US$ 131 per episode. The average costs per Plasmodium falciparum episode (US$ 180) were higher than those per Plasmodium vivax episode (US$ 156) due to longer time lost from work by patients with P. falciparum infections (22.2 days) than by patients with P. vivax infections (17.0 days). The delayed malaria diagnosis (after 48 h of the onset of symptoms) was associated with the time lost from work due to illness (adjusted mean ratio 1.8; 95% CI 1.3, 2.6). The average cost per malaria episode was most sensitive to the uncertainty around the lost productivity cost due to malaria. Conclusions: Despite the provision of free malaria case management by MoH, there is delay in seeking care and the costs of uncomplicated malaria are mainly borne by the families. These costs are not well perceived by the society and the substantial financial impact of the disease can be frequently undervalued in public policy planning. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartof urn:issn:1475-2875
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject Malaria en_US
dc.subject Cost en_US
dc.subject Economic en_US
dc.subject Health care-seeking behaviour en_US
dc.subject Management en_US
dc.title Economic costs analysis of uncomplicated malaria case management in the Peruvian Amazon en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s12936-020-03233-5
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE

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