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ECONOMIC IMPACT OF CHIKUNGUNYA EPIDEMIC: OUT-OF-POCKET HEALTH EXPENDITURES DURING THE 2007 OUTBREAK IN KERALA, INDIA
The southern state of Kerala, India was seriously affected by a chikun- gunya epidemic in 2007. As this outbreak was the first of its kind, the morbidity incurred by the epidemic was a challenge to the state’s public health system. A cross sectional survey was conducted in five districts of Kerala t...
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| Format: | Printed Book |
| Izdano: |
Southeast Asian J Trop Med Public Health
2013
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| Teme: | |
| Online dostop: | http://10.26.1.76/ks/004740.pdf |
| Izvleček: | The southern state of Kerala, India was seriously affected by a chikun-
gunya epidemic in 2007. As this outbreak was the first of its kind, the morbidity
incurred by the epidemic was a challenge to the state’s public health system. A
cross sectional survey was conducted in five districts of Kerala that were seriously
affected by the epidemic, using a two-stage cluster sampling technique to select
households, and the patients were identified using a syndromic case definition.
We calculated the direct health expenditure of families and checked whether it
exceed the margins of catastrophic health expenditure (CHE). The median (IQR)
total out-of-pocket (OOP) health expenditure in the study population was USD7.4
(16.7). The OOP health expenditure did not show any significant association with
increasing per-capita monthly income.The major share (47.4%) of the costs was
utilized for buying medicines, but costs for transportation (17.2%), consultations
(16.6%), and diagnoses (9.9%) also contributed significantly to the total OOP health
expenditure. The OOP health expenditure was high in private sector facilities,
especially in tertiary care hospitals. For more than 15% of the respondents, the
OOP was more than double their average monthly family income.The chikun-
gunya outbreak of 2007 had significantly contributed to the OOP expenditure
of the affected community in Kerala.The OOP health expenditure incurred was
high, irrespective of the level of income. Governments should attempt to ensure
comprehensive financial protection by covering the costs of care, along with loss
of productivity. |
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| Fizični opis: | Vol 44 No. 1 January 2013 |