Journal article
Health insurance and the financial implications of sickle cell disease among parents of affected children attending a tertiary facility in Lagos, south-west Nigeria
- Abstract:
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Introduction: there is a paucity of data on the financial implications of sickle cell disease on households of affected children and their use of health insurance in Nigeria. This study assessed the awareness of health insurance, patterns of health service utilization and financial implications of sickle cell disease among children seeking care at a tertiary facility in Nigeria.
Methods: a structured questionnaire was administered to parents of 314 children with sickle cell disease attending the pediatric hematology unit of the Lagos University Teaching Hospital between May and December 2019.
Results: mean age of the children was 91.5 ± 43.1 months. M:F was 1.17:1. 45.5% of households earned above NGN 150,000 (USD 417) monthly. 71.3% of the parents had heard of health insurance but only 20.7% were enrolled in a health insurance scheme. Awareness of health insurance was significantly associated with social class (p=0.000) and monthly household income (p=0.000). 60.8% of the parents preferred pre-facility treatment. Social class (p=0.01) and monthly household income (p=0.001) were significantly associated with home treatment. Time on admission ranged from 2-18 days with an average of 4.31 days. Average cost of hospitalization was USD 148 ± USD 14.2 and total cost of care incurred was USD 20,787. Neither age of child (p=0.857), estimated household income (p=0.863) nor social class (p=0.397) was associated with cost of care.
Conclusion: a high cost of care was observed in our study population underscoring the need for increased awareness and access to health insurance for households of children with sickle cell disease.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, pdf, 512.4KB, Terms of use)
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- Publisher copy:
- 10.11604/pamj.2020.36.227.24636
Authors
- Publisher:
- Pan African Medical Journal
- Journal:
- Pan African Medical Journal More from this journal
- Volume:
- 36
- Article number:
- 227
- Place of publication:
- Uganda
- Publication date:
- 2020-07-29
- Acceptance date:
- 2020-07-11
- DOI:
- EISSN:
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1937-8688
- Language:
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English
- Keywords:
- Pubs id:
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1598530
- Local pid:
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pubs:1598530
- Deposit date:
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2024-01-11
Terms of use
- Copyright holder:
- Ogamba et al.
- Copyright date:
- 2020
- Rights statement:
- © Chibuzor Franklin Ogamba et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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