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

Author

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  • 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
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    References listed on IDEAS

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    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.
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    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.

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