The financial impact of puerperal infections on patients, carers and public hospitals in two regions in Ghana

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dc.contributor.authorFenny, A.P.
dc.contributor.authorOtieku, E.
dc.contributor.authorAkufo, C.
dc.contributor.authorObeng-Nkrumah, N.
dc.contributor.authorAsante, F.A.
dc.contributor.authorEnemark, U.
dc.date.accessioned2021-12-10T14:03:26Z
dc.date.available2021-12-10T14:03:26Z
dc.date.issued2021
dc.descriptionResearch Articleen_US
dc.description.abstractPuerperal infection (PI) is a known maternal health problem globally. However, there is limited information on its economic impact on patients, carers, and public hospitals in lower-middle-income countries, such as Ghana. A prospective case-control study was undertaken in two regional hospitals to analyze the cost of PI. A total of 667 and 559 participants were enrolled in the study at the Greater Accra Regional Hospital (GARH) and the Eastern Regional Hospital (ERH), respectively. Total, average and marginal costs were analyzed between patients with and without PI. Within the study period, the prevalence of PI was 9.1% at ERH and 14.9% at GARH. Overall, patients with PI reported excess length of hospital stay (LOS), corresponding to 46.8% and 33.5% increases in average direct cost at ERH and GARH, respectively, compared with their control groups. In almost all cases, the attributable indirect cost was consistent with productivity loss. In both hospitals, patients with PI reported excess LOS and increased direct and indirect costs. The total cost of PI to society, which is the sum of the direct cost, productivity loss, and hospital cost, was higher in Greater Accra than in the Eastern region.en_US
dc.identifier.otherhttps://doi.org/10.1002/ijgo.13509
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/37236
dc.language.isoen_USen_US
dc.publisherWileyen_US
dc.titleThe financial impact of puerperal infections on patients, carers and public hospitals in two regions in Ghanaen_US
dc.typeArticleen_US

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