Economic impact of cholera in households in rural southern Malawi: a prospective study

dc.contributor.authorHsiao, Amber
dc.contributor.authorRamani, Enusa
dc.contributor.authorSeo, Hye-Jin
dc.contributor.authorPak, GiDeok
dc.contributor.authorVuntade, Dan
dc.contributor.authorM’bang’ombe, Maurice
dc.contributor.authorNgwira, Bagrey
dc.contributor.authorQuentin, Wilm
dc.contributor.authorMarks, Florian
dc.contributor.authorMogasale, Vittal
dc.date.accessioned2022-06-08T12:24:41Z
dc.date.available2022-06-08T12:24:41Z
dc.date.issued2022-06-01
dc.date.updated2022-06-08T09:58:27Z
dc.description.abstractIntroduction: Cholera remains a significant contributor to diarrhoeal illness, especially in sub-Saharan Africa. Few studies have estimated the cost of illness (COI) of cholera in Malawi, a cholera-endemic country. The present study estimated the COI of cholera in Nsanje, southern Malawi, as part of the Cholera Surveillance in Malawi (CSIMA) programme following a mass cholera vaccination campaign in 2015. Methods: Patients ≥12 months of age who were recruited as part of CSIMA were invited to participate in the COI survey. The COI tool captured household components of economic burden, including direct medical and non-medical costs, and indirect lost productivity costs. Results: Between April 2016 and March 2020, 40 cholera cases were enrolled in the study, all of whom participated in the COI survey. Only two patients had any direct medical costs and five patients reported lost wages due to illness. The COI per patient was US$14.34 (in 2020), more than half of which was from direct non-medical costs from food, water, and transportation to the health centre. Conclusion: For the majority of Malawians who struggle to subsist on less than US$2 a day, the COI of cholera represents a significant cost burden to families. While cholera treatment is provided for free in government-run health centres, additional investments in cholera control and prevention at the community level and financial support beyond direct medical costs may be necessary to alleviate the economic burden of cholera on households in southern Malawi.
dc.identifier.eissn2044-6055
dc.identifier.pmid35649608en
dc.identifier.urihttps://depositonce.tu-berlin.de/handle/11303/17062
dc.identifier.urihttp://dx.doi.org/10.14279/depositonce-15841
dc.language.isoenen
dc.relation.ispartof10.14279/depositonce-17151
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subject.ddc610 Medizin und Gesundheitde
dc.subject.otherpublic healthen
dc.subject.otherhealth economicsen
dc.subject.otherhealth policyen
dc.subject.othereconomicsen
dc.titleEconomic impact of cholera in households in rural southern Malawi: a prospective studyen
dc.typeArticleen
dc.type.versionpublishedVersionen
dcterms.bibliographicCitation.articlenumbere052337en
dcterms.bibliographicCitation.doi10.1136/bmjopen-2021-052337en
dcterms.bibliographicCitation.issue6en
dcterms.bibliographicCitation.journaltitleBMJ Openen
dcterms.bibliographicCitation.originalpublishernameBMJen
dcterms.bibliographicCitation.originalpublisherplaceLondonen
dcterms.bibliographicCitation.volume12en
tub.accessrights.dnbfreeen
tub.affiliationFak. 7 Wirtschaft und Management::Inst. Technologie und Management (ITM)::FG Management im Gesundheitswesende
tub.affiliation.facultyFak. 7 Wirtschaft und Managementde
tub.affiliation.groupFG Management im Gesundheitswesende
tub.affiliation.instituteInst. Technologie und Management (ITM)de
tub.publisher.universityorinstitutionTechnische Universität Berlinen

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