The Indian Journal of Pediatrics

, Volume 84, Issue 12, pp 902–907 | Cite as

Cost of Treatment of Febrile Acute Respiratory Infection (FARI) Among Under-Five Children Attending Health Facilities of Ballabgarh, Haryana

  • Debjani Ram Purakayastha
  • Sanjay Kumar Rai
  • Shobha Broor
  • Anand Krishnan
Original Article



To estimate the expenditure incurred towards treatment of an episode of respiratory infection among under-fives in outpatient and inpatient departments of primary and secondary level health facilities.


During March 2011 – September 2012, under-five children presenting with febrile acute respiratory infection (FARI) in the outpatient (OPD) and inpatient (IPD) departments of public and private health facilities of Ballabgarh, Haryana were enrolled in the study. Children who were free from co-morbidities and whose contact number or proper address were available, were enrolled and followed up over telephone or by house visits till recovery. Information was collected on expenditure incurred towards treatment of FARI. Work loss of each day was valued as per capita national income per day. Cost of service in public facilities were supplemented by WHO-CHOICE estimates. The cost of respiratory episode in different settings are expressed in median and inter quartile range (IQR).


One hundred fourteen children from OPD and 75 from IPD were enrolled and followed up till recovery. Among eligible children 40% and 20% in OPD and IPD were excluded respectively as they could not provide address or contact number. The median costs of an episode treated in OPD and IPD were INR 447(IQR: INR 294–669) and INR 7506.06 (IQR: INR 3765–10,406) respectively.


Respiratory infections are responsible for substantial economic burden, especially with huge proportion of out-of-pocket expenditure. Total cost of a respiratory episode that required hospitalization was 1.5 times the per capita monthly income of an Indian.


Child Under-five Respiratory infection Hospitalisation Outpatient Out-of-pocket 



The authors thank all the hospital administration for their cooperation. They are immensely indebted to all the patients and the caregivers for their valuable time and input.


DRP, SKR, SB, AK: designed the study. All authors discussed, critically revised, and approved the final study protocol. DRP collected the data. DRP and AK finalised the strategy for data analysis. DRP drafted the first version of the manuscript. All authors reviewed and finalised the manuscript. AK will act as guarantor for the paper.

Compliance with Ethical Standards

Conflict of Interest


Source of Funding


Supplementary material

12098_2017_2420_MOESM1_ESM.pdf (76 kb)
ESM 1 (PDF 75.9 kb)


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Copyright information

© Dr. K C Chaudhuri Foundation 2017

Authors and Affiliations

  1. 1.Centre for Community MedicineAll India Institute of Medical SciencesNew DelhiIndia
  2. 2.Department of MicrobiologyAll India Institute of Medical SciencesNew DelhiIndia

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