TY - JOUR
T1 - Determinants of household costs associated with childhood diarrhea in 3 South Asian settings
AU - Rheingans, Richard
AU - Kukla, Matt
AU - Faruque, Abu Syed Golam
AU - Sur, Dipika
AU - Zaidi, Anita K.M.
AU - Nasrin, Dilruba
AU - Farag, Tamer H.
AU - Levine, Myron M.
AU - Kotloff, Karen L.
N1 - Funding Information:
Financial support. This work was supported by the Bill & Melinda Gates Foundation (grant number 38874). Supplement sponsorship. This article was published as part of the supplement entitled “The Global Enteric Multicenter Study (GEMS),” sponsored by the Bill & Melinda Gates Foundation. Potential conflicts of interest. All authors: No reported conflicts. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.
PY - 2012/12/15
Y1 - 2012/12/15
N2 - In addition to being a major cause of mortality in South Asia, childhood diarrhea creates economic burden for affected households. We used survey data from sites in Bangladesh, India, and Pakistan to estimate the costs borne by households due to childhood diarrhea, including direct medical costs, direct nonmedical costs, and productivity losses. Mean cost per episode was $1.82 in Bangladesh, $3.33 in India, and $6.47 in Pakistan. The majority of costs for households were associated with direct medical costs from treatment. Mean costs understate the distribution of costs, with 10% of cases exceeding $6.61, $8.07, and $10.11 in Bangladesh, India, and Pakistan, respectively. In all countries there was a trend toward lower costs among poorer households and in India and Pakistan there were lower costs for episodes among girls. For both poor children and girls this may reflect rationing of care, which may result in increased risks of mortality.
AB - In addition to being a major cause of mortality in South Asia, childhood diarrhea creates economic burden for affected households. We used survey data from sites in Bangladesh, India, and Pakistan to estimate the costs borne by households due to childhood diarrhea, including direct medical costs, direct nonmedical costs, and productivity losses. Mean cost per episode was $1.82 in Bangladesh, $3.33 in India, and $6.47 in Pakistan. The majority of costs for households were associated with direct medical costs from treatment. Mean costs understate the distribution of costs, with 10% of cases exceeding $6.61, $8.07, and $10.11 in Bangladesh, India, and Pakistan, respectively. In all countries there was a trend toward lower costs among poorer households and in India and Pakistan there were lower costs for episodes among girls. For both poor children and girls this may reflect rationing of care, which may result in increased risks of mortality.
UR - http://www.scopus.com/inward/record.url?scp=84870017690&partnerID=8YFLogxK
U2 - 10.1093/cid/cis764
DO - 10.1093/cid/cis764
M3 - Article
C2 - 23169945
AN - SCOPUS:84870017690
SN - 1058-4838
VL - 55
SP - S327-S335
JO - Clinical Infectious Diseases
JF - Clinical Infectious Diseases
IS - SUPPL. 4
ER -
