TY - JOUR
T1 - Hospitalizations and costs incurred at the facility level after scale-up of malaria control
T2 - Pre-post comparisons from two hospitals in Zambia
AU - Comfort, Alison B.
AU - Van Dijk, Janneke H.
AU - Thuma, Philip E.
AU - Mharakurwa, Sungano
AU - Gabert, Rose
AU - Korde, Sonali
AU - Stillman, Kathryn
AU - Nachbar, Nancy
AU - Derriennic, Yann
AU - Musau, Stephen
AU - Hamazakaza, Petan
AU - Zyambo, Khozya D.
AU - Zyongwe, Nancy M.
AU - Hamainza, Busiku
PY - 2014/1
Y1 - 2014/1
N2 - There is little evidence on the impact of malaria control on the health system, particularly at the facility level. Using retrospective, longitudinal facility-level and patient record data from two hospitals in Zambia, we report a pre-post comparison of hospital admissions and outpatient visits for malaria and estimated costs incurred for malaria admissions before and after malaria control scale-up. The results show a substantial reduction in inpatient admissions and outpatient visits for malaria at both hospitals after the scale-up, and malaria cases accounted for a smaller proportion of total hospital visits over time. Hospital spending on malaria admissions also decreased. In one hospital, malaria accounted for 11% of total hospital spending before large-scale malaria control compared with < 1% after malaria control. The findings demonstrate that facility-level resources are freed up as malaria is controlled, potentially making these resources available for other diseases and conditions.
AB - There is little evidence on the impact of malaria control on the health system, particularly at the facility level. Using retrospective, longitudinal facility-level and patient record data from two hospitals in Zambia, we report a pre-post comparison of hospital admissions and outpatient visits for malaria and estimated costs incurred for malaria admissions before and after malaria control scale-up. The results show a substantial reduction in inpatient admissions and outpatient visits for malaria at both hospitals after the scale-up, and malaria cases accounted for a smaller proportion of total hospital visits over time. Hospital spending on malaria admissions also decreased. In one hospital, malaria accounted for 11% of total hospital spending before large-scale malaria control compared with < 1% after malaria control. The findings demonstrate that facility-level resources are freed up as malaria is controlled, potentially making these resources available for other diseases and conditions.
UR - http://www.scopus.com/inward/record.url?scp=84892718733&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84892718733&partnerID=8YFLogxK
U2 - 10.4269/ajtmh.13-0019
DO - 10.4269/ajtmh.13-0019
M3 - Article
C2 - 24218409
AN - SCOPUS:84892718733
SN - 0002-9637
VL - 90
SP - 20
EP - 32
JO - American Journal of Tropical Medicine and Hygiene
JF - American Journal of Tropical Medicine and Hygiene
IS - 1
ER -