Mia Md Shahin, Begum Rawshan Ara, Er A C, Pereira Joy Jacqueline
Southeast Asian J Trop Med Public Health. 2016 Nov;47(6):1167-76.
Dengue is endemic in all parts of Malaysia. However, there is limited data regarding the cost burden of this disease at household level. We aimed to examine the cost of dengue infection at the household level in Seremban District, Malaysia. This cost assessment can provide an insight to policy-makers about economic impact of dengue infection in order to guide and prioritize control strategies. The data were collected via interview. We evaluated120 previous dengue infection patients registered at the Tuanku Ja’afar Hospital, Seremban District, Malaysia. The average duration of dengue illness was 9.69 days. The average household days lost was 18.7; students lost an average of 6.3 days of school and patients and caregivers lost an average of 12.5 days of work. The mean total cost per case of dengue infection was estimated to be USD365.16 with the indirect cost being USD327.90 (89.8% of the total cost) and the direct cost being USD37.26 (10.2% of the total cost). Our findings suggest each episode of dengue infection imposes a significant financial burden at the household level in Seremban District, Malaysia; most of the burden being indirect cost. This cost needs to be factored into the overall cost to society of dengue infection. This data can inform policy makers when allocating resources to manage public health problems in Malaysia.
登革热在马来西亚各地均为地方性疾病。然而，关于这种疾病在家庭层面的成本负担的数据有限。我们旨在研究马来西亚芙蓉地区家庭层面登革热感染的成本。这项成本评估可以让政策制定者了解登革热感染的经济影响，以便指导控制策略并确定其优先顺序。数据通过访谈收集。我们评估了马来西亚芙蓉地区端姑查法医院登记的120名既往登革热感染患者。登革热疾病的平均持续时间为9.69天。家庭平均损失天数为18.7天；学生平均缺课6.3天，患者及照料者平均误工12.5天。每例登革热感染的平均总成本估计为365.16美元，其中间接成本为327.90美元（占总成本的89.8%），直接成本为37.26美元（占总成本的10.2%）。我们的研究结果表明，在马来西亚芙蓉地区，每一次登革热感染都会给家庭带来巨大的经济负担；大部分负担为间接成本。这一成本需要纳入登革热感染对社会造成的总体成本之中。这些数据可以为政策制定者在马来西亚分配资源以管理公共卫生问题时提供参考。
