Assessment of Economic Burden of Diabetes Mellitus to Diabetic Patients and Their Families Attending Health Facilities in A.A Ethiopia, 2015

Tseto, Samson Ogayse (2015) Assessment of Economic Burden of Diabetes Mellitus to Diabetic Patients and Their Families Attending Health Facilities in A.A Ethiopia, 2015. Masters thesis, Addis Ababa University.

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Abstract

Introduction: Diabetes imposes large economic burdens on national health care, these ranges from individual to national economy. In developing countries, the problem of diabetes was once considered a rare condition, but, because of rapid urbanization, the ageing population and other factors risk factors, its prevalence is raising rapidly. As International Diabetes Federation an estimated average cost in USD was 1,437 per person with diabetes was spent globally on treating and managing the disease in 2013. Objective: The objective of this study was to assess the economic burden of diabetic mellitus to patients and their families. Method: An institution based cross sectional study was employed in purposively selected health facilities that provide care for diabetic mellitus in Addis Ababa city from April 1 to May 4, 2015. Structured questionnaires were used to collect the data. Then the data was entered and analyzed using the statistical package for social scientists version 20 (SPSS-20). Both descriptive and analytical statistics was applied. Correlation was done in order to determine relationship between dependent and independent with spearman’s rho correlation coefficient. Result: The study covered 404 diabetic patients. We found that median direct cost of caring for a diabetic patient per month was 459 birr. Of this 58.9% was medical cost. And total indirectly cost was median of 6 days (mean 17.29) both by patient and their caregiver in 6 months. Direct cost was significantly higher in those who had higher education, income, family income, frequently had laboratory test, source of medication cost from free to self and insurances in correlation degree of (0.1 to 0.6 or -0.1 to -0.6) at p- value < 0.05. Conclusion and recommendation: From this study it can be concluded that diabetes mellitus was an expensive illness to treat and manage to individuals who had low income. Medical costs a major contributor to the direct cost of diabetes care. This is a need to increase awareness of these facts among patients, their families and all health professionals and stakeholder involved in the care of diabetes and health policy makers of these countries. Finally further investigation on intangible cost, catastrophic and impoverishments of Diabetes mellitus s on patients and their families. And any efforts should be done at providing medical cost at low cost and other cost reduction activities should be advocated.

Item Type:	Thesis (Masters)
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Africana
Depositing User:	Emmanuel Ndorimana
Date Deposited:	28 Nov 2018 06:48
Last Modified:	28 Nov 2018 06:48
URI:	http://thesisbank.jhia.ac.ke/id/eprint/7909

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