HomeAboutusEditorial BoardCurrent issuearchivesSearch articlesInstructions for authorsSubscription detailsAdvertise

  Login  | Users online: 865

   Ahead of print articles    Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size  

SHORT COMMUNICATION Table of Contents   
Year : 2020  |  Volume : 45  |  Issue : 3  |  Page : 363-366
Out-of-pocket expenditure and opportunity cost of leptospirosis patients at a tertiary care hospital of Gujarat, India

1 Department of Community Medicine, Government Medical College, Surat, Gujarat, India
2 Medical College, Baroda, Gujarat, India

Correspondence Address:
Dr. Sridhar Ryavanki Prahlad
A-608, A Block C Wing, Srishti's Palazzo, Avanti Vihar, Raipur - 492 007, Chhattisgarh
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijcm.IJCM_164_19

Rights and Permissions

Introduction: The study investigates the cost incurred by leptospirosis patients as either out-of-pocket expenditure (OOPE) or opportunity cost (OC) and recommends accordingly for the national program on leptospirosis in India. Objectives: The objective of this study is to determine leptospirosis-related OOPE and OC at a government tertiary care hospital and to disaggregate the total OOPE into contributing cost domains. Materials and Methods: The OOPE data were collected by the personal interview of confirmed leptospirosis cases who took complete treatment at the hospital in year 2009 using a prestructured questionnaire. The patients were interviewed daily until discharge to know daily OOPE. Results: The mean OOPE per patient was Rs. 2157/-, Median: Rs. 1880/-, 25th–75th percentile: Rs. 1446 – Rs 2587.5). The lowest quintile for OOPE was Rs. 1330/- and the highest quintile was Rs. 2874/-. Loss of daily wages was 68% (Rs. 1458.9/-) of the total OOPE. Other major expenditure included cost of drugs Rs. 308.8/- (14%), expenditure on food Rs. 173/- (8%), and travelling expenses Rs. 204.4/- (9%). Conclusions: Rs. 2157/- is significant OOPE, and hence, important factor in understanding health-seeking behavior and compliance of leptospirosis patients. The OC (loss of daily wages) amounts to 68% of total OOPE which has to addressed by the government to realize universal health coverage.

Print this article  Email this article

  Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
  Related articles
   Citation Manager
  Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded25    
    Comments [Add]    

Recommend this journal


  Sitemap | What's New | Feedback | Copyright and Disclaimer
  2007 - Indian Journal of Community Medicine | Published by Wolters Kluwer - Medknow
  Online since 15th September, 2007