Cost of pediatric hospitalizations in Burkina Faso: A cross-sectional study of children aged <5 years enrolled through an acute gastroenteritis surveillance program

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dc.contributor.authorAliabadi, Negar
dc.contributor.authorBonkoungou, Isidore Juste O.
dc.contributor.authorPindyck, Talia
dc.date.accessioned2023-05-21T22:08:04Z
dc.date.available2023-05-21T22:08:04Z
dc.date.issued2020-09
dc.descriptionVaccine, 38(42), 6517-6523.en_US
dc.description.abstractIntroduction Diarrheal illness is a leading cause of hospitalizations among children <5 years. We estimated the costs of inpatient care for rotavirus and all-cause acute gastroenteritis (AGE) in two Burkina Faso hospitals. Methods We conducted a cross-sectional study among children <5 years from December 2017 to June 2018 in one urban and one rural pediatric hospital. Costs were ascertained through caregiver interview and chart abstraction. Direct medical, non-medical, and indirect costs per child incurred are reported. Costs were stratified by rotavirus results. Results 211 children <5 years were included. AGE hospitalizations cost 161USD (IQR 117–239); 180USD (IQR 121–242) at the urban and 154USD (IQR 116–235) at the rural site. Direct medical costs were higher in the urban compared to the rural site (140USD (IQR 102–182) vs. 90USD (IQR 71–108), respectively). Direct non-medical costs were higher at the rural versus urban site (15USD (IQR 10, 15) vs. 11USD (IQR 5–20), respectively). Indirect costs were higher at the rural versus urban site (35USD (IQR 8–91) vs. 0USD (IQR 0–26), respectively). Rotavirus hospitalizations incurred less direct medical costs as compared to non-rotavirus hospitalizations at the rural site (79USD (IQR 64–103) vs. 95USD (IQR 80–118)). No other differences by rotavirus testing status were observed. The total median cost of a hospitalization incurred by households was 24USD (IQR 12–49) compared to 75USD for government (IQR 59–97). Direct medical costs for households were higher in the urban site (median 49USD (IQR 31–81) versus rural (median 14USD (IQR 8–25)). Households in the lowest wealth quintiles at the urban site expended 149% of their monthly income on the child’s hospitalization, compared to 96% at the rural site. Conclusions AGE hospitalization costs differed between the urban and rural hospitals and were most burdensome to the lowest income households. Rotavirus positivity was not associated with greater household costs.en_US
dc.description.sponsorshipACE: Environment, CEA-CEFORGRISen_US
dc.identifier.citationAliabadi, N., Bonkoungou, I. J. O., Pindyck, T., Nikièma, M., Leshem, E., Seini, E., ... & Tate, J. E. (2020). Cost of pediatric hospitalizations in Burkina Faso: A cross-sectional study of children aged< 5 years enrolled through an acute gastroenteritis surveillance program. Vaccine, 38(42), 6517-6523.en_US
dc.identifier.urihttps://doi.org/10.1016/j.vaccine.2020.08.028
dc.identifier.urihttp://datad.aau.org/handle/123456789/1873
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.subjectMoumouni Nikièmaen_US
dc.subjectEyal Leshemen_US
dc.subjectEmmanuel Seinien_US
dc.subjectMadibélé Kamen_US
dc.subjectSouleymane Konatéen_US
dc.subjectMa Ouattaraen_US
dc.subjectBoureima Ouédraogoen_US
dc.subjectEdmond Gueen_US
dc.subjectDésiré Nezienen_US
dc.subjectIssa Ouedraogoen_US
dc.subjectUmesh Parasharen_US
dc.subjectIsaïe Medahen_US
dc.subjectJason M. Mwendaen_US
dc.subjectJacqueline E. Tateen_US
dc.titleCost of pediatric hospitalizations in Burkina Faso: A cross-sectional study of children aged <5 years enrolled through an acute gastroenteritis surveillance programen_US
dc.typeArticleen_US
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