The Financial Burden of Road Traffic Injuries in Mozambique: A Hospital-Related Cost-of-Illness Study of Maputo Central Hospital
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Road traffic injuries (RTIs) are increasingly being recognized for their significant economic impact. Mozambique, like other low-income countries, suffers staggering rates of road traffic collisions. To our knowledge, this is the first study to estimate direct hospital costs of RTIs using a bottom-up, micro-costing approach in the Mozambican context. This study aims to calculate the direct, inpatient costs of RTIs in Mozambique and compare it to the financial capacity of the Mozambican public health care system.
This was a retrospective, single-centre study. Charts of all patients with RTIs admitted to Maputo Central Hospital over a period of 2 months were reviewed. The costs were recorded and analysed based on direct costs, human resource costs, and overhead costs. Costs were calculated using a micro-costing approach.
In total, 114 patients were admitted and treated for RTIs at Maputo Central Hospital during June–July 2015. On average, the hospital cost per patient was US$ 604.28 (IQR 1033.58). Of this, 44% was related to procedural costs, 23% to diagnostic imaging costs, 17% to length-of-stay costs, 9% to medication costs, and 7% to laboratory test costs. The average annual inpatient cost of RTIs in Mozambique was almost US$ 116 million (0.8% of GDP).
The financial burden of RTIs in Mozambique represents approximately 40% of the annual public health care budget. These results help highlight the economic impact of trauma in Mozambique and the importance of an organized trauma system to reduce such costs.
The study was partly supported by funds from the 2015 McGill University Global Health travel award, granted to author I. Prakash. These funds supported the travel and living expenses of the author, which were required for the data collection portion of the study.
Compliance with ethical standards
Conflict of interest
Authors O. Neves and D. Deckelbaum received financial support from Grand Challenges Canada for the implementation of a trauma registry in Mozambique, which was unrelated to this work.
- 1.Smith JN (2015) Epic measures: one doctor, seven billion patients. Harper Wave, New York, pp 7–15Google Scholar
- 4.Toroyan T, Iaych K, Peden M (2013) Global status report on road safety 2013: supporting a decade of action. World Health Organization, GenevaGoogle Scholar
- 8.Mozambique Budget Brief 2017: Health Sector (2017) UNICEF. Retrieved December 5, 2018 from https://www.unicef.org/esaro/UNICEF_Mozambique_–_2017_–_Health_Budget_Brief.pdf
- 10.Bhalla K, Sharaz S, Abraham J et al (2011) Road injuries in 18 countries: methods, data sources, and estimates of the national incidence of road injuries. Harvard School of Public Health, Boston. Retrieved July 30, 2015 from http://trid.trb.org/view/1251334
- 11.Global Health Expenditure Database (2014) The World Health Organization. Retrieved August 10, 2015 from http://apps.who.int/nha/database/ViewData/Indicators/en
- 12.Mozambique (2015) The World Bank. Retrieved July 26, 2015 from http://data.worldbank.org/country/mozambique
- 13.Mogyorosy Z, Smith P (2005) The main methodological issues in costing health care services: a literature review. Working papers, 007cherp, Centre for Health Economics, University of YorkGoogle Scholar
- 14.Peden M, Scurfield R, Sleet D et al (2004) World report on road traffic injury prevention. World Health Organization, Geneva, pp 5–6Google Scholar