Table 3 |
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|
Mean cost for malaria, pneumonia and meningitis treatment in 2005 US$ among children admitted to seven Kenyan hospitals |
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|
Hospital |
Diagnosis |
No of patients |
Average length of stay (days) |
Mean drug costs |
Mean cost of investigations |
Mean bed-day cost |
Mean (SD) health sector cost per patient* |
Median (IQR) health sector cost* |
|
|
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|
National hospital |
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|
|
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|
H1 |
Malaria |
27 |
4.3 |
4.07 |
16.49 |
75.03 |
95.58 (78.27) |
78.72 (40.36–125.41) |
|
|
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|
Pneumonia |
49 |
8.2 |
15.17 |
18.70 |
143.26 |
177.14 (206.76) |
117.40 (58.97–201.90) |
|
|
|
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|
Meningitis |
43 |
12.8 |
24.33 |
36.95 |
223.37 |
284.64 (239.38) |
222.60 (159.68–317.06) |
|
|
|
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|
Provincial hospital |
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|
|
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|
H2 |
Malaria |
29 |
4.7 |
8.68 |
9.77 |
63.40 |
81.84 (73.60) |
58.73 (37.46–103.60) |
|
|
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|
Pneumonia |
31 |
6.6 |
6.57 |
3.53 |
89.67 |
99.26 (71.14) |
71.94 (55.26–109.75) |
|
|
|
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|
Meningitis |
24 |
11.7 |
18.41 |
13.29 |
157.71 |
189.41 (141.58) |
165.31(126.24–237.23) |
|
|
|
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|
District hospitals |
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|
|
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|
H3 |
Malaria |
44 |
4.8 |
3.06 |
26.25 |
45.91 |
75.22 (42.09) |
75.13 (36.33–102.84) |
|
|
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|
Pneumonia |
29 |
4.8 |
2.23 |
8.44 |
45.89 |
56.55 (60.37) |
41.42 (23.75–69.89) |
|
|
|
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|
H4 |
Malaria |
25 |
4.7 |
4.11 |
5.85 |
45.19 |
55.16 (30.67) |
46.64 (34.13–67.76) |
|
|
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|
Pneumonia |
30 |
6.7 |
2.88 |
4.94 |
64.14 |
71.96 (29.38) |
56.00 (52.65–84.09) |
|
|
|
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|
H5 |
Malaria |
25 |
3.8 |
2.68 |
8.51 |
36.00 |
47.19 (43.16) |
37.98 (33.21–45.01) |
|
|
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|
Pneumonia |
17 |
4.2 |
4.29 |
9.79 |
39.98 |
54.06 (33.82) |
50.65 (30.90–66.61) |
|
|
|
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|
Malaria and pneumonia |
20 |
4.5 |
2.42 |
8.03 |
43.08 |
53.53(34.41) |
79.00(34.91–121.16) |
|
|
|
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|
Mission hospitals |
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|
|
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|
H6 |
Malaria |
30 |
4.5 |
13.15 |
31.62 |
43.40 |
88.18 (59.92) |
72.82 (43.65–113.83) |
|
|
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|
Pneumonia |
30 |
7.8 |
32.15 |
35.39 |
74.68 |
142.22 (103.39) |
140.49 (51.04–185.23) |
|
|
|
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|
Meningitis |
22 |
11.8 |
44.03 |
44.85 |
112.71 |
201.59(126.41) |
162.00(115.16–248.14) |
|
|
|
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|
H7 |
Malaria |
31 |
3.1 |
6.34 |
6.55 |
29.34 |
42.23 (23.60) |
36.46 (32.80–46.45) |
|
|
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|
Pneumonia |
19 |
3.4 |
3.05 |
7.56 |
32.75 |
43.36 (29.75) |
35.53 (31.96–51.01) |
|
|
|
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|
*Excluding pre-admission costs, caretaker time and transport costs, but including revenues generated from user fees. |
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|
Ayieko et al. Cost Effectiveness and Resource Allocation 2009 7:3 doi:10.1186/1478-7547-7-3 |
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