Domiciliary treatment of severely malnourished children could have economic and practical advantages over other methods.
We compared three approaches in a controlled trial, 437 children in Dhaka (<60% weight-for-height, and/or oedema) aged 12-60 months were sequentially allocated to treatment as inpatients, to day-care, or to care at home after one week of day-care.
Institutional and parental costs incurred to reach 80% weight-for-height were compared.
Costs for inpatient, day-care, and at-home groups averaged 6363,2517, and 1552 taka (60 taka=UK£1).
Mortality was low (<5%) in all three groups.
Day-care treatment approached inpatient care for speed of recovery at less than half the cost, but it was unpopular with parents.
Mots-clés Pascal : Réanimation, Economie santé, Traitement, Enfant, Homme, Malnutrition, Bengla Desh, Asie
Mots-clés Pascal anglais : Resuscitation, Health economy, Treatment, Child, Human, Malnutrition, Bangladesh, Asia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0176797
Code Inist : 002B27B07. Création : 09/06/1995.