The Economic Burden of Severe Acute Malnutrition with Complications: A Cost Analysis for Inpatient Children Aged 6 to 59 Months in Northern Senegal

Bibata Wassonguema (), Dieynaba N’diaye, Morgane Michel (), Laure Ngabirano, Severine Frison, Matar Ba, Françoise Siroma, Antonio Brizuela, Martine Audibert and Karine Chevreul
Additional contact information
Bibata Wassonguema: ECEVE (U1123 / UMR_S_1123) - Epidémiologie Clinique et Evaluation Economique Appliquées aux Populations Vulnérables - INSERM - Institut National de la Santé et de la Recherche Médicale - AP-HP Hôpital universitaire Robert-Debré [Paris] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - UPCité - Université Paris Cité, ACF - Action Contre la Faim
Dieynaba N’diaye: ACF - Action Contre la Faim
Morgane Michel: ECEVE (U1123 / UMR_S_1123) - Epidémiologie Clinique et Evaluation Economique Appliquées aux Populations Vulnérables - INSERM - Institut National de la Santé et de la Recherche Médicale - AP-HP Hôpital universitaire Robert-Debré [Paris] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - UPCité - Université Paris Cité
Laure Ngabirano: ACF - Action Contre la Faim
Severine Frison: ACF - Action Contre la Faim
Françoise Siroma: ACF - Action Contre la Faim
Antonio Brizuela: AAH - Action Against Hunger
Martine Audibert: CERDI - Centre d'Études et de Recherches sur le Développement International - IRD - Institut de Recherche pour le Développement - CNRS - Centre National de la Recherche Scientifique - UCA - Université Clermont Auvergne
Karine Chevreul: ECEVE (U1123 / UMR_S_1123) - Epidémiologie Clinique et Evaluation Economique Appliquées aux Populations Vulnérables - INSERM - Institut National de la Santé et de la Recherche Médicale - AP-HP Hôpital universitaire Robert-Debré [Paris] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - UPCité - Université Paris Cité

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Abstract: Severe acute malnutrition (SAM) is a high-fatality condition that affected 13.7 million children under five years of age worldwide in 2022, with complicated cases requiring extensive inpatient stay with an accompanying caregiver. Our objective was to assess the costs of inpatient treatment for complicated SAM in children aged 6 to 59 months in Northern Senegal and identify cost predictors. We performed a retrospective cost analysis, including 140 children hospitalized from January to December 2020 in five SAM inpatient treatment facilities. We adopted a societal perspective, including direct medical and non-medical costs and indirect costs. We extracted patients' sociodemographic and clinical data from medical records and conducted semi-structured interviews with healthcare staff to capture information on time allocation and care management. A multivariable generalized linear model with gamma family and a log link was used to investigate the factors associated with direct costs. Costs are expressed in 2020 international USD using purchasing power parity. Mean length of stay was 5.3 (SD = 3.2) days and diarrhoea was the cause of the admission in 55.7% of cases. Mean total cost was USD 431.9 (SD = 203.9), with personnel being the largest cost item (33% of the total). Households' out-of-pocket expenses represented 45.3% of total costs and amounted to USD 195.6 (SD = 103.6). Costs were significantly associated with gender (20.3% lower in boys), diarrhoea (27% increase), anaemia (49.4% increase), inpatient death (44.9% decrease), and type of facility (26% higher in hospitals vs. health centre). Our study highlights the financial burden of complicated SAM in Senegal in particular for families. This underscores the need for tailored prevention and social policies to protect families from the disease's financial burden and improve treatment adherence, both in Senegal and similar contexts.

Keywords: economic burden; cost analysis; severe acute malnutrition with complications; Northern Senegal; societal cost; health economics; cost drivers (search for similar items in EconPapers)
Date: 2024-07-10
New Economics Papers: this item is included in nep-hea
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Published in Nutrients, inPress, 16, ⟨10.3390/nu16142192⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-04697869

DOI: 10.3390/nu16142192

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