Year : 2020 | Volume
: 57 | Issue : 1 | Page : 31--36
Cost of care and its impact on households due to lymphatic filariasis: Analysis of a national sample survey in India
Jaya Prasad Tripathy1, BM Prasad2
1 Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, India
2 International Union against Tuberculosis and Lung Disease, The Union Southeast Asia Office, New Delhi, India
Background and objectives: India is an endemic country for lymphatic filariasis (LF). There are no current estimates of the expenditure being borne by LF patients in case of outpatient care or hospitalisation and its impact on households. This study aimed to estimate the household out-of-pocket (OOP) expenditure due to hospitalization or outpatient care as a result of LF in India.
Methods: Secondary analysis of nationally representative data for India collected by the National Sample Survey Organization in 2014 was performed, reporting on health service utilization and health care related OOP expenditure by income quintiles and by type of health facility (public or private).
Results: The median household OOP expenditure from hospitalization and outpatient care due to LF was US$ 178 and US$ 04, respectively; and was more than two times higher among the richest group compared to the poorest. There was a significantly higher proportion of households affected by catastrophic costs among the rich (30%) compared to the poor households (18%) due to hospitalization. Median private sector OOP hospitalization expenditure was nearly four times higher than the public sector. Less than one-fourth of outpatient visits (22%) were in the public sector. The median expenditure on medicines and indirect cost were US$ 32 (IQR: 17–84) and US$ 23 (IQR: 9–59), respectively in case of hospitalization due to LF; while in case of outpatient care these were US$ 1.5 (IQR: 0–5.8) and US$ 1.5 (IQR: 0–4), respectively.
Interpretation & conclusion: Households with LF incur huge cost of patient care, particularly those in the lowest income group and those seeking care in the private sector.
Dr Jaya Prasad Tripathy
Assistant Professor, Department of Community Medicine, All India Institute of Medical Sciences, Nagpur
|How to cite this article:|
Tripathy JP, Prasad B M. Cost of care and its impact on households due to lymphatic filariasis: Analysis of a national sample survey in India.J Vector Borne Dis 2020;57:31-36
|How to cite this URL:|
Tripathy JP, Prasad B M. Cost of care and its impact on households due to lymphatic filariasis: Analysis of a national sample survey in India. J Vector Borne Dis [serial online] 2020 [cited 2021 Apr 17 ];57:31-36
Available from: https://www.jvbd.org/article.asp?issn=0972-9062;year=2020;volume=57;issue=1;spage=31;epage=36;aulast=Tripathy;type=0