Table 2.
Description of cost | All patients | Patients with no comorbidity | Patients with one of more comorbidities | Hospital stay ≤ 3 days | Hospital stay > 3days | |||||
---|---|---|---|---|---|---|---|---|---|---|
n=746 | n=570 | n=176 | n=547 | n=199 | ||||||
Mean cost | 95 %CI | Mean cost | 95 %CI | Mean cost | 95 %CI | Mean cost | 95 %CI | Mean cost | 95 %CI | |
Health system cost | ||||||||||
Hospital admission and bed cost1 | 2650 | 2574-2727 | 2552 | 2474-2631 | 2963 | 2770-3156 | 2145 | 2101-2188 | 4052 | 3923-4182 |
Malaria management | 1378 | 1331-1426 | 1324 | 1277-1372 | 1549 | 1427-1672 | 1137 | 1104-1170 | 2046 | 1937-2154 |
Additional treatment2 | 212 | 109-306 | 0 | - | 831 | 408-1253 | 158 | 54-262 | 363 | 98-628 |
Antibiotics | 47 | 32-62 | 0 | - | 195 | 137- 254 | 28 | 20-36 | 100 | 47-152 |
Total health system cost | 4288 | 4046-4531 | 3877 | 3800-4053 | 5583 | 4785-6380 | 3468 | 3393-3639 | 6560 | 6054-7166 |
Household costs | ||||||||||
Direct costs | ||||||||||
Medical costs | ||||||||||
Registration, hospital fee | 118 | 111-125 | 119 | 111-128 | 113 | 103-122 | 120 | 113-129 | 111 | 100-123 |
Antibiotics | 41 | 29-52 | - | - | 166 | 125-201 | 42 | 28-56 | 35 | 19-50 |
Other medication | 2 | 1-3 | - | - | 8 | 4-12 | 2 | 1-3 | 3 | 1-6 |
Non-medical costs | ||||||||||
Transport & food cost | 599 | 558-640 | 551 | 507-495 | 741 | 648-834 | 511 | 475-547 | 844 | 733-955 |
Funeral costs | 129 | 34-225 | 73 | 0-155 | 308 | 7-609 | 151 | 30-271 | 70 | 0-207 |
Subtotal direct costs | 889 | 733-1044 | 743 | 608-878 | 1337 | 887-1699 | 825 | 647-1005 | 1062 | 785-1339 |
Indirect costs | ||||||||||
Productivity loss | 787 | 755-1044 | 737 | 703-772 | 945 | 822-960 | 631 | 601-655 | 1220 | 1149-1291 |
Total household costs | 1676 | 1488-1864 | 1480 | 1311-1650 | 2281 | 1839-2502 | 1456 | 1252-1660 | 2283 | 1935-2630 |
Total | 5964 | 5534-6394 | 5357 | 5061-5654 | 7820 | 6500-9139 | 4923 | 4532-5316 | 8843 | 7940-9746 |
1 Hospital admission cost includes outpatient assessment and confirmation of malaria. if patient fees were charged, these costs were deducted and included as direct costs
2Additional treatment relates to costs for management of comorbidities excluding costs of antibiotics