Abstract
Introduction: A District Health Office (DHO) functions as the center for public health measures at local level during any outbreaks in Malaysia more so during the COVID-19 pandemic. Management of an outbreak generally requires a sizable amount of budget and at local level administratively disease control activities are managed by the DHO. This study aims to determine the costs of public health measures for COVID-19 Patient Under Investigation (PUI) at DHO from a provider's perspective.
Methodology: A cross sectional study design conducted in Klang DHO from January until May 2020 where the study phases was categorized according to the phases of the first Movement Control Order (MCO). Data on COVID-19 related patients, activities and expenses were collected from Klang DHO's administrative officers and relevant health care workers based on the DHO 's process of care flow for public health measures that was developed earlier with stakeholder 's consultation. Inclusion and exclusion criteria were predetermined to fit in the study objectives. PUIs and Persons Under Surveillance (PUS) were listed using Microsoft Excel Version 2205 and mapped based on the identified activities. Subsequently, cost per activity was estimated. Micro costing approach was adopted for cost data and data was grouped according to different cost category. Each of the resources for each activity was quantified based on price in 2020 in Malaysian Ringgit. The activities and cost data related to PUIs were extracted from this larger study for further analysis.
Results: A total of 3746 PUIs were seen at health facilities or managed under Klang DHO where 345, 1829 and 1571 cases were from Phase 1, 2 and 3 respectively. Across all three phases, total cost for PUI was a range of RM191,355.45 to RM319,349.72. For human resource category, the total PUI cost was a range of RM153,836.08 to 281,830.35. In Phase 1 the minimum cost was RM8,687.20 where it jumped in trend in Phase 2 and then decreases slightly at RM66,874.88 in Phase 3 while the maximum cost showed the same pattern at RM19,056.60 in Phase 1 and RM94,788.85 in Phase 3. As for the others category which consists of costs for personal protective equipment, consumables together with other related items, the total cost was RM37,519.14 in which RM1,903.26 was in Phase 1, followed by a rise in trend in Phase 2 and 3 at RM17,304.97 and RM18,311.14 respectively. Discussion and Conclusion: The results had shown the characteristics of PUIs in Klang DHO during the first MCO in Malaysia. This information will be useful for subsequent analysis as these results have not included the costs of managing other types of cases such as the PUS or costs from supporting activities during the pandemic. Results of this study are aimed at managers in handling their activities and resources for prevention and control of the COVID-19 pandemic.
Links
- https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-32.pdf
- https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed1909[...]
BibTeX (Download)
@proceedings{APCPH2022-P-32,
title = {COVID-19 Patients Under Investigation - How Much Did It Cost for Klang District Health Office?},
author = {Intan Syafinaz Saimy and Noraziani Khamis and Nur Khairah Badaruddin and Nor Zam Azihan Mohd Hassan and Nor Hayati Ibrahim and Faridah Kusnin and Masitah Mohamed and Sukhvinder Singh Sandhu},
url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-32.pdf
https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed19095a89ed/APCPH2022-P32-IntanSyafinaz-088f82783a50e58a0fb7e790100753f3.pdf},
year = {2022},
date = {2022-08-02},
urldate = {2022-08-02},
issue = {7},
abstract = {Introduction: A District Health Office (DHO) functions as the center for public health measures at local level during any outbreaks in Malaysia more so during the COVID-19 pandemic. Management of an outbreak generally requires a sizable amount of budget and at local level administratively disease control activities are managed by the DHO. This study aims to determine the costs of public health measures for COVID-19 Patient Under Investigation (PUI) at DHO from a provider's perspective.
Methodology: A cross sectional study design conducted in Klang DHO from January until May 2020 where the study phases was categorized according to the phases of the first Movement Control Order (MCO). Data on COVID-19 related patients, activities and expenses were collected from Klang DHO's administrative officers and relevant health care workers based on the DHO 's process of care flow for public health measures that was developed earlier with stakeholder 's consultation. Inclusion and exclusion criteria were predetermined to fit in the study objectives. PUIs and Persons Under Surveillance (PUS) were listed using Microsoft Excel Version 2205 and mapped based on the identified activities. Subsequently, cost per activity was estimated. Micro costing approach was adopted for cost data and data was grouped according to different cost category. Each of the resources for each activity was quantified based on price in 2020 in Malaysian Ringgit. The activities and cost data related to PUIs were extracted from this larger study for further analysis.
Results: A total of 3746 PUIs were seen at health facilities or managed under Klang DHO where 345, 1829 and 1571 cases were from Phase 1, 2 and 3 respectively. Across all three phases, total cost for PUI was a range of RM191,355.45 to RM319,349.72. For human resource category, the total PUI cost was a range of RM153,836.08 to 281,830.35. In Phase 1 the minimum cost was RM8,687.20 where it jumped in trend in Phase 2 and then decreases slightly at RM66,874.88 in Phase 3 while the maximum cost showed the same pattern at RM19,056.60 in Phase 1 and RM94,788.85 in Phase 3. As for the others category which consists of costs for personal protective equipment, consumables together with other related items, the total cost was RM37,519.14 in which RM1,903.26 was in Phase 1, followed by a rise in trend in Phase 2 and 3 at RM17,304.97 and RM18,311.14 respectively. Discussion and Conclusion: The results had shown the characteristics of PUIs in Klang DHO during the first MCO in Malaysia. This information will be useful for subsequent analysis as these results have not included the costs of managing other types of cases such as the PUS or costs from supporting activities during the pandemic. Results of this study are aimed at managers in handling their activities and resources for prevention and control of the COVID-19 pandemic.},
howpublished = {published online at https://apcph.cphm.my},
note = {Type: POSTER PRESENTATION; Organisation: Institute for Health Management; Klang District Health Office},
keywords = {},
pubstate = {published},
tppubtype = {proceedings}
}