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|Title: ||ASSESSMENT OF ECONOMIC COST OF MALARIA IN KERSA DISTRICT, JIMMA ZONE, SOUTHWEST ETHIOPIA|
|Authors: ||Lelisa Sena|
|Advisors: ||Dr. Damen Haile Mariam|
Mr. Wakgari Deressa
|Keywords: ||Public Health|
|Copyright: ||Apr-2005 |
|Date Added: ||17-May-2012 |
|Publisher: ||ADDIS ABABA UNIVERSITY|
|Abstract: ||Background: Malaria is among the top public heath problem, especially Sub-saran Africa
countries, including Ethiopia, are highly affected by the disease. Due to resistance development
of both the vector (to insecticides) and the parasite (to drugs) coupled with shortage of resources;
the eradication program was not completely successful. Consequently, malaria continued to be
major obstacle of health and economic development. It is understood to be both a disease of
poverty and a cause of poverty. Data on malaria expenditures of both households and health
services are scarce although they are important for advocacy, planning (priority setting) purposes
and as baseline for detailed studies.
Objective: To assess the direct economic costs at household and primary health care levels as
well as indirect (lost workdays) costs of malaria at household level.
Methods: The study was conducted from Dec.2004 to Jan. 2005 at households of four rural
kebeles and three primary health services of Kersa district, Jimma Zone. The four kebeles were
purposively selected on the basis of accessibility to health services. Three hundred households of
these rural kebeles were systematically selected from malaria case registration books that had
been done by community health workers of the respective kebeles. At the same time sample
health services were assessed to capture both recurrent and capital costs of malaria.
Results: Out of the 1712 members of studied households 1185 (69.2%) reported to have malaria
for an average of 19.34 days in the year. Only 5.2% of the lost workdays were compensated. The
direct household expenditure was Birr 67.10 and the estimated indirect cost (lost workdays) was
Birr 347.85 per household. The unit cost of malaria (average of the three health services) was
Birr 11.53 (19.00, 10.32, 4.29 at health center, clinic and health post respectively).
Conclusions and Recommendations: The disease has imposed heavy burden on the community
both in terms of morbidity and economic loss. Therefore, strengthening preventive measures,
advocacy workshops with concerned bodies to mobilize reasonable resource for malaria control
(and prevention) program, private sector involvement where and prospective longitudinal studies
|Appears in:||Thesis - Public Health|
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