Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso.

<h4>Background</h4>Snakebite has become better recognized as a significant cause of death and disability in Sub-Saharan Africa, but the health economic consequences to victims and health infrastructures serving them remain poorly understood. This information gap is important as it provid...

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Autores principales:	Sayem Ahmed, Guibehi B Koudou, Maïwenn Bagot, François Drabo, Windtaré R Bougma, Caisey Pulford, Moses Bockarie, Robert A Harrison
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/20f5b4d860b8427fa2cbb549626f8f8f
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spelling	oai:doaj.org-article:20f5b4d860b8427fa2cbb549626f8f8f2021-11-25T06:33:08ZHealth and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso.1935-27271935-273510.1371/journal.pntd.0009464https://doaj.org/article/20f5b4d860b8427fa2cbb549626f8f8f2021-06-01T00:00:00Zhttps://doi.org/10.1371/journal.pntd.0009464https://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735<h4>Background</h4>Snakebite has become better recognized as a significant cause of death and disability in Sub-Saharan Africa, but the health economic consequences to victims and health infrastructures serving them remain poorly understood. This information gap is important as it provides an evidence-base guiding national and international health policy decision making on the most cost-effective interventions to better manage snakebite. Here, we assessed hospital-based data to estimate the health economic burden of snakebite in three regions of Burkina Faso (Centre-Ouest, Hauts Bassins and Sud-Ouest).<h4>Methodology</h4>Primary data of snakebite victims admitted to regional and district health facilities (eg, number of admissions, mortality, hospital bed days occupied) was collected in three regions over 17 months in 2013/14. The health burden of snakebite was assessed using Disability-Adjusted Life Years (DALYs) calculations based upon hospitalisation, mortality and disability data from admitted patients amongst other inputs from secondary sources (eg, populations, life-expectancy and age-weighting constants). An activity-based costing approach to determine the direct cost of snake envenoming included unit costs of clinical staff wages, antivenom, supportive care and equipment extracted from context-relevant literature.<h4>Findings</h4>The 10,165 snakebite victims admitted to hospital occupied 28,164 hospital bed days over 17 months. The annual rate of hospitalisation and mortality of admitted snakebite victims was 173 and 1.39/100,000 population, respectively. The estimated annual (i) DALYs lost was 2,153 (0.52/1,000) and (ii) cost to hospitals was USD 506,413 (USD 49/hospitalisation) in these three regions of Burkina Faso. These costs appeared to be influenced by the number of patients receiving antivenom (10.90% in total) in each area (highest in Sud-Ouest) and the type of health facility.<h4>Conclusion</h4>The economic burden of snake envenoming is primarily shouldered by the rural health centres closest to snakebite victims-facilities that are typically least well equipped or resourced to manage this burden. Our study highlights the need for more research in other regions/countries to demonstrate the burden of snakebite and the socioeconomic benefits of its management. This evidence can guide the most cost-effective intervention from government and development partners to meet the snakebite-management needs of rural communities and their health centres.Sayem AhmedGuibehi B KoudouMaïwenn BagotFrançois DraboWindtaré R BougmaCaisey PulfordMoses BockarieRobert A HarrisonPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 15, Iss 6, p e0009464 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
spellingShingle	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Sayem Ahmed Guibehi B Koudou Maïwenn Bagot François Drabo Windtaré R Bougma Caisey Pulford Moses Bockarie Robert A Harrison Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso.
description	<h4>Background</h4>Snakebite has become better recognized as a significant cause of death and disability in Sub-Saharan Africa, but the health economic consequences to victims and health infrastructures serving them remain poorly understood. This information gap is important as it provides an evidence-base guiding national and international health policy decision making on the most cost-effective interventions to better manage snakebite. Here, we assessed hospital-based data to estimate the health economic burden of snakebite in three regions of Burkina Faso (Centre-Ouest, Hauts Bassins and Sud-Ouest).<h4>Methodology</h4>Primary data of snakebite victims admitted to regional and district health facilities (eg, number of admissions, mortality, hospital bed days occupied) was collected in three regions over 17 months in 2013/14. The health burden of snakebite was assessed using Disability-Adjusted Life Years (DALYs) calculations based upon hospitalisation, mortality and disability data from admitted patients amongst other inputs from secondary sources (eg, populations, life-expectancy and age-weighting constants). An activity-based costing approach to determine the direct cost of snake envenoming included unit costs of clinical staff wages, antivenom, supportive care and equipment extracted from context-relevant literature.<h4>Findings</h4>The 10,165 snakebite victims admitted to hospital occupied 28,164 hospital bed days over 17 months. The annual rate of hospitalisation and mortality of admitted snakebite victims was 173 and 1.39/100,000 population, respectively. The estimated annual (i) DALYs lost was 2,153 (0.52/1,000) and (ii) cost to hospitals was USD 506,413 (USD 49/hospitalisation) in these three regions of Burkina Faso. These costs appeared to be influenced by the number of patients receiving antivenom (10.90% in total) in each area (highest in Sud-Ouest) and the type of health facility.<h4>Conclusion</h4>The economic burden of snake envenoming is primarily shouldered by the rural health centres closest to snakebite victims-facilities that are typically least well equipped or resourced to manage this burden. Our study highlights the need for more research in other regions/countries to demonstrate the burden of snakebite and the socioeconomic benefits of its management. This evidence can guide the most cost-effective intervention from government and development partners to meet the snakebite-management needs of rural communities and their health centres.
format	article
author	Sayem Ahmed Guibehi B Koudou Maïwenn Bagot François Drabo Windtaré R Bougma Caisey Pulford Moses Bockarie Robert A Harrison
author_facet	Sayem Ahmed Guibehi B Koudou Maïwenn Bagot François Drabo Windtaré R Bougma Caisey Pulford Moses Bockarie Robert A Harrison
author_sort	Sayem Ahmed
title	Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso.
title_short	Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso.
title_full	Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso.
title_fullStr	Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso.
title_full_unstemmed	Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso.
title_sort	health and economic burden estimates of snakebite management upon health facilities in three regions of southern burkina faso.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/20f5b4d860b8427fa2cbb549626f8f8f
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Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso.

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