Economic burden of childhood diarrhea in Burundi

Table 4 Cost per episode (Int$ in 2019) by health facility type and cost components

Type of cost	All (n = 137)			Health center (n = 44)			Hospital (n = 94)			P-value*
Type of cost	Mean	SD	Median	Mean	SD	Median	Mean	SD	Median	P-value*
Direct medical cost	77.24	94.92	41.64	15.35	8.80	15.06	106.52	102.88	71.67	< 0.001
Before visit/admission	5.73	12.32	0.00	1.83	5.35	0.00	7.57	14.15	0.00	< 0.001
Visit/admission	71.42	92.36	39.99	13.53	7.13	12.23	98.82	101.12	66.24	< 0.001
Drugs and medical supplies	39.92	63.43	13.39	5.40	2.36	4.82	56.26	71.46	33.87	< 0.001
Investigation cost	22.07	24.19	13.06	6.63	5.39	5.38	29.38	26.14	35.33	< 0.001
Routine services	9.43	15.93	1.98	1.50	0.43	1.35	13.18	18.19	1.98	< 0.001
After visit/admission	0.09	0.83	0.00	0.00	0.00	0.00	0.13	1.00	0.00	0.332
Direct non-medical cost	31.77	36.82	18.57	9.32	6.64	8.59	42.39	40.36	30.06	< 0.001
Transportation^a	9.36	14.51	4.61	1.60	2.22	1.08	13.03	16.33	7.53	< 0.001
Meal^a	3.58	6.79	0.92	0.80	2.41	0.00	4.90	7.74	2.30	< 0.001
Accommodation^a	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1.000
Informal care^a	15.90	19.17	8.59	5.83	4.05	4.29	20.66	21.54	10.74	< 0.001
Others^a	2.93	9.42	0.00	1.09	4.08	0.00	3.80	11.00	0.00	0.205
Total cost per episode	109.01	123.35	59.59	24.67	12.70	23.82	148.91	131.93	98.64	< 0.001

SD standard deviation
*to compare between health center and the hospital with Mann-Whitney test, a p-value < 0.05 was used as statistical significance
^a include the cost before, during and after visit or admission

ISSN: 2397-0642