The average cost of inpatient care was found to be $26 in Burkina Faso and $134 in Cambodia, while the average cost of outpatient care was $13 per episode in Burkina Faso and $23 in Kenya. It was also found that the majority of the expenses were directly spent as out of pocket money by the patients.
Dengue fever is a major public health concern in many parts of South-East Asia and South America and its prevalence in Africa is thought to be expanding. Researchers have now analyzed the economic burden of dengue fever in Burkina Faso, Kenya, and Cambodia. Their results appear this week in PLOS Neglected Tropical Diseases.
Dengue fever is a vector-borne disease transmitted by Aedes mosquitos. While there are studies on the economic burden of dengue in some countries with high prevalence of the disease, countries in Africa had not previously been analyzed, and cost comparisons between countries are often not standardized.
Four hundred fourteen patients with dengue were identified at the field sites in Burkina Faso, 149 in Kenya, and 254 in Cambodia. The average cost of inpatient care was $26 in Burkina Faso and $134 in Cambodia, while the average cost of outpatient care was $13 per episode in Burkina Faso and $23 in Kenya. In both African countries, the majority of costs were directly borne by patients and the costs were not insignificant compared to the economic cost of malaria, a major pathogen in the areas.
"The economic burden outcomes presented in the current study can be used to estimate more accurate vaccination benefits when conducting a cost-effectiveness analysis of dengue fever vaccine interventions in the three countries in the future," the researchers say.