Examining unit costs for Covid-19 case management in Kenya

Datos Bibliográficos

ID21879591
AutoresEdwine Barasa (0000-0001-5793-7177, Kenya Medical Research Institute, autor de correspondencia), Angela Kairu (0000-0002-0965-4460, Kenya Medical Research Institute), Wangari Ng’ang’a (0000-0003-1440-0921, Kenya School of Government), Wangari Ng'ang'a, Marybeth Maritim (0000-0003-0996-1222, University of Nairobi), Vincent Were (0000-0002-3554-795X, Kenya Medical Research Institute), Samuel Akech (0000-0001-5126-1225, Kenya Medical Research Institute), Mercy Mwangangi (Ministry of Health)
Año2021
Volumen6
Número4
Páginase004159
Fecha de publicación2021-04-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaBMJ Global Health (JOURNAL)
Identificadores de la revistaISSN: 2059-7908 • E-ISSN: 2059-7908
EditorialBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2020-004159
PMID33853843
OpenAlexW3155277669
IdiomaEN
Citas recibidas13
Referencias citadas8

INTRODUCTION: We estimated unit costs for COVID-19 case management for patients with asymptomatic, mild-to-moderate, severe and critical COVID-19 disease in Kenya. METHODS: We estimated per-day unit costs of COVID-19 case management for patients. We used a bottom-up approach to estimate full economic costs and adopted a health system perspective and patient episode of care as our time horizon. We obtained data on inputs and their quantities from data provided by three public COVID-19 treatment hospitals in Kenya and augmented this with guidelines. We obtained input prices from a recent costing survey of 20 hospitals in Kenya and from market prices for Kenya. RESULTS: Per-day, per-patient unit costs for asymptomatic patients and patients with mild-to-moderate COVID-19 disease under home-based care are 1993.01 Kenyan shilling (KES) (US$18.89) and 1995.17 KES (US$18.991), respectively. When these patients are managed in an isolation centre or hospital, the same unit costs for asymptomatic patients and patients with mild-to-moderate disease are 6717.74 KES (US$63.68) and 6719.90 KES (US$63.70), respectively. Per-day unit costs for patients with severe COVID-19 disease managed in general hospital wards and those with critical COVID-19 disease admitted in intensive care units are 13 137.07 KES (US$124.53) and 63 243.11 KES (US$599.51). CONCLUSION: COVID-19 case management costs are substantial, ranging between two and four times the average claims value reported by Kenya's public health insurer. Kenya will need to mobilise substantial resources and explore service delivery adaptations that will reduce unit costs

2019-20 coronavirus outbreak · Business · Outbreak · Pandemic · Public health · COVID-19 Clinical Research Studies · COVID-19 epidemiological studies · Global Maternal and Child Health · Medicine · Nursing · Psychology · Internal Medicine · Virology