The Social and Economic Impact of Dengue: A Case Study of the National Hospital Colombo, Sri Lanka

De Silva, Dhodanduwa (2022) The Social and Economic Impact of Dengue: A Case Study of the National Hospital Colombo, Sri Lanka. Doctoral thesis, Asia e University.

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Abstract

Dengue has become a significant public health problem in Sri Lanka. In the year 2017, a total of 186,101 cases of dengue have been reported around the country, and the most substantial proportion of 18.42% was reported from the Colombo district. The social and economic impact of dengue has been studied at a very low level so far. Therefore, this study was conducted to have an insight into the number of resources used by the interventions related to dengue case management and the social factors, which influence the disease. Due to the difficulty in obtaining data from the private sector, the scope of this study was limited to the government sector. The research was conducted in two stages. It involved 200 inward dengue patients in analyzing the direct cost of the disease and conducting a community survey through family members of selected patients to analyze the social impact of the disease. Related data items were gathered from the National Hospital that treated dengue inward patients in the Colombo district. The structured cost elements were examined to identify the variable and fixed costs of each activity within each element and used a systematic sampling protocol to select 200 patients and their families. A cross-sectional approach was used to assess the knowledge, attitudes, and behavioral patterns of family members towards dengue fever. All data were analyzed by using MS Excel, SPSS 22 software package, and R software and used logistic regression model approach to realize the independent effect of each of these potential variables on the dependent variables (dengue prevention practices) of Knowledge, Attitudes and Practices (KAP) related to dengue prevention and apply quantile regression to analyze the economic impact of dengue. The average economic impact of dengue illness in Sri Lanka was LKR 37,988 in 2017 and knowledge, attitudes and behavioral factors have significant effects on health. This study recommends that the healthcare system in Sri Lanka needs to develop mechanisms to promote preventive care, which is more cost-effective compared to curative care.

Item Type:	Thesis (Doctoral)
Divisions:	School of Management
Depositing User:	Muhamad Aizat Nazmi Mohd Nor Hamin
Date Deposited:	05 Oct 2022 01:32
Last Modified:	05 Oct 2022 01:32
URI:	http://ur.aeu.edu.my/id/eprint/961

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