Direct costs of hospitalization for rotavirus gastroenteritis in different health facilities in India.

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dc.contributor.authorSowmyanarayanan, T V
dc.contributor.authorPatel, Tushar
dc.contributor.authorSarkar, Rajiv
dc.contributor.authorBroor, Shobha
dc.contributor.authorChitambar, Shobha D
dc.contributor.authorKrishnan, Triveni
dc.contributor.authorArora, Rashmi
dc.contributor.authorKang, Gagandeep
dc.date.accessioned2013-01-24T07:30:24Z
dc.date.available2013-01-24T07:30:24Z
dc.date.issued2012-07
dc.description.abstractBackground & objectives: Diarrhoeal disease is the fifth leading cause of all mortality globally. To this burden, rotavirus contributes over half a million deaths annually. This pilot study was conducted to determine the economic burden of diarrhoeal episodes on families from different geographical regions accessing medical facilities in India. Methods: Participants were enrolled from four study sites with eight reporting hospitals, categorized as non-profit and low cost, private and government facilities between November 2008 and February 2009. Questionnaires detailing healthcare utilization, medical and non-medical expenditure and lost income were completed by families of children < 5 yr of age hospitalized for gastroenteritis. All available faecal samples were tested for rotavirus. Results: A total of 211 patients were enrolled. The mean total cost of a hospitalized diarrhoeal episode was 3633 (US$ 66.05) for all facilities, with a marked difference in direct costs between governmental and non-governmental facilities. Costs for rotavirus positive hospitalizations were slightly lower, at 2956 (US$ 53.75). The median cost of a diarrhoeal episode based on annual household expenditure was 6.4 per cent for all-cause diarrhoea and 7.6 per cent for rotavirus diarrhoea. Of the 124 samples collected, 66 (53%) were positive for rotavirus. Interpretation & conclusions: Data on direct costs alone from multiple facilities show that diarrhoeal disease constitutes a large economic burden on Indian families. Affordable, effective vaccines would greatly reduce the economic burden of severe gastroenteritis on patients, families and the government.en_US
dc.identifier.citationSowmyanarayanan T V, Patel Tushar, Sarkar Rajiv, Broor Shobha, Chitambar Shobha D, Krishnan Triveni, Arora Rashmi, Kang Gagandeep. Direct costs of hospitalization for rotavirus gastroenteritis in different health facilities in India. Indian Journal of Medical Research. 2012 July; 136(1): 68-73.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/144661
dc.language.isoenen_US
dc.source.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3461720/en_US
dc.subjectCostsen_US
dc.subjectdiarrhoeaen_US
dc.subjecteconomic burdenen_US
dc.subjectIndiaen_US
dc.subjectrotavirusen_US
dc.titleDirect costs of hospitalization for rotavirus gastroenteritis in different health facilities in India.en_US
dc.typeArticleen_US
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