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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/3086

Authors: Lelisa Sena
Advisors: Dr. Damen Haile Mariam
Mr. Wakgari Deressa
Keywords: Public Health
Copyright: Apr-2005
Date Added: 17-May-2012
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 7 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 were recommended.
URI: http://hdl.handle.net/123456789/3086
Appears in:Thesis - Public Health

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