title: Effect of a government funded medication programme on paediatric asthma hospital admissions in Antigua and Barbuda.
abstract: OBJECTIVE
  To assess the effect of a government funded asthma medication programme on paediatric (age < or = 12 years) asthma hospital admissions in Antigua and Barbuda.
  
  
  METHODS
  A retrospective review of all hospital admissions for asthma in children was performed for the six years before and six years after a Medical Benefits Scheme (MBS) programme was established in 1997 to provide asthma medications at no out-of-pocket cost. Holberton Hospital records (1992 to 2003) which include all paediatric asthma admissions in Antigua and Barbuda, were reviewed
  
  
  RESULTS
  Paediatric admissions for asthma fell from mean +/- standard deviation of 77.0 +/- 24.8 per year before the MBS programme was started to 48.0 +/- 17.1 per year (p < 0.05) after the MBS programme was started. The number of multiple admissions fell from 18.7 +/- 2.7 to 9.5 +/- 4.8 (p < 0.005) and the number of children admitted multiple times per year fell from 7.8 +/- 1.9 to 4.7 +/- 2.5 (p < 0.05). The number of children aged four to nine years admitted with asthma fell from 7.8 per 1000 annually during 1992 to 1997 to 4.4 per 1000 per year during 1998 to 2003.
  
  
  CONCLUSIONS
  The government funded MBS programme for asthma medication has resulted in a 38% decrease in hospital admissions for paediatric asthma over a six-year period. The benefits of a similar programme in other developing countries should be considered.
authors: Paediatric Service, Holberton Hospital, St John's, Antigua. tcmartin@emh.org
authors: T C
authors: TC
authors: Martin
authors: F
authors: F
authors: Heitor
authors: J
authors: J
authors: Price
authors: K
authors: K
authors: Kienstra
authors: L
authors: L
authors: Walwyn-Venugopal
authors: P A
authors: PA
authors: Aslam
mesh_terms: D018927:Anti-Asthmatic Agents / Q000191:economics / Q000627:therapeutic use*; D000958:Antigua and Barbuda; D001249:Asthma / Q000188:drug therapy*; D002648:Child; D002675:Child, Preschool; D003906:Developing Countries; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009313:National Health Programs / Q000191:economics*; D012189:Retrospective Studies
chemical_list: D018927:Anti-Asthmatic Agents