Costs of Dengue Control Activities and Hospitalizations in the Public Health Sector during an Epidemic Year in Urban Sri Lanka.

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dc.contributor.author Thalagala, Neil
dc.contributor.author Tissera, Hasitha
dc.contributor.author Palihawadana, Paba
dc.contributor.author Amarasinghe, Ananda
dc.contributor.author Ambagahawita, Anuradha
dc.contributor.author Wilder-Smith, Annelies
dc.contributor.author Shepard, Donald S
dc.contributor.author Tozan, Ye Ùim
dc.date.accessioned 2019-01-28T17:41:47Z
dc.date.available 2019-01-28T17:41:47Z
dc.date.issued 2016
dc.identifier.issn 1935-2735
dc.identifier.other PMC4766086
dc.identifier.uri https://hdl.handle.net/10192/36325
dc.description.abstract BACKGROUND: Reported as a public health problem since the 1960s in Sri Lanka, dengue has become a high priority disease for public health authorities. The Ministry of Health is responsible for controlling dengue and other disease outbreaks and associated health care. The involvement of large numbers of public health staff in dengue control activities year-round and the provision of free medical care to dengue patients at secondary care hospitals place a formidable financial burden on the public health sector. METHODS: We estimated the public sector costs of dengue control activities and the direct costs of hospitalizations in Colombo, the most heavily urbanized district in Sri Lanka, during the epidemic year of 2012 from the Ministry of Health's perspective. The financial costs borne by public health agencies and hospitals are collected using cost extraction tools designed specifically for the study and analysed retrospectively using a combination of activity-based and gross costing approaches. RESULTS: The total cost of dengue control and reported hospitalizations was estimated at US$3.45 million (US$1.50 per capita) in Colombo district in 2012. Personnel costs accounted for the largest shares of the total costs of dengue control activities (79%) and hospitalizations (46%). The results indicated a per capita cost of US$0.42 for dengue control activities. The average costs per hospitalization ranged between US$216-609 for pediatric cases and between US$196-866 for adult cases according to disease severity and treatment setting. CONCLUSIONS: This analysis is a first attempt to assess the economic burden of dengue response in the public health sector in Sri Lanka. Country-specific evidence is needed for setting public health priorities and deciding about the deployment of existing or new technologies. Our results suggest that dengue poses a major economic burden on the public health sector in Sri Lanka.
dc.format.extent 1 file
dc.language English
dc.language.iso eng
dc.publisher Public Library of Science
dc.relation.isversionof 10.1371/journal.pntd.0004466
dc.rights Creative Commons Attribution 4.0 International License
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.subject Adult
dc.subject Cost of Illness
dc.subject Dengue
dc.subject Disease Outbreaks
dc.subject Female
dc.subject Hospitalization
dc.subject Humans
dc.subject Male
dc.subject Public Health
dc.subject Public Sector
dc.subject Retrospective Studies
dc.subject Sri Lanka
dc.subject Urban Health
dc.subject Young Adult
dc.title Costs of Dengue Control Activities and Hospitalizations in the Public Health Sector during an Epidemic Year in Urban Sri Lanka.
dc.type Article
dc.contributor.department Heller School for Social Policy and Management
dc.relation.journal PLoS Neglected Tropical Diseases
dc.identifier.pmid 26910907


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