Journal article
The economic burden of diarrhea in children under 5 years in Bangladesh
- Abstract:
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Background: Diarrhea is a leading cause of morbidity and mortality among under-five children in Bangladesh. Hospitalization for diarrhea can pose a significant burden on households and health systems. The aim of this study was to estimate the cost of illness due to diarrhea from the healthcare facility, caregiver, and societal perspectives in Bangladesh.
Method: A cross-sectional study with an ingredient-based costing approach was conducted in 48 healthcare facilities in Bangladesh. In total, 899 caregivers of under-five children with diarrhea were interviewed face-to-face between August 2017 and May 2018, followed up over phone after 7–14 days of discharge, to capture all expenses and time costs related to the entire episode of diarrhea.
Results: The average cost per episode for caregivers was US$62, with $29 direct and $34 indirect costs. From the societal perspective, average cost per episode of diarrhea was $71. In 2018, an estimated $79 million of economic costs were incurred for treating diarrhea in Bangladesh. Using 10% of income as threshold, over 46% of interviewed households faced catastrophic expenditure from diarrheal disease.
Conclusion: The economic costs incurred by caregivers for treating per-episode of diarrhea was around 4% of the annual national gross domestic product per-capita. Investment in vaccination can help to reduce the prevalence of diarrheal diseases and avert this public health burden.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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- Files:
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(Preview, Version of record, 1.5MB, Terms of use)
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- Publisher copy:
- 10.1016/j.ijid.2021.04.038
Authors
- Publisher:
- Elsevier
- Journal:
- International Journal of Infectious Diseases More from this journal
- Volume:
- 107
- Pages:
- 37-46
- Publication date:
- 2021-04-20
- Acceptance date:
- 2021-04-12
- DOI:
- EISSN:
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1878-3511
- ISSN:
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1201-9712
- Pmid:
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33864914
- Language:
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English
- Keywords:
- Pubs id:
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1179167
- Local pid:
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pubs:1179167
- Deposit date:
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2021-09-24
Terms of use
- Copyright holder:
- Hasan et al.
- Copyright date:
- 2021
- Rights statement:
- © 2021 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY license(http://creativecommons.org/licenses/by/4.0/).
- Licence:
- CC Attribution (CC BY)
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