ArticlePloS one2017
Economic burden of malaria and predictors of cost variability to rural households in south-central Ethiopia.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The economic burden of malaria in Africa: a systematic review of cost of illness studies.Malaria journal · 2025Pooled it
- Malaria Control, Elimination, and Prevention as Components of Health Security: A Review.The American journal of tropical medicine and hygiene · 2022Pooled it
- The economic burden of malaria: a systematic review.Malaria journal · 2022Pooled it
- Provider and household costs ofBulletin of the World Health Organization · 2019Trial
- Malaria Outbreak in Meinit Goldia District, Southwest Ethiopia Peoples Regional State, 2025: Risk factors and epidemiological insights from a case-control study.BMC infectious diseases · 2026Article
- The household economic burden of human-only and zoonotic malaria, compared to other causes of acute febrile illness in Indonesia.BMJ global health · 2026Article
- Severe malarial anaemia in childhood is associated with decreased long-term household wealth.BMC public health · 2025Article
- Malaria in their words: thematic analysis of online narratives from Sub-Saharan Africa.International journal for equity in health · 2025Article
- Review
- Household costs associated with zoonotic Plasmodium knowlesi, P. falciparum, P. vivax and P. malariae infections in Sabah, Malaysia.PLoS neglected tropical diseases · 2025Article
- Assessment of community-based resilience to malaria in two transmission settings in Western Burkina Faso.BMC public health · 2025Article
- Article
- Prevalence of malaria and dengue co-infections among febrile patients during dengue transmission season in Kassala, eastern Sudan.PLoS neglected tropical diseases · 2023Article
- Economic Burdens of Uncomplicated Malaria in Primary Health Care (PHC) Facilities of Plateau State, Nigeria: Patients' Perspectives.International journal of environmental research and public health · 2023Article
- Article
- A cost analysis of the diagnosis and treatment of malaria at public health facilities and communities in three districts in Rwanda.Malaria journal · 2022Article
- Factors associated with malaria care seeking among children under 5 years of age in Mozambique: a secondary analysis of the 2018 Malaria Indicator Survey.Malaria journal · 2022Observational
- Addressing child health inequity through case management of under-five malaria in Nigeria: an extended cost-effectiveness analysis.Malaria journal · 2022Article
- Article
- Costs and barriers faced by households seeking malaria treatment in the Upper River Region, The Gambia.Malaria journal · 2021Article
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6 authors.
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Abstract
backgroundWhile recognizing the recent remarkable achievement in the global malaria reduction, the disease remains a challenge to the malaria endemic countries in Africa. Beyond the huge health consequence of malaria, policymakers need to be informed about the economic burden of the disease to the households. However, evidence on the economic burden of malaria in Ethiopia is scanty. The aims of this study were to estimate the economic burden of malaria episode and to identify predictors of cost variability to the rural households.
methodsA prospective costing approach from a household perspective was employed. A total of 190 malaria patients were enrolled to the study from three health centers and nine health posts in Adami Tullu district in south-central Ethiopia, in 2015. Primary data were collected on expenditures due to malaria, forgone working days because of illness, socioeconomic and demographic situation, and households' assets. Quantile regression was applied to predict factors associated with the cost variation. Socioeconomic related inequality was measured using concentration index and concentration curve.
resultsThe median cost of malaria per episode to the household was USD 5.06 (IQR: 2.98-8.10). The direct cost accounted for 39%, while the indirect counterpart accounted for 61%. The history of malaria in the last six months and the level of the facility visited in the health system predominantly influenced the direct cost. The indirect cost was mainly influenced by the availability of antimalarial drugs in the health facility. The concentration curve and the concentration index for direct cost indicate significant pro-rich inequality. Plasmodium falciparum is significantly more costly for households compared to Plasmodium vivax.
conclusionThe economic burden of malaria to the rural households in Ethiopia was substantial-mainly to the poor-indicating that reducing malaria burden could contribute to the poverty reduction as well.
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