Myanmar Health Sciences Research Journal
Volume 12, Number 1-3
TITLE: Cost analysis of hospitalized children with two common diseases (acute respiratory tract infections and diarrhea) in Yangon Children's Hospital.
AUTHOR: Aung Kyaw Zaw; Than Nu Shwe; Mya Mya Yee; Yi Yi Myint; Soe Thein
SOURCE: Myanmar Health Sciences Research Journal. 2000; 12(1-3): 14-20
ABSTRACT: The cost of hospitalization of (477) patients admitted to YCH for two common diseases (viz: ARI 282 casers and diarrhoea 195 cases) were determined using semi-structured questionnaire and face-to-face interview. The main aim of the study was to reveal the direct and indirect costs incurred by the parents/families during the children's illness and the cost contributed by the government so that the findings might help in future policy implication. The mean cost of hospitalization of each child was 1705 Kyats and the median cost was 1350 Kyats. The government contributed about 36% of the cost of hospitalization. The cost borne by the family amounted to 64% of the total cost, of which only 13% were for medicine and investigations. The cost of hospitalization amounted to about 24.7% of their monthly income. It was noted that majority of the cases could be effectively treated at the hospitals in their local area. Despite having some extent of financial difficulty, more than 80% of the families were willing to pay for the hospital cost although 18% did not want to contribute anything at all. This study highlighted that: (a) public awareness regarding the availability of effective health care of the two diseases at their respective local hospitals should be promoted (This will reduce the unnecessary financial burden imposed on the families due to travel and food expenses if they attend YCH) (b) an interim appropriate local health care financial support mechanism should be considered for the poor patients attending tertiary hospitals before nationwide comprehensive health care financial support system is established.
SUBJECT HEADINGS: Costs and Cost Analysis. Respiratory Tract Infections. Diarrhea.