Cost of illness for severe and non-severe diarrhea borne by households in a low-income urban community of Bangladesh: A cross-sectional study.

The illness cost borne by households, known as out-of-pocket expenditure, was 74% of the total health expenditure in Bangladesh in 2017. Calculating economic burden of diarrhea of low-income urban community is important to identify potential cost savings strategies and prioritize policy decision to...

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Autores principales:	Rebeca Sultana, Stephen P Luby, Emily S Gurley, Nadia Ali Rimi, Sayeda Tasnuva Swarna, Jahangir A M Khan, Nazmun Nahar, Probir Kumar Ghosh, Sushil Ranjan Howlader, Humayun Kabir, Shifat Khan, Peter Kjær Mackie Jensen
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/e7c4c1d127aa439983526975ee7183a5
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spelling	oai:doaj.org-article:e7c4c1d127aa439983526975ee7183a52021-11-25T06:31:46ZCost of illness for severe and non-severe diarrhea borne by households in a low-income urban community of Bangladesh: A cross-sectional study.1935-27271935-273510.1371/journal.pntd.0009439https://doaj.org/article/e7c4c1d127aa439983526975ee7183a52021-06-01T00:00:00Zhttps://doi.org/10.1371/journal.pntd.0009439https://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735The illness cost borne by households, known as out-of-pocket expenditure, was 74% of the total health expenditure in Bangladesh in 2017. Calculating economic burden of diarrhea of low-income urban community is important to identify potential cost savings strategies and prioritize policy decision to improve the quality of life of this population. This study aimed to estimate cost of illness and monthly percent expenditure borne by households due diarrhea in a low-income urban settlement of Dhaka, Bangladesh. We conducted this study in East Arichpur area of Tongi township in Dhaka, Bangladesh from September 17, 2015 to July 26, 2016. We used the World Health Organization (WHO) definition of three or more loose stool in 24 hours to enroll patients and enrolled 106 severe patients and 158 non-severe patients from Tongi General Hospital, local pharmacy and study community. The team enrolled patients between the first to third day of the illness (≤ 72 hours) and continued daily follow-up by phone until recovery. We considered direct and indirect costs to calculate cost-per-episode. We applied the published incidence rate to estimate the annual cost of diarrhea. The estimated average cost of illness for patient with severe diarrhea was US$ 27.39 [95% CI: 24.55, 30.23] (2,147 BDT), 17% of the average monthly income of the households. The average cost of illness for patient with non-severe diarrhea was US$ 6.36 [95% CI: 5.19, 7.55] (499 BDT), 4% of the average monthly income of households. A single diarrheal episode substantially affects financial condition of low-income urban community residents: a severe episode can cost almost equivalent to 4.35 days (17%) and a non-severe episode can cost almost equivalent to 1 day (4%) of household's income. Preventing diarrhea preserves health and supports financial livelihoods.Rebeca SultanaStephen P LubyEmily S GurleyNadia Ali RimiSayeda Tasnuva SwarnaJahangir A M KhanNazmun NaharProbir Kumar GhoshSushil Ranjan HowladerHumayun KabirShifat KhanPeter Kjær Mackie JensenPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 15, Iss 6, p e0009439 (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 Rebeca Sultana Stephen P Luby Emily S Gurley Nadia Ali Rimi Sayeda Tasnuva Swarna Jahangir A M Khan Nazmun Nahar Probir Kumar Ghosh Sushil Ranjan Howlader Humayun Kabir Shifat Khan Peter Kjær Mackie Jensen Cost of illness for severe and non-severe diarrhea borne by households in a low-income urban community of Bangladesh: A cross-sectional study.
description	The illness cost borne by households, known as out-of-pocket expenditure, was 74% of the total health expenditure in Bangladesh in 2017. Calculating economic burden of diarrhea of low-income urban community is important to identify potential cost savings strategies and prioritize policy decision to improve the quality of life of this population. This study aimed to estimate cost of illness and monthly percent expenditure borne by households due diarrhea in a low-income urban settlement of Dhaka, Bangladesh. We conducted this study in East Arichpur area of Tongi township in Dhaka, Bangladesh from September 17, 2015 to July 26, 2016. We used the World Health Organization (WHO) definition of three or more loose stool in 24 hours to enroll patients and enrolled 106 severe patients and 158 non-severe patients from Tongi General Hospital, local pharmacy and study community. The team enrolled patients between the first to third day of the illness (≤ 72 hours) and continued daily follow-up by phone until recovery. We considered direct and indirect costs to calculate cost-per-episode. We applied the published incidence rate to estimate the annual cost of diarrhea. The estimated average cost of illness for patient with severe diarrhea was US$ 27.39 [95% CI: 24.55, 30.23] (2,147 BDT), 17% of the average monthly income of the households. The average cost of illness for patient with non-severe diarrhea was US$ 6.36 [95% CI: 5.19, 7.55] (499 BDT), 4% of the average monthly income of households. A single diarrheal episode substantially affects financial condition of low-income urban community residents: a severe episode can cost almost equivalent to 4.35 days (17%) and a non-severe episode can cost almost equivalent to 1 day (4%) of household's income. Preventing diarrhea preserves health and supports financial livelihoods.
format	article
author	Rebeca Sultana Stephen P Luby Emily S Gurley Nadia Ali Rimi Sayeda Tasnuva Swarna Jahangir A M Khan Nazmun Nahar Probir Kumar Ghosh Sushil Ranjan Howlader Humayun Kabir Shifat Khan Peter Kjær Mackie Jensen
author_facet	Rebeca Sultana Stephen P Luby Emily S Gurley Nadia Ali Rimi Sayeda Tasnuva Swarna Jahangir A M Khan Nazmun Nahar Probir Kumar Ghosh Sushil Ranjan Howlader Humayun Kabir Shifat Khan Peter Kjær Mackie Jensen
author_sort	Rebeca Sultana
title	Cost of illness for severe and non-severe diarrhea borne by households in a low-income urban community of Bangladesh: A cross-sectional study.
title_short	Cost of illness for severe and non-severe diarrhea borne by households in a low-income urban community of Bangladesh: A cross-sectional study.
title_full	Cost of illness for severe and non-severe diarrhea borne by households in a low-income urban community of Bangladesh: A cross-sectional study.
title_fullStr	Cost of illness for severe and non-severe diarrhea borne by households in a low-income urban community of Bangladesh: A cross-sectional study.
title_full_unstemmed	Cost of illness for severe and non-severe diarrhea borne by households in a low-income urban community of Bangladesh: A cross-sectional study.
title_sort	cost of illness for severe and non-severe diarrhea borne by households in a low-income urban community of bangladesh: a cross-sectional study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/e7c4c1d127aa439983526975ee7183a5
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Cost of illness for severe and non-severe diarrhea borne by households in a low-income urban community of Bangladesh: A cross-sectional study.

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