Article (Scientific journals)
Economic costs analysis of uncomplicated malaria case management in the Peruvian Amazon
Moreno-Gutierrez, Diamantina; Rosas-Aguirre, Angel; Llanos-Cuentas, Alejandro et al.
2020In Malaria Journal, 19 (1), p. 161
Peer Reviewed verified by ORBi


Full Text
ms_revised article 2.pdf
Publisher postprint (727.44 kB)
Request a copy

All documents in ORBi are protected by a user license.

Send to


Keywords :
malaria; economic; cost; management; Peru; health care-seeking behaviour
Abstract :
[en] Background Case management is one of the principal strategies for malaria control. This study aimed to estimate the economic costs of uncomplicated malaria case management and explore the influence of healthseeking behaviours on those costs. Methods A knowledge, attitudes and practices (KAP) survey was applied to 680 households of fifteen communities in Mazan-Loreto in March 2017, then a socio-economic survey was conducted in September 2017 among 161 individuals with confirmed uncomplicated malaria in the past three months. Total costs per episode were estimated from both provider (Ministry of Health, MoH) and patient perspectives. Direct costs were estimated using a standard costing estimation procedure, while the indirect costs considered the loss of incomes among patients, substitute labourers and companions due to illness in terms of the monthly minimum wage. Sensitivity analysis evaluated the uncertainty of the average cost per episode. Results The KAP survey showed that most individuals (79.3%) that had malaria went to a health facility for a diagnosis and treatment, 2.7% received those services from community health workers, and 8% went to a drugstore or were self-treated at home. The average total cost per episode in the Mazan district was US$161. The cost from the provider’s perspective was US$30.85 per episode while from the patient’s perspective the estimated cost was US$ 131 per episode. The average costs per Plasmodium falciparum episode (US$180) were higher than those per Plasmodium vivax episode (US$156) due to longer time lost from work by patients with P. falciparum infections (22.2 days) than by patients with P. vivax infections (17.0 days). The delayed malaria diagnosis (after 48 hours of the onset of symptoms) was associated with the time lost from work due to illness (adjusted mean ratio 1.8; 95%CI 1.3, 2.6). The average cost per malaria episode was most sensitive to the uncertainty around the lost productivity cost due to malaria. Conclusions: Despite the provision of free malaria case management by MoH, there is delay in seeking care and the costs of uncomplicated malaria are mainly borne by the families. These costs are not well perceived by the society and the substantial financial impact of the disease can be frequently undervalued in public policy planning
Disciplines :
Social economics
Immunology & infectious disease
Author, co-author :
Moreno-Gutierrez, Diamantina
Rosas-Aguirre, Angel
Llanos-Cuentas, Alejandro
Bilcke, Joke
Barboza, Jose Luis
Hayette, Marie-Pierre ;  Université de Liège - ULiège > Département des sciences biomédicales et précliniques > Bactériologie, mycologie, parasitologie, virologie
Contreras-Mancilla, Juan
Aguirre, Kristian
Gamboa, Dionicia
Rodriguez, Hugo
Speybroeck, Niko
Beutels, Philippe
Language :
Title :
Economic costs analysis of uncomplicated malaria case management in the Peruvian Amazon
Alternative titles :
[en] Analyse du coût lié à la prise en charge des cas de paludisme non compliqué dans la région de l'amazone Péruvienne
Publication date :
21 April 2020
Journal title :
Malaria Journal
Publisher :
BioMed Central, United Kingdom
Volume :
Issue :
Pages :
Peer reviewed :
Peer Reviewed verified by ORBi
Funders :
ARES - Académie de Recherche et d'Enseignement Supérieur [BE]
Available on ORBi :
since 23 April 2020


Number of views
78 (8 by ULiège)
Number of downloads
4 (3 by ULiège)

Scopus citations®
Scopus citations®
without self-citations


Similar publications

Contact ORBi