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. 2013 Nov 4;8(11):e78362.
doi: 10.1371/journal.pone.0078362. eCollection 2013.

The economic burden of malaria on households and the health system in Enugu State southeast Nigeria

Obinna Onwujekwe  1 , Nkoli Uguru, Enyi Etiaba, Ifeanyi Chikezie, Benjamin Uzochukwu, Alex Adjagba
Affiliations

The economic burden of malaria on households and the health system in Enugu State southeast Nigeria

Obinna Onwujekwe et al. PLoS One. .

Abstract

Background: Malaria is the number one public health problem in Nigeria, responsible for about 30% of deaths in under-fives and 25% of deaths in infants and 11% maternal mortality. This study estimated the economic burden of malaria in Nigeria using the cost of illness approach.

Methods: A cross-sectional study was undertaken in two malaria holo-endemic communities in Nigeria, involving both community and hospital based surveys. A random sample of 500 households was interviewed using interviewer administered questionnaire. In addition, 125 exit interviews for inpatient department stays (IPD) and outpatient department visits (OPD) were conducted and these were complemented with data abstraction from 125 patient records.

Results: From the household survey, over half of the households (57.6%) had an episode of malaria within one month to the date of the interview. The average household expenditure per case was 12.57US$ and 23.20US$ for OPD and IPD respectively. Indirect consumer costs of treatment were higher than direct consumer medical costs. From a health system perspective, the recurrent provider costs per case was 30.42 US$ and 48.02 US$ for OPD and IPD while non recurrent provider costs were 133.07US$ and 1857.15US$ for OPD and IPD. The mode of payment was mainly through out-of-pocket spending (OOPS).

Conclusion: Private expenditure on treatment of malaria constitutes a high economic burden to households and to the health system. Removal of user fees and interventions that will decrease the use of OOPS for treatment of malaria will significantly decrease the economic burden of malaria to both households and the health system.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

References

    1. Elden S, Harvey M, Cadge N, Mulligan J, Fajber L, et al... (2010) Malaria: Burden and Interventions,Evidence Overview, A working paper(Version 1.0). In: UKaid-DFID, editor.
    1. Okorosobo T, Okorosobo F, Mwabu G, Orem JN, Kirigia JM (2011) Economic Burden of malaria in six countries of Africa. European Journal of Business and Management 3.
    1. Oluyole KA, Ogunlade MO, Agbeniyi SO (2011) Socio-economic Burden of Malaria Disease on Farm Income among Cocoa Farming Households in Nigeria. American-Eurasian JAgric& Environ Science 10: 696–701.
    1. Erhun WO, Agbani EO, Adesanya SO (2005) Malaria Prevention: Knowledge, Attitude and Practice in a Southwestern Community. African Journal of Biomedical Research 8: 25–29.
    1. Gallup JL, Sachs JD (2001) The economic burden of malaria. American Journal Of Tropical Medicine and Hygiene 64 (suppl.1,2) 85–96. - PubMed

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