Estimation of the Direct Cost of Poliomyelitis Rehabilitation Treatment to Pakistani Patients: A 53-Year Retrospective Study

Appl Health Econ Health Policy. 2018 Dec;16(6):871-888. doi: 10.1007/s40258-018-0422-6.

Abstract

Background: Pakistan is one of the last few countries in which poliomyelitis is endemic. Evidence indicates that out-of-pocket expenditures are a barrier to polio rehabilitation treatment, yet there are no reported figures related to the financial burden of this disease on patients in a recently polio-endemic country.

Objective: This study investigated direct costs attributed to rehabilitation treatment of poliomyelitis among Pakistani patients and reported its duration along with the socioeconomic status of poliomyelitis survivors.

Conclusion: The cost of poliomyelitis rehabilitation in Pakistan is high; it has an economic effect on the lives of patients and their families. Despite good education, polio survivors in Pakistan appear to have low socioeconomic status, lower chances of employment and marriage, as well as fewer children. Further research is recommended to explore the burden of disease on society, i.e., indirect costs and suffering.

MeSH terms

  • Adult
  • Female
  • Financing, Personal / economics
  • Financing, Personal / statistics & numerical data*
  • Health Care Costs / statistics & numerical data*
  • Humans
  • Male
  • Pakistan / epidemiology
  • Poliomyelitis / economics*
  • Poliomyelitis / epidemiology
  • Poliomyelitis / rehabilitation
  • Retrospective Studies
  • Socioeconomic Factors
  • Young Adult