BMJ public health · 2026
Estimating the direct systemic costs of alcohol use disorders among male Army personnel in Sri Lanka: a cost of illness study using the scenario building approach.
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Jayasinghe Lakna Vajiramali, Prathapan Shamini, de Silva Amala Chandini
Аннотация
INTRODUCTION: Military populations are known to have higher prevalence and heavier alcohol use compared with the general population globally. Alcohol use disorders (AUDs), a serious adverse health condition that is fully attributable to alcohol consumption, result in substantial costs to the military. The objective was to estimate the direct systemic costs of AUDs among male military personnel in the Sri Lanka Army.
METHODS: A cost of illness study using the scenario building approach was conducted at Army Hospital, Colombo. This was a protocol-based costing exercise. Hence, a sample of patients was not required. All cost components according to the AUD treatment protocol and relevant assumptions were identified using checklists and record sheets. Data was analysed by combining assumptions with empirical information to calculate the direct systemic costs to manage AUDs.
RESULTS: At Army Hospital, Colombo, the ward cost for a patient day was Sri Lankan rupees (LKR) 4792.84 (US$13.20) and the clinic cost for a patient visit was LKR702.19 (US$1.93). The total systemic cost of treating a newly diagnosed patient with harmful use, for a year was LKR20 809.21 (US$57.30). A diagnosed patient with harmful use is regularly followed up at the clinic on a monthly basis accounted for LKR17 939.28 (US$49.39) per year. The total systemic cost to treat a patient diagnosed with alcohol dependence through inward care for one hospital admission was LKR38 212.61 (US$105.21). The cost of clinic care for already diagnosed patient with alcohol dependence for a year was LKR22 443.38 (US$61.80). The total cost for a newly diagnosed alcohol dependence patient for a year was LKR60 655.99 (US$167.01).
CONCLUSIONS: The direct systemic costs of treating AUDs at the Army Hospital, Colombo, are significant. These findings highlight the need to advocate to high-ranking administrative officers in the Sri Lanka Army to secure their support for implementing evidence-based alcohol prevention programmes.
METHODS: A cost of illness study using the scenario building approach was conducted at Army Hospital, Colombo. This was a protocol-based costing exercise. Hence, a sample of patients was not required. All cost components according to the AUD treatment protocol and relevant assumptions were identified using checklists and record sheets. Data was analysed by combining assumptions with empirical information to calculate the direct systemic costs to manage AUDs.
RESULTS: At Army Hospital, Colombo, the ward cost for a patient day was Sri Lankan rupees (LKR) 4792.84 (US$13.20) and the clinic cost for a patient visit was LKR702.19 (US$1.93). The total systemic cost of treating a newly diagnosed patient with harmful use, for a year was LKR20 809.21 (US$57.30). A diagnosed patient with harmful use is regularly followed up at the clinic on a monthly basis accounted for LKR17 939.28 (US$49.39) per year. The total systemic cost to treat a patient diagnosed with alcohol dependence through inward care for one hospital admission was LKR38 212.61 (US$105.21). The cost of clinic care for already diagnosed patient with alcohol dependence for a year was LKR22 443.38 (US$61.80). The total cost for a newly diagnosed alcohol dependence patient for a year was LKR60 655.99 (US$167.01).
CONCLUSIONS: The direct systemic costs of treating AUDs at the Army Hospital, Colombo, are significant. These findings highlight the need to advocate to high-ranking administrative officers in the Sri Lanka Army to secure their support for implementing evidence-based alcohol prevention programmes.