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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >The economic burden of illness for households in developing countries: a review of studies focusing on malaria, tuberculosis, and human immunodeficiency virus/acquired immunodeficiency syndrome.
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The economic burden of illness for households in developing countries: a review of studies focusing on malaria, tuberculosis, and human immunodeficiency virus/acquired immunodeficiency syndrome.

机译：发展中国家家庭疾病的经济负担：针对疟疾，结核病和人类免疫缺陷病毒/后天免疫缺陷综合症的研究综述。

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摘要

Ill-health contributes to impoverishment, a process brought into sharper focus by the impact of the human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) epidemic. This paper reviews studies that have measured the economic costs and consequences of illness for households, focusing on malaria, tuberculosis (TB), and HIV/AIDS. It finds that in resource-poor settings illness imposed high and regressive cost burdens on patients and their families. Direct and indirect costs of illness for malaria were less than 10% of the household income, but still significant when combined with the costs of other illnesses. The costs of TB and HIV/AIDS were catastrophic for households (more than 10% of the income). Health service weaknesses in many countries, including low coverage, user charges, and poor quality of care, contributed to high costs. Poor households in developing countries with a member with TB or HIV/AIDS struggled to cope, highlighting the urgent need for a substantial increase in health sector investment to expand access to preventive and curative health services. Government and non-governmental interventions should also be broadened to encompass measures that reduce the substantial indirect costs associated with diseases such as malaria, TB, and HIV/AIDS.
机译：疾病导致贫困，人类免疫缺陷病毒/后天免疫缺陷综合症（HIV / AIDS）流行病的影响使这一问题更加突出。本文回顾了衡量经济成本和疾病对家庭的后果的研究，重点是疟疾，结核病和艾滋病毒/艾滋病。研究发现，在资源匮乏的地区，疾病给患者及其家人带来了沉重的成本负担。疟疾的直接和间接疾病成本不到家庭收入的10％，但与其他疾病的成本结合起来仍然很可观。结核病和艾滋病毒/艾滋病的费用对家庭而言是灾难性的（超过收入的10％）。许多国家的医疗服务弱点，包括覆盖率低，使用费低以及护理质量差，导致成本高昂。患有结核病或艾滋病毒/艾滋病的发展中国家的贫困家庭难以应付，突出表明迫切需要大幅增加卫生部门的投资，以扩大获得预防和治疗性卫生服务的机会。政府和非政府干预措施也应扩大范围，以涵盖减少与疟疾，结核病和艾滋病毒/艾滋病等疾病相关的大量间接费用的措施。

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