Table 1.
Characteristics of all studies included*
WHO region | Country, publication year | Study population | Healthcare setting | Severity of pneumonia studied | Study design | Source of case definition | Perspective | Sample size | Mean (SD) /median age of patients (months) | Data source |
---|---|---|---|---|---|---|---|---|---|---|
High–income countries (number of studies = 8) | ||||||||||
EUR |
Northern Ireland, 1999 [39]1 |
Antrim (urban) |
H2 |
S |
QES |
PD |
N/A– |
45 |
39.60 (16.8) |
H |
Spain, 2013 [17] |
Barcelona (urban) |
H3 |
S, VS |
Cost analysis‡ |
Culture–proved pneumonia |
Healthcare |
101 |
39.60 |
H |
|
Germany, 2005 [16] |
National |
O,H1 |
S, VS |
Cost–of–illness |
PD |
Societal |
402 |
N/A |
N, IQ |
|
AMR |
Chile, Uruguay, 2007 [12] |
National |
O,H1 |
S, NS |
Cost analysis‡ |
PD, ICD–10 |
Healthcare |
366 |
N/A |
H,IQ |
United States, 2012* |
Denver, Colorado (urban) |
H3 |
S, VS, NS |
Cost–of–illness |
PD by WHO IMCI definition |
Societal |
940 |
0–59 |
H, P |
|
WPR |
Australia, 2008 [15] |
National |
O, H1–3 |
S |
Cost analysis‡ |
ICD–10 |
Healthcare |
1348 |
N/A |
N |
Australia, 2008 [14] |
Melbourne, Victoria (urban) |
O,H1 |
S |
Cohort study/cost–of–illness |
Health professional’s diagnosis |
Societal |
528 |
N/A |
N,H,IQ, Pilot |
|
Australia, 2011* |
Sydney (urban) |
H3 |
S, VS |
Cost–of–illness |
PD by WHO IMCI definition |
Societal |
N/A |
N/A |
P, Market price |
|
Low– and middle–income countries (number of studies = 27) | ||||||||||
SEAR |
Bangladesh, 2010 [26] |
Dhaka (urban) |
H3 |
S |
Cost–of–illness |
PD |
Family |
90 |
5.00 |
IQ |
Bangladesh, 2005† |
Dhaka (urban) |
H3 |
S, VS |
Cost–of–illness |
PD by WHO IMCI definition |
Household |
114 |
70.32 |
IQ |
|
Bangladesh, 2010 [24] |
Mirpur, Dhaka (urban) |
O, H2 |
S |
RCT/CEA |
PD by WHO IMCI definition |
Societal |
360 |
8.00 |
– |
|
Bangladesh, 2010† |
Barishal, Bogra, Comilla, Kishoregonj (urban) |
H3 |
S, NS |
Cost–of–illness |
PD by WHO IMCI definition |
Societal |
235 |
N/A |
IQ |
|
Bangladesh, 2012† |
Mohakhali, Dhaka (urban) |
H3 |
S, VS, NS |
Cost–of–illness |
PD by WHO IMCI definition |
Societal |
340 |
N/A |
H |
|
India, 2009 [30] |
Vellore (rural) |
H1, H2 |
S |
Cost–of–illness |
PD by WHO IMCI definition |
Healthcare/ Household |
56 |
8.8 |
H, IQ |
|
India, 2002 [29] |
Berhampur, Orissa (urban and rural) |
H3 |
S |
Epidemiological study |
PD |
Societal |
52 |
N/A |
H, IQ |
|
Indonesia, 2001† |
Lombok (rural) |
H3 |
S |
Cost–of–illness |
PD by WHO IMCI definition |
Societal |
N/A |
N/A |
H |
|
Pakistan, 2003 [25] |
Peshawar city (urban) |
H3 |
S |
RCT/CEA |
PD by WHO IMCI definition |
– |
126 |
N/A |
– |
|
Pakistan, 2006 [20] |
Ghizer district (rural) |
O, H1, H2 |
S, NS |
Cost analysis‡ |
PD |
Societal |
502 |
N/A |
IQ |
|
Pakistan, 2008 [19] |
Ghizer district (rural) |
O, H1, H2 |
S, VS, NS |
Cost analysis‡ |
PD by WHO IMCI definition |
Healthcare |
141 |
N/A |
IQ |
|
Pakistan, 2010† |
Matiari (rural) |
C |
S |
Cost–of–illness |
PD by WHO IMCI definition |
Healthcare |
N/A |
N/A |
Surveillance |
|
Pakistan, 2012 [23] |
Haripur district (rural) |
C, H1, H2 |
S |
Cost analysis‡ |
WHO definition by health worker |
Household |
423 |
N/A |
H, IQ |
|
Viet Nam, 2010 [18] |
Nha Trang city (urban) |
H2 |
S, VS, NS |
Cost–of–illness |
PD by WHO IMCI definition |
Healthcare |
788 |
12.67 |
N, H |
|
Viet Nam, 2001 [28] |
Ba Vi district (rural) |
C, O, H1 |
S |
Cost analysis‡ |
WHO definition, self–reported |
Household |
94 |
N/A |
IQ |
|
AFR |
Guinea, 1998 [21] |
National |
O, H1 |
S, NS |
CEA |
PD |
– |
73650 |
N/A |
H, E |
South Africa, 2011 [33] |
Pretoria (urban) |
H3 |
S, VS |
Cost analysis‡ |
WHO definition |
– |
3014 |
N/A |
H |
|
South Africa, 2012 [22] |
National |
H3 |
S, VS, NS |
RCT |
PD |
Societal/health care |
745 |
N/A |
H, IQ |
|
South Africa, 2001† |
Soweto (urban) |
H3 |
S, VS |
Cost–of–illness |
PD by WHO IMCI definition |
Societal |
509 |
14.00 |
H,IQ |
|
Kenya, 2009 [32] |
National |
H3, H2, H1 |
S |
Cost analysis‡ |
PD |
Societal |
205 |
12.00 |
H, IQ |
|
Zambia, 2009 [31] |
Kanyama Township (urban) |
O,H2 |
S |
Cost analysis‡ |
PD |
Healthcare |
9146 |
N/A |
N,H,P,W |
|
AMR |
Colombia, 2013 [27] |
National |
H1,H2,H3 |
S, VS, NS |
Cost–of–illness§ |
WHO definition, radiographically diagnosed |
Healthcare |
1545 |
N/A |
I |
Brazil, 2011† |
Goiânia (urban) |
H3 |
S, VS |
Cost–of–illness§ |
PD by WHO IMCI definition |
Societal |
79 |
0–36 |
H, N |
|
Argentina, 2012† |
Buenos Aires (urban) |
H3 |
S, VS |
Cost–of–illness§ |
PD by WHO IMCI definition |
Societal |
N/A |
N/A |
N |
|
Brazil,2007 [12] |
National |
O,H1 |
S, NS |
Cost analysis‡ |
PD, ICD–10 |
Healthcare |
366 |
N/A |
H,IQ |
|
WPR |
Fiji, 2012 [34] |
Viti Levu (urban and rural) |
O |
S |
Cost analysis‡ |
PD by WHO IMCI definition |
Societal/household |
390 |
N/A |
N,H, IQ |
EMR | Jordan, 2010 [35] | Amman | H1 | S | Cohort study | PD | – | 728 | 4.30 | N/A |
*Severity of pneumonia: NS – non severe, S – severe, VS – very severe. Data source: H – hospital records, N – national data, IQ – interviews and questionnaires, I – insurance database, P – pharmacy database, W – WHO database. Treatment settings: H3 – tertiary hospital in–patient, H2–secondary hospital in–patient, H1 – primary hospital inpatient, O – out–patient care, C – community ambulatory care; PD – physician’s diagnosis, CEA – cost effectiveness analysis, RCT – randomized clinical trial, QES– quasi–experimental study, N/A – not available, PD – physician’s diagnosis, IMCI – Integrated Management of Childhood Illness, WHO – World Health Organization, SD – standard deviation.
EUR – Europe Region, AMR – the Americas Region, WPR – Western Pacific Region, SEAR – South East Asia, AFR– The Africa Region, EMR– Eastern Mediterranean Region
†Unpublished data.
‡The analysis of the comparative costs of alternative treatments or health care programmes.
§The cost analysis of treatment of a disease.