IDEAS home Printed from https://ideas.repec.org/a/spr/pharmo/v1y2017i3d10.1007_s41669-017-0021-8.html
   My bibliography  Save this article

Evaluating the Treatment Costs for Uncomplicated Malaria at a Public Healthcare Facility in Nigeria and the Implications

Author

Listed:
  • Charles C. Ezenduka

    (Nnamdi Azikiwe University)

  • Daniel Resende Falleiros

    (Federal University of Minas Gerais)

  • Brian B. Godman

    (Strathclyde University
    Karolinska Institutet
    University of Liverpool Management School)

Abstract

Background Accurate information on the facility costs of treatment is essential to enhance decision making and funding for malaria control. Objective The objective of this study was to estimate the costs of providing treatment for uncomplicated malaria through a public health facility in Nigeria. Methods Hospital costs were estimated from a provider perspective, applying a standard costing procedure. Capital and recurrent expenditures were estimated using an ingredient approach combined with step-down methodology. Costs attributable to malaria treatment were calculated based on the proportion of malaria cases to total outpatient visits. The costs were calculated in local currency [Naira (N)] and converted to US dollars at the 2013 exchange rate. Results Total annual costs of N28.723 million (US$182,953.65) were spent by the facility on the treatment of uncomplicated malaria, at a rate of US$31.49 per case, representing approximately 25% of the hospital’s total expenditure in the study year. Personnel accounted for over 82.5% of total expenditure, followed by antimalarial medicines at 6.6%. More than 45% of outpatients visits were for uncomplicated malaria. Changes in personnel costs, drug prices and malaria prevalence significantly impacted on the study results, indicating the need for improved efficiency in the use of hospital resources. Conclusion Malaria treatment currently consumes a considerable amount of resources in the facility, driven mainly by personnel cost and a high proportion of malaria cases. There is scope for enhanced efficiency to prevent waste and reduce costs to the provider and ultimately the consumer.

Suggested Citation

  • Charles C. Ezenduka & Daniel Resende Falleiros & Brian B. Godman, 2017. "Evaluating the Treatment Costs for Uncomplicated Malaria at a Public Healthcare Facility in Nigeria and the Implications," PharmacoEconomics - Open, Springer, vol. 1(3), pages 185-194, September.
    • Handle: RePEc:spr:pharmo:v:1:y:2017:i:3:d:10.1007_s41669-017-0021-8
    DOI: 10.1007/s41669-017-0021-8
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s41669-017-0021-8
    File Function: Abstract
    Download Restriction: no
    File URL: https://libkey.io/10.1007/s41669-017-0021-8?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Asenso-Okyere, W. K. & Dzator, Janet A., 1997. "Household cost of seeking malaria care. A retrospective study of two districts in Ghana," Social Science & Medicine, Elsevier, vol. 45(5), pages 659-667, September.
    2. Chima, Reginald Ikechukwu & Goodman, Catherine A. & Mills, Anne, 2003. "The economic impact of malaria in Africa: a critical review of the evidence," Health Policy, Elsevier, vol. 63(1), pages 17-36, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Nahlah Elkudssiah Ismail & Nanloh Samuel Jimam & Khang Wen Goh & Ching Siang Tan & Long Chiau Ming, 2023. "Economic Burdens of Uncomplicated Malaria in Primary Health Care (PHC) Facilities of Plateau State, Nigeria: Patients’ Perspectives," IJERPH, MDPI, vol. 20(2), pages 1-13, January.
    2. Iimi,Atsushi, 2021. "Estimating the Impact of Improved Roads on Access to Health Care : Evidence from Mozambique," Policy Research Working Paper Series 9726, The World Bank.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Dillon, Andrew & Friedman, Jed & Serneels, Pieter, 2014. "Health Information, Treatment, and Worker Productivity: Experimental Evidence from Malaria Testing and Treatment among Nigerian Sugarcane Cutters," IZA Discussion Papers 8074, Institute of Labor Economics (IZA).
    2. Laxminarayan, Ramanan, 2003. "ACT Now or Later: The Economics of Malaria Resistance," RFF Working Paper Series dp-03-51, Resources for the Future.
    3. Su, Tin Tin & Sanon, Mamadou & Flessa, Steffen, 2007. "Assessment of indirect cost-of-illness in a subsistence farming society by using different valuation methods," Health Policy, Elsevier, vol. 83(2-3), pages 353-362, October.
    4. Laxminarayan, Ramanan, 2003. "ACT Now or Later: The Economics of Malaria Resistance," Discussion Papers 10699, Resources for the Future.
    5. McIntyre, Diane & Thiede, Michael & Dahlgren, Göran & Whitehead, Margaret, 2006. "What are the economic consequences for households of illness and of paying for health care in low- and middle-income country contexts?," Social Science & Medicine, Elsevier, vol. 62(4), pages 858-865, February.
    6. Chima, Reginald Ikechukwu & Goodman, Catherine A. & Mills, Anne, 2003. "The economic impact of malaria in Africa: a critical review of the evidence," Health Policy, Elsevier, vol. 63(1), pages 17-36, January.
    7. Josselin Thuilliez, 2007. "Malaria and Primary Education: A Cross-Country Analysis on Primary Repetition and Completion Rates," Post-Print halshs-00144666, HAL.
    8. Ikefuji, M. & Magnus, J.R. & Sakamoto, H., 2010. "Climate Change, Economic Growth, and Health," Discussion Paper 2010-86, Tilburg University, Center for Economic Research.
    9. Douglas Gollin & Christian Zimmermann, 2005. "Malaria," 2005 Meeting Papers 561, Society for Economic Dynamics.
    10. Patrick Sakdapolrak & Thomas Seyler & Christina Ergler, 2013. "Burden of direct and indirect costs of illness: Empirical findings from slum settlements in Chennai, South India," Progress in Development Studies, , vol. 13(2), pages 135-151, April.
    11. Adesina, Adedoyin & Akogun, Oladele & Dillon, Andrew & Friedman, Jed & Njobdi, Sani & Serneels, Pieter, 2017. "Robustness and External Validity: What do we Learn from Repeated Study Designs over Time?," 2018 Allied Social Sciences Association (ASSA) Annual Meeting, January 5-7, 2018, Philadelphia, Pennsylvania 266292, Agricultural and Applied Economics Association.
    12. Catherine A. Goodman & Paul G. Coleman & Anne J. Mills, 2001. "Changing the first line drug for malaria treatment—cost‐effectiveness analysis with highly uncertain inter‐temporal trade‐offs," Health Economics, John Wiley & Sons, Ltd., vol. 10(8), pages 731-749, December.
    13. Larochelle, Catherine & Dalton, Timothy J., 2006. "Transient Health Shocks and Agricultural Labor Demand in Rice-producing Households in Mali," 2006 Annual Meeting, August 12-18, 2006, Queensland, Australia 25314, International Association of Agricultural Economists.
    14. Sunde, Uwe & Cervellati, Matteo & Esposito, Elena & Valmori, Simona, 2016. "Malaria Risk and Civil Violence," CEPR Discussion Papers 11496, C.E.P.R. Discussion Papers.
    15. Masha F. Somi & James R. G. Butler & Farshid Vahid & Joseph D. Njau & Salim Abdulla, 2009. "Household responses to health risks and shocks: A study from rural Tanzania raises some methodological issues," Journal of International Development, John Wiley & Sons, Ltd., vol. 21(2), pages 200-211.
    16. David E. Bloom & Michael Kuhn & Klaus Prettner, 2022. "Modern Infectious Diseases: Macroeconomic Impacts and Policy Responses," Journal of Economic Literature, American Economic Association, vol. 60(1), pages 85-131, March.
    17. Jean-Claude Berthélemy & Josselin Thuilliez, 2014. "The economics of malaria in Africa," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) hal-01045213, HAL.
    18. Wielgosz, Benjamin & Mangheni, Margaret Najjingo & Tsegai, Daniel & Ringler, Claudia, 2012. "Malaria and agriculture: A global review of the literature with a focus on the application of integrated pest and vector management in East Africa and Uganda," IFPRI discussion papers 1232, International Food Policy Research Institute (IFPRI).
    19. Haenssgen, Marco J. & Ariana, Proochista, 2017. "The Social Implications of Technology Diffusion: Uncovering the Unintended Consequences of People’s Health-Related Mobile Phone Use in Rural India and China," World Development, Elsevier, vol. 94(C), pages 286-304.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:pharmo:v:1:y:2017:i:3:d:10.1007_s41669-017-0021-8. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.