Out-of-pocket costs associated with rotavirus gastroenteritis requiring hospitalization in Malaysia

Vaccine. 2009 Nov 20:27 Suppl 5:F112-5. doi: 10.1016/j.vaccine.2009.08.069.


From August 2006 to July 2007 a prospective study of out-of-pocket costs incurred by care-givers of children hospitalized for rotavirus gastroenteritis was conducted in a hospital in Malaysia. Data on caretaker out-of-pocket costs were collected from 260 children hospitalized with diarrhoea. A stool sample was collected from 198 of these children of which 46 (23%) were positive for rotavirus by latex agglutination assay. The mean (median; interquartile range) out-of-pocket cost incurred by the care-givers was US$194 (US$169; US$47-738), constituting 26% of average monthly income of the households surveyed. Major components of the cost were hospital expenses (45%) and productivity loss (37%). These findings will allow further assessment of the cost-effectiveness of any future rotavirus immunization program in Malaysia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child, Preschool
  • Cost of Illness*
  • Female
  • Gastroenteritis / economics*
  • Gastroenteritis / virology
  • Health Care Costs
  • Hospitalization / economics
  • Humans
  • Infant
  • Malaysia / epidemiology
  • Male
  • Population Surveillance
  • Prospective Studies
  • Rotavirus Infections / economics*