Household and health system cost of malaria in sub Saharan-Africa: a systematic review.
4 affiliations
- 1Success Healthecon Consultancy PLC, Addis Ababa, Ethiopia. [email protected].
- 2Department of Public Health, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
- 3AHEFTA Consulting, Addis Ababa, Ethiopia.
- 4Success Healthecon Consultancy PLC, Addis Ababa, Ethiopia.
Abstract
Background
Malaria is a major public health problem in Sub-Saharan Africa (SSA), causing a considerable burden on households and health systems. This systematic review analyses the malaria treatment cost faced by households and health systems in Sub-Saharan Africa (SSA).Methods
The review was conducted according to the Preferred Reporting Items for Systematic Reviews (PRISMA) guideline. Studies reported malaria treatment costs incurred by households and the health system in SSA were included in the review. A pooled estimate for household and health system costs of malaria was conducted using the random effects model of the Residual Maximum Likelihood (REML) method. The analysis is conducted in STATA version 16. A total of 39 studies were included in the review, of which approximately 56% reported household costs and 23% reported health system costs.Results
The pooled estimated household cost per outpatient malaria episode was $12.55 (95% CI $9.58, $16.45, I² = 96.29%, P < 0.01), while the pooled inpatient cost per severe malaria episode was $53.71 (95% CI $41.00, $70.31, I² = 96.22%, P < 0.01). Households in the poorest quintile incurred the highest malaria treatment costs compared with those in the richest quintile. The pooled estimated health system cost per outpatient malaria episode was $19.91 (95% CI $10.77, $36.81, I² = 92.44%, P < 0.01), while the health system inpatient cost per severe malaria was $64.03 (95% CI $48.86, $83.90, I² = 93.01%, P < 0.01).Conclusions
Malaria imposed a substantial economic burden on health system and households in low-income countries in SSA. Our findings provide evidence to guide malaria programs planning and enhance resource allocation in SSA. PROSPERO registration number: CRD420251266073.
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BibTeX
@article{baruda2026household,
title = {{Household and health system cost of malaria in sub Saharan-Africa: a systematic review.}},
author = {Yirgalem Shibiru Baruda and Yihalem Abebe Belay and Lelisa Fekadu Assebe},
journal = {Malaria journal},
year = {2026},
month = aug,
doi = {10.1186/s12936-026-06060-2},
url = {https://europepmc.org/article/MED/42958304},
note = {CC BY},
}
RIS
TY - JOUR
TI - Household and health system cost of malaria in sub Saharan-Africa: a systematic review.
AU - Yirgalem Shibiru Baruda
AU - Yihalem Abebe Belay
AU - Lelisa Fekadu Assebe
PY - 2026
DA - 2026/08/03
JO - Malaria journal
DO - 10.1186/s12936-026-06060-2
UR - https://europepmc.org/article/MED/42958304
AB - Background Malaria is a major public health problem in Sub-Saharan Africa (SSA), causing a considerable burden on households and health systems. This systematic review analyses the malaria treatment cost faced by households and health systems in Sub-Saharan Africa (SSA).Methods The review was conducted according to the Preferred Reporting Items for Systematic Reviews (PRISMA) guideline. Studies reported malaria treatment costs incurred by households and the health system in SSA were included in the review. A pooled estimate for household and health system costs of malaria was conducted using the random effects model of the Residual Maximum Likelihood (REML) method. The analysis is conducted in STATA version 16. A total of 39 studies were included in the review, of which approximately 56% reported household costs and 23% reported health system costs.Results The pooled estimated household cost per outpatient malaria episode was $12.55 (95% CI $9.58, $16.45, I² = 96.29%, P < 0.01), while the pooled inpatient cost per severe malaria episode was $53.71 (95% CI $41.00, $70.31, I² = 96.22%, P < 0.01). Households in the poorest quintile incurred the highest malaria treatment costs compared with those in the richest quintile. The pooled estimated health system cost per outpatient malaria episode was $19.91 (95% CI $10.77, $36.81, I² = 92.44%, P < 0.01), while the health system inpatient cost per severe malaria was $64.03 (95% CI $48.86, $83.90, I² = 93.01%, P < 0.01).Conclusions Malaria imposed a substantial economic burden on health system and households in low-income countries in SSA. Our findings provide evidence to guide malaria programs planning and enhance resource allocation in SSA. PROSPERO registration number: CRD420251266073.
SN - 1475-2875
ER -