Background
Methods
Results
Authors | Countries | Wage source | Caregiver’s productivity costs included | Average productivity cost related to a non-fatal dengue episode (US$ 2017 prices) |
---|---|---|---|---|
Hospitalized episodes | ||||
Clark et al. [12] | Thailand | Unclear | Yes | 37.5 |
Huy et al. [13] | Cambodia | From survey | Yes | 14.1 |
Mia et al. [14] | Malaysia | Minimum wage | Yes | 276.5 |
Okanurak et al. [15] | Thailand | Minimum wage of two different cities | Yes | Adult patient: 54.3 Child patient: 64.5 |
Suaya et al. [16] | Cambodia | Minimum wage | Yes | 85.9 |
Thailand | Minimum wage | Yes | 67.9 | |
Malaysia | Minimum wage | Yes | 143.0 | |
Kongsin et al. [17] | Thailand | Minimum wage | Yes | 68.4 |
Suaya et al. [18] | Cambodia | Minimum wage | Yes | Average: 85.2 Plasma leakage case: 91.4 Non-plasma leakage case: 65.1 |
Onuh et al. [19] | Philippines | Average minimum wage for non-agriculture and agriculture sectors | NA | 57.7 |
Tam et al. [20] | Vietnam | From survey | NA | 64.7 |
Pham et al. [21] | Vietnam | From survey | NA | 51.3 |
Nguyen et al. [22] | Vietnam | From survey | Yes | Adult patient: DF: 13.5 DHF: 15.1 DSS: 16.8 Child patient: DF: 9.7 DHF: 18.1 DSS: 26.3 |
Suaya et al. [23] | Cambodia | Unclear | Yes | 30.4 |
Harving et al. [24] | Vietnam | From survey | Yes | 24.2 |
Shepard et al. [25] | Malaysia | Estimation | NA | 196.0 |
Lee et al. [26] | Vietnam | From survey | Yes | 58.0 |
Thailand | From survey | Yes | 46.4 | |
Bhavsar et al. [27] | India | From survey and minimum wage | Yes | 155.1 |
Tran et al. [28] | Vietnam | GDP per capita and from survey | Yes | 75.7 |
Tozan et al. [29] | Thailand | Minimum wage | Adult patient: Average: 101.2 DF: 87.9 DHF: 134.7 Child patient: Average: 84.1 DF: 84.8 DHF: 80.6 | |
Tran et al. [30] | Vietnam | From survey | Yes | Median: 88.1 |
Fezzazi et al. [31] | Indonesia | Daily wage | Caregiver only | Overall average: 231.8 |
Malaysia | ||||
Philippines | ||||
Thailand | ||||
Vietnam | ||||
Zeng et al. [32] | Indonesia | GDP per capita | NA | 60.4 |
Malaysia | GDP per capita | NA | 181.7 | |
Philippines | GDP per capita | NA | 41.9 | |
Thailand | GDP per capita | NA | 50.9 | |
Vietnam | GDP per capita | NA | 15.4 | |
Shepard et al. [33] | Bhutan | GDP per capita | NA | 37.3 |
Brunei | GDP per capita | NA | 615.8 | |
Cambodia | GDP per capita | NA | 39.1 | |
East Timor | GDP per capita | NA | 9.6 | |
Indonesia | GDP per capita | NA | 48.0 | |
Laos | GDP per capita | NA | 20.5 | |
Malaysia | GDP per capita | NA | 198.6 | |
Myanmara | GDP per capita | NA | 11.9 | |
Philippines | GDP per capita | NA | 42.5 | |
Singapore | GDP per capita | NA | 1445.9 | |
Thailand | GDP per capita | NA | 54.6 | |
Vietnam | GDP per capita | NA | 10.7 | |
Shepard et al. [4] | Afghanistan | GDP per capita | NA | 6.7 |
Bangladesh | GDP per capita | NA | 13.7 | |
Bhutan | GDP per capita | NA | 39.7 | |
Brunei | GDP per capita | NA | 927.7 | |
Cambodia | GDP per capita | NA | 38.1 | |
China | GDP per capita | NA | 127.3 | |
India | GDP per capita | NA | 19.5 | |
Indonesia | GDP per capita | NA | 52.3 | |
Lao | GDP per capita | NA | 22.8 | |
Malaysia | GDP per capita | NA | 168 | |
Maldives | GDP per capita | NA | 141.3 | |
Myanmar | GDP per capita | NA | 12.1 | |
Nepal | GDP per capita | NA | 8.1 | |
Pakistan | GDP per capita | NA | 19 | |
Philippines | GDP per capita | NA | 38.2 | |
Singapore | GDP per capita | NA | 911.6 | |
Srilanka | GDP per capita | NA | 51.2 | |
Taiwan | GDP per capita | NA | 1318.4 | |
Tajikistan | GDP per capita | NA | 7.6 | |
Thailand | GDP per capita | NA | 50.7 | |
East Timor | GDP per capita | NA | 74.9 | |
Uzbekistan | GDP per capita | NA | 10.2 | |
Vietnam | GDP per capita | NA | 13.2 | |
Yemen | GDP per capita | NA | 31.6 | |
Nadjib et al. [34] | Indonesia | From survey and minimum wage | Yes | 45.0–130.2 |
Lee et al. [35] | Cambodia | From survey | Yes | 59.9 |
Bangert et al. [36] | Maldives | Unclear | NA | 134.4 |
Outpatient episodes | ||||
Shepard et al. [25] | Malaysia | Minimum wage | NA | 172.5 |
Fezzazi et al. [31] a | Indonesia Malaysia Philippines Thailand Vietnam | Average wage | Caregiver only | Overall average: 65.8 |
Lee et al. [26] | Vietnam | From survey | Yes | 23.4 |
Thailand | From survey | Yes | 27.7 | |
Suaya et al. [16] | Cambodia | Minimum wage | NA | NA |
Thailand | Minimum wage | Yes | 125.2 | |
Malaysia | Minimum wage | NA | NA | |
Zeng et al. [32] | Indonesia | GDP per capita | NA | 33.4 |
Malaysia | GDP per capita | NA | 159.6 | |
Philippines | GDP per capita | NA | 22.8 | |
Thailand | GDP per capita | NA | 12.5 | |
Vietnam | GDP per capita | NA | 11.3 | |
Tran et al. [30] | Vietnam | From survey | Yes | Median: 44.1 |
Shepard et al. [33] | Bhutan | GDP per capita | NA | 17.5 |
Brunei | GDP per capita | NA | 288.7 | |
Cambodia | GDP per capita | NA | 5.6 | |
East Timor | GDP per capita | NA | 4.5 | |
Indonesia | GDP per capita | NA | 22.5 | |
Laos | GDP per capita | NA | 9.6 | |
Malaysia | GDP per capita | NA | 173.8 | |
Myanmara | GDP per capita | NA | 5.6 | |
Philippines | GDP per capita | NA | 19.9 | |
Singapore | GDP per capita | NA | 1332.1 | |
Thailand | GDP per capita | NA | 13.7 | |
Vietnam | GDP per capita | NA | 8.4 | |
Shepard et al. [4] | Afghanistan | GDP per capita | NA | 3.8 |
Bangladesh | GDP per capita | NA | 7.5 | |
Bhutan | GDP per capita | NA | 21.5 | |
Brunei | GDP per capita | NA | 519.7 | |
Cambodia | GDP per capita | NA | 5.6 | |
China | GDP per capita | NA | 71.8 | |
India | GDP per capita | NA | 11.3 | |
Indonesia | GDP per capita | NA | 29.4 | |
Lao | GDP per capita | NA | 12.5 | |
Malaysia | GDP per capita | NA | 146.8 | |
Maldives | GDP per capita | NA | 79.4 | |
Myanmar | GDP per capita | NA | 6.9 | |
Nepal | GDP per capita | NA | 4.6 | |
Pakistan | GDP per capita | NA | 10.7 | |
Philippines | GDP per capita | NA | 21.8 | |
Singapore | GDP per capita | NA | 839.4 | |
Srilanka | GDP per capita | NA | 28.5 | |
Taiwan | GDP per capita | NA | 739 | |
Tajikistan | GDP per capita | NA | 4.4 | |
Thailand | GDP per capita | NA | 12.4 | |
East Timor | GDP per capita | NA | 41.8 | |
Uzbekistan | GDP per capita | NA | 5.5 | |
Vietnam | GDP per capita | NA | 10.2 | |
Yemen | GDP per capita | NA | 18.3 | |
Nadjib et al. [34] | Indonesia | From survey and minimum wage | Yes | 8.1–24.6 |
Bangert et al. [36] | Maldives | Unclear | NA | 75.5 |
Unspecified setting | ||||
Luh et al. [41]α | Taiwan | GDP per capita | NA | The average annual productivity cost per case Epidemic year: 176.4 Non-epidemic year: 169.3 |
Carrasco et al. [37] | Singapore | GDP per capita | NA | HCA: 1669.8–3198.9 FCA: 1247.3–2281.7 |
Hariharan et al. [38] | India | GNI per capita | NA | 12.7 |
Authors | Country | Method | Wage source | Discount rate | Average productivity cost related to a fatal dengue episode (US$ 2017 prices) |
---|---|---|---|---|---|
Okanurak et al. [15] | Thailand | NA | GNP per capita | NA | Children: 166,861 Adult: 167,209 |
Suaya et al. [16] | Cambodia | NA | GDP per capita | 3% | 15,568 |
Thailand | NA | GDP per capita | 99,339 | ||
Malaysia | NA | GDP per capita | 132,074 | ||
Shim et al. [39] | Philippines | HCA | GDP per capita | 3% | Children: 85,218 Adults: 55,392 |
Carrasco et al. [37] | Singapore | HCA and FCA | HCA used GDP per capita, FCA used gross earning for friction period | 3% | HCA: 396,836.8-417,187.4 FCA: 5698.2-7122.7 |
Shepard et al. [25] | Malaysia | HCA | Minimum wage | 3% | 52,168.9 |
Beaute et al. [40] | Cambodia | HCA | Average annual income from World Bank | 3% | 16,242.1 |
Luh et al.α [41] | Taiwan | HCA | GDP per capita | 3% | Epidemic year: 224,884.4 Non-epidemic year: 215,634.7 |
Shepard et al. [4] | Afghanistan | HCA | GDP per capita | 3% | Children: 18,077 Adult: 12,368 |
Bangladesh | HCA | GDP per capita | 3% | Children: 34,772 Adult: 22,354 | |
Bhutan | HCA | GDP per capita | 3% | Children: 77,077 Adult: 49,873 | |
Brunei | HCA | GDP per capita | 3% | Children: 851,115 Adult: 554,098 | |
Cambodia | HCA | GDP per capita | 3% | Children: 32,483 Adult: 21,282 | |
China | HCA | GDP per capita | 3% | Children: 187,606 Adult: 122,518 | |
India | HCA | GDP per capita | 3% | Children: 44,120 Adult: 28,729 | |
Indonesia | HCA | GDP per capita | 3% | Children: 91,835 Adult: 59,693 | |
Lao | HCA | GDP per capita | 3% | Children: 49,823 Adult: 32,178 | |
Malaysia | HCA | GDP per capita | 3% | Children: 238,657 Adult: 155,441 | |
Maldives | HCA | GDP per capita | 3% | Children: 208,713 Adult: 135,881 | |
Myanmar | HCA | GDP per capita | 3% | Children: 28,443 Adult: 18,962 | |
Nepal | HCA | GDP per capita | 3% | Children: 23,007 Adult: 14,955 | |
Pakistan | HCA | GDP per capita | 3% | Children: 43,947 Adult: 28,506 | |
Philippines | HCA | GDP per capita | 3% | Children: 72,754 Adult: 47,290 | |
Singapore | HCA | GDP per capita | 3% | Children: 1,453,237 Adult: 948,121 | |
Sri Lanka | HCA | GDP per capita | 3% | Children: 93,487 Adult: 61,013 | |
Taiwan | HCA | GDP per capita | 3% | Children: 1,199,795 Adult: 783,068 | |
Tajikistan | HCA | GDP per capita | 3% | Children: 19,002 Adult: 12,035 | |
Thailand | HCA | GDP per capita | 3% | Children: 159,870 Adult: 104,347 | |
East Timor | HCA | GDP per capita | 3% | Children: 121,101 Adult: 79,282 | |
Uzbekistan | HCA | GDP per capita | 3% | Children: 21,256 Adult: 13,777 | |
Vietnam | HCA | GDP per capita | 3% | Children: 55,848 Adult: 36,555 | |
Yemen | HCA | GDP per capita | 3% | Children: 69,819 Adult: 46,546 | |
Hariharan et al. [38] | India | NA | NA | NA | 33,185.4 |
Bangert et al. [36] | Maldives | NA | NA | NA | Children: 198,181.3 Adult: 129,024.3 |
The reported productivity losses related to non-fatal dengue episodes
Patients’ productivity losses (productive time lost)
Unpaid informal caregivers’ productivity losses (productive time lost)
The estimated productivity costs related to non-fatal dengue episodes
Valuing monetarily an adult’s productivity losses (estimating productivity costs)
Valuing monetarily children’s productivity losses
Key research needs | |
More data quantifying the productivity losses over the full course of the dengue episode. | |
More data quantifying the productivity losses associated with presenteeism and lost unpaid work. | |
More data quantifying the productivity losses associated with post-acute consequences. | |
Further investigation and data describing patents’ informal caregivers and their productivity losses. | |
More data on the health and economic burden of dengue from India and China. | |
Recommendations for future studies | |
Clearly state the losses and costs associated with lost paid work and unpaid work. | |
Clearly report the period of disease that accounted for the productive time lost (i.e. pre-hospitalization, hospitalization and post-hospitalization). | |
Clearly state and justify the wage source(s) used to value the productivity costs. | |
Report the average number of informal caregivers per dengue patient and how their time was valued. | |
Clearly state and justify how children’s productivity losses are quantified and valued monetarily. |
Valuing monetarily informal caregivers’ productivity losses
The estimated productivity costs related to fatal dengue episodes
Discussion
The total economic burden associated with productivity costs
Using productivity costs within cost-effectiveness analysis
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Those corresponding to the productivity losses directly associated with accessing the intervention (e.g. someone takes a day off work to go to an outpatient clinic to get a vaccine).
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Those corresponding to the averted productivity losses that result from prevented morbidity/mortality (i.e. disease case is prevented and therefore, its related productivity costs that would have otherwise occurred are averted). These averted productivity losses are often referred to as productivity gains.