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Household Catastrophic Healthcare Expenditure and Impoverishment Due to Rotavirus Gastroenteritis Requiring Hospitalization in Malaysia

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  • Tharani Loganathan
  • Way-Seah Lee
  • Kok-Foo Lee
  • Mark Jit
  • Chiu-Wan Ng

Abstract

Background: While healthcare costs for rotavirus gastroenteritis requiring hospitalization may be burdensome on households in Malaysia, exploration on the distribution and catastrophic impact of these expenses on households are lacking. Objectives: We assessed the economic burden, levels and distribution of catastrophic healthcare expenditure, the poverty impact on households and inequities related to healthcare payments for acute gastroenteritis requiring hospitalization in Malaysia. Methods: A two-year prospective, hospital-based study was conducted from 2008 to 2010 in an urban (Kuala Lumpur) and rural (Kuala Terengganu) setting in Malaysia. All children under the age of 5 years admitted for acute gastroenteritis were included. Patients were screened for rotavirus and information on healthcare expenditure was obtained. Results: Of the 658 stool samples collected at both centers, 248 (38%) were positive for rotavirus. Direct and indirect costs incurred were significantly higher in Kuala Lumpur compared with Kuala Terengganu (US$222 Vs. US$45; p

Suggested Citation

  • Tharani Loganathan & Way-Seah Lee & Kok-Foo Lee & Mark Jit & Chiu-Wan Ng, 2015. "Household Catastrophic Healthcare Expenditure and Impoverishment Due to Rotavirus Gastroenteritis Requiring Hospitalization in Malaysia," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-14, May.
    • Handle: RePEc:plo:pone00:0125878
    DOI: 10.1371/journal.pone.0125878
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    References listed on IDEAS

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    2. Wagstaff, Adam & Paci, Pierella & van Doorslaer, Eddy, 1991. "On the measurement of inequalities in health," Social Science & Medicine, Elsevier, vol. 33(5), pages 545-557, January.
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    Cited by:

    1. Sarah M Bartsch & Benjamin A Lopman & Sachiko Ozawa & Aron J Hall & Bruce Y Lee, 2016. "Global Economic Burden of Norovirus Gastroenteritis," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-16, April.
    2. Kyung Suk Lee & Ye-Rin Lee & So-Youn Park & In-Hwan Oh, 2018. "The economic burden of rotavirus infection in South Korea from 2009 to 2012," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-11, March.
    3. Muaz Sayuti & Surianti Sukeri, 2022. "Assessing progress towards Sustainable Development Goal 3.8.2 and determinants of catastrophic health expenditures in Malaysia," PLOS ONE, Public Library of Science, vol. 17(2), pages 1-12, February.
    4. Endreny, T. & Santagata, R. & Perna, A. & Stefano, C. De & Rallo, R.F. & Ulgiati, S., 2017. "Implementing and managing urban forests: A much needed conservation strategy to increase ecosystem services and urban wellbeing," Ecological Modelling, Elsevier, vol. 360(C), pages 328-335.

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