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dc.contributor.authorSicuri, Een_US
dc.contributor.authorBardají, Aen_US
dc.contributor.authorSanz, Sen_US
dc.contributor.authorAlonso, Sen_US
dc.contributor.authorFernandes, Sen_US
dc.contributor.authorHanson, Ken_US
dc.contributor.authorArevalo-Herrera, Men_US
dc.contributor.authorMenéndez, Cen_US
dc.date.accessioned2020-10-14T14:01:07Z
dc.date.available2018-04-06en_US
dc.date.issued2018-05en_US
dc.identifier.urihttps://qmro.qmul.ac.uk/xmlui/handle/123456789/67566
dc.description.abstractMalaria in pregnancy threatens birth outcomes and the health of women and their newborns. This is also the case in low transmission areas, such as Colombia, where Plasmodium vivax is the dominant parasite species. Within the Colombian health system, which underwent major reforms in the 90s, malaria treatment is provided free of charge to patients. However, patients still incur costs, such as transportation and value of time lost due to the disease. We estimated such costs among 40 pregnant women with clinical malaria (30% Plasmodium falciparum, 70% Plasmodium vivax) in the municipality of Tierralta, Northern Colombia. In a cross-sectional study, women were interviewed after an outpatient or inpatient laboratory confirmed malaria episode. Women were asked to report all types of cost incurred before (including prevention), during and immediately after the contact with the health facility. Median total cost was over 16US$ for an outpatient visit, rising to nearly 30US$ if other treatments were sought before reaching the health facility. Median total inpatient cost was 26US$ or 54US$ depending on whether costs incurred prior to admission were excluded or included. For both outpatients and inpatients, direct costs were largely due to transportation and indirect costs constituted the largest share of total costs. Estimated costs are likely to represent only one of the constraints that women face when seeking treatment in an area characterized, at the time of the study, by armed conflict, displacement, and high vulnerability of indigenous women, the group at highest risk of malaria. Importantly, the Colombian peace process, which culminated with the cease-fire in August 2016, may have a positive impact on achieving universal access to healthcare in conflict areas. The current study can inform malaria elimination initiatives in Colombia.en_US
dc.format.extente0006431 - ?en_US
dc.languageengen_US
dc.relation.ispartofPLoS Negl Trop Disen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subjectAdolescenten_US
dc.subjectAdulten_US
dc.subjectColombiaen_US
dc.subjectCost of Illnessen_US
dc.subjectCross-Sectional Studiesen_US
dc.subjectDelivery of Health Careen_US
dc.subjectEndemic Diseasesen_US
dc.subjectFemaleen_US
dc.subjectHospitalizationen_US
dc.subjectHumansen_US
dc.subjectMalariaen_US
dc.subjectPlasmodium falciparumen_US
dc.subjectPlasmodium vivaxen_US
dc.subjectPregnancyen_US
dc.subjectPregnancy Complicationsen_US
dc.subjectSocioeconomic Factorsen_US
dc.subjectYoung Adulten_US
dc.titlePatients' costs, socio-economic and health system aspects associated with malaria in pregnancy in an endemic area of Colombia.en_US
dc.typeArticle
dc.identifier.doi10.1371/journal.pntd.0006431en_US
pubs.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/29718903en_US
pubs.issue5en_US
pubs.notesNot knownen_US
pubs.publication-statusPublished onlineen_US
pubs.volume12en_US
dcterms.dateAccepted2018-04-06en_US


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Attribution 3.0 United States
Except where otherwise noted, this item's license is described as Attribution 3.0 United States