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Table 1 Case fatality ratio, health services utilization (e.g., probability of seeking care conditional on being sick), and out-of-pocket direct medical costs for 20 leading causes of mortality in Ethiopia

From: Assessing the burden of medical impoverishment by cause: a systematic breakdown by disease in Ethiopia

Cause of mortality

Case fatality ratio (%)

Health services utilization (%)

Out-of-pocket direct medical costs (2013 US$)

Sources

Lower respiratory infections (LRI)

1.1 %

27 %a; 9 %b

$6a*; $51b*

[13, 25, 26]

Diarrhea

0.1

31a; 1b

5a*; 59b*

[13, 2729]

Malaria

0.3

24a; 1b

2a; 4b

[13, 3033]

Tuberculosis

17.0

62

49

[34, 35]

Stroke

39.7

25a,c; 9b,c

146a**; 343b**

[3639]

Preterm birth complications

4.6

8d

43

Based on cesarean section provider unit cost [40] and [13, 4144]

HIV

6.2

68

5

[4548]

Road injury

2.3

50c

75

Based on surgical procedure provider unit cost [49] and [50]

Meningitis

27.0

27

66

Based on LRI inputs and [30, 51]

Ischemic heart disease

29.1

25a,c; 9b,c

338a**; 629b**

[52, 53]

Cirrhosis

33.6

2

417

Based on [55] and estimated cancer utilization, average out-of-pocket inpatient cost for breast and cervical cancer, diabetes, and cardiovascular disease

Measles

3.5

31a; 1b

5a; 59b

Based on diarrhea inputs and [54]

Whooping cough

2.8

27a; 9b

6a; 51b

Based on LRI inputs and [56]

Diabetes mellitus

21.0

25c

176

[57, 66]

Neonatal encephalopathy

3.9

3e

76

Based on intrapartum-related conditions [4144, 67] and cesarean section provider unit cost [40]

Chronic obstructive pulmonary disease

1.1

27a; 9b

7a; 56b

Based on LRI inputs and [58]

Epilepsy

0.4

5

18

[59, 60]

Cervical cancer

66.7

2a; 1b

280a; 508b

[6163]

Asthma

0.2

27a; 9b

7a; 56b

Based on LRI inputs and [65]

Breast cancer

54.7

2

431

[61, 63, 64]

  1. aOutpatient care
  2. bInpatient care
  3. cAssumptions based on expert opinion (author STM and colleagues from Ethiopia’s Federal Ministry of Health)
  4. dUtilization is estimated at 8.2 %: skilled birth attendance rate of 16.4 % [41] multiplied by 0.5 according to World Health Organization expert panel estimation for effective coverage [42]
  5. eUtilization is estimated at 3.3 %: skilled birth attendance rate of 16.4 % [41] multiplied by 0.2 according to World Health Organization expert panel estimation for effective coverage [42]
  6. *Memirie ST, Metafaria ZS, Norheim OF, Levin C, Verguet S, Johansson KA. Catastrophic health expenditure and impoverishment associated with pneumonia and diarrhea treatment costs in Ethiopia. Under review
  7. **Tolla MT, Norheim OF, Belayneh A, Amenu K, Abdisa SG, Verguet S, Johansson KA. Out-of-pocket expenditure for prevention and treatment of cardiovascular disease in general and specialized hospitals in Addis Ababa, Ethiopia. Under review