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The cost of outpatient pneumonia in children <5 years of age in Fiji

Temple, Beth, Griffiths, Ulla K., Mulholland, E. Kim, Ratu, Felisita T., Tikoduadua, Lisi and Russell, Fiona M. (2012). The cost of outpatient pneumonia in children <5 years of age in Fiji. Tropical Medicine and International Health,17(2):197-203.

Document type: Journal Article

IRMA ID cmartelxPUB18
Title The cost of outpatient pneumonia in children
Author Temple, Beth
Griffiths, Ulla K.
Mulholland, E. Kim
Ratu, Felisita T.
Tikoduadua, Lisi
Russell, Fiona M.
Journal Name Tropical Medicine and International Health
Publication Date 2012
Volume Number 17
Issue Number 2
ISSN 1360-2276   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84855975345
Start Page 197
End Page 203
Total Pages 7
Place of Publication United Kingdom
Publisher Wiley-Blackwell Publishing Ltd.
HERDC Category C1 - Journal Article (DIISR)
Abstract Objectives
Pneumonia is the most common reason for visiting an outpatient facility among children <5 years old in Fiji. The objective of this study is to describe for the first time the costs associated with an episode of outpatient pneumonia in Fiji, in terms of cost both to the government health sector and to the household.

Methods
Costs were estimated for 400 clinically diagnosed pneumonia cases from two outpatient facilities, one in the capital, Suva, and one in a peri-urban and rural area, Nausori. Household expenses relating to transport costs, treatment costs and indirect costs were determined primarily through structured interview with the caregiver. Unit costs were collected from a variety of sources. Patient-specific costs were summarised as average costs per facility.

Results
The overall average societal cost associated with an episode of outpatient pneumonia was $18.98, ranging from $14.33 in Nausori to $23.67 in Suva. Household expenses represent a significant proportion of the societal cost (29% in Nausori and 45% in Suva), with transport costs the most important household cost item. Health sector expenses were dominated by personnel costs at both sites. Both the average total household expenses and the average total health sector expenses were significantly greater in Suva than Nausori.

Conclusions 
A single episode of outpatient pneumonia represents a significant cost both to the government health sector and to affected households. Given the high incidence of this disease in Fiji, this places a considerable burden on society.
DOI http://dx.doi.org/10.1111/j.1365-3156.2011.02897.x   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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Created: Fri, 17 Jan 2014, 01:30:40 CST