Table 6. Adult Cost of Illness per Episode of Cholera by Treatment Setting and Study Site (2005 USD) a.
| Study Site | ||||
|---|---|---|---|---|
| Matlab | N. Jakarta c | Kolkata | Beira e | |
| Sample Size | (n=127) b | (n=94) | (n=27) d | (n=31) |
| Hospitalized cases | (n=127) | (n=19) | (n=14) | (n=31) |
| Patient costs | 17.7 | 121.6 | 28.6 | 17.1 |
| Direct cost | 6.5 | 100.7 | 7.5 | 5.0 |
| Indirect costs | 11.2 | 20.9 | 21.0 | 12.1 |
| Public costs | 18.2 | 101.4 | 20.0 | 29.9 |
| Total costs | 36.0 | 223.0 | 48.6 | 47.0 |
| Outpatient cases: | (n=75) | (n=13) | ||
| Patient costs | 17.2 | 5.9 | ||
| Direct costs | 10.0 | 0.6 | ||
| Indirect cost | 7.2 | 5.3 | ||
| Public costs | 6.3 | n.a. | ||
| Total costs | 23.5 | n.a.‡ | ||
| Hospitalization rate for adult cases† |
100.0% | 19.0% | 50.7% | 100.0% |
The hospitalization rates in this table are from the DOMI Burden of Disease Studies.
These totals are not available (n.a.) due to incomplete information on the public costs of outpatient treatment.
Outpatient costs are not available from the Matlab and Beira study sites because these were hospital-based studies.
For adults, all private COI cases (127 cases) are matched with public COI cases (136 cases).
In Jakarta the public treatment cost were $144 for inpatient treatment, $44 for outpatient treatment in a hospital, and $2 for outpatient treatment in a health centre (Stewart 2005). The cholera cases in public cost study cannot be matched to the cholera cases in the patient cost study. Information from the patient cost study on the health care facilities where patients sought treatment is used to determine which public treatment cost estimate applies to each case. After adjusting for inflation to 2005 USD and subtracting private payments to public facilities from the public treatment cost, the public treatment costs for inpatients and outpatients are $71.7 and $13.6, respectively.
For adults in Kolkata, only 11 out of 27 cases of cholera from the patient cost study are matched to cholera cases from the public cost studies (n=57). Among the unmatched cases, three cases were treated in an inpatient setting and thirteen were treated as outpatients, based on information from patient cost study. For the three inpatients, the average value of public COI is $18.8. The public treatment costs for the 13 outpatients are not available.
In Beira, all cases of cholera from the patient cost study are matched to cases of cholera in the public cost study.