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|Title: ||ECONOMIC COSTS OF PODOCONIOSIS IN WOLAITA ZONE, SOUTHERN ETHIOPIA|
|Authors: ||Fasil, Tekola|
|Advisors: ||DAMEN HAILEMARIAM (MD, MPH, PHD),GAIL DAVEY (MD, MBBChir)|
|Copyright: ||2005 |
|Date Added: ||6-May-2008 |
|Publisher: ||Addis Ababa university|
Podoconiosis is endemic non-filarial elephantiasis mostly affecting barefootedrural
farmers in countries of tropical Africa, Central and South America, North
India, Cameroon and Sri Lanka. In Ethiopia the condition is more prevalent than
any other African country. In areas of red clay soil the disease is common mainly
in the economically active age group. Even so, little attention has been given to
it and there have not been any studies on the economic burden of podoconiosis.
The overall objective of this study was to estimate podoconiosis-related direct
and productivity costs in Wolaitta zone, SNNPR, Ethiopia.
The study was undertaken in Wolaitta zone, SNNPR, using quantitative matched
comparative cross-sectional study complemented by qualitative key informants'
interview on 702 study subjects. Cost estimation was based on the societal
perspective for cost analysis, the human capital approach to estimate productivity
losses and the prevalence-based model as a time frame. Data were entered
into EPI-INFO V.6 and exported to SPSS V.11 for matched pair analysis.
The opportunity cost of time lost by patients and care-takers accounted for the
major component (72.1%) of patient-side cost. The average patient-side cost was
97.6 Birr (US$ 11.35) per patient. The actual out-of-pocket expenses over the
three months period form 6% of the overall quarterly expenditure of households of the studied patients per annum. When projected over one year, the total
direct costs amount to 1233.40 Birr (US$ 143.42) per patient.
It was also found that most patients did not completely stop work, but spent only
3.56 ± 2.87 hours per day on economic activity compared to 6.52±2.53 hours
worked by controls (p<0.001). Female patients spent 3.45 hours less on
domestic activity compared to their matched controls (p<0.001). The total
productivity cost comes to 538.86 Birr (US$ 62.658) per patient per year.
Regression analyses revealed that total absenteeism and total working hours
spent on economic activity were significantly influenced by the presence of the
disease and by sex. The presence of the disease and household expenditure
significantly influenced total absenteeism from domestic work. In addition, the
presence of disease, marital status and 'kebele' type significantly determined the
number of hours spent on domestic work. Based on the results, some
recommendations were forwarded.|
|Description: ||A THESIS SUBMITTED TO THE SCHOOL OF
GRADUATE STUDIES OF ADDIS ABABA
UNIVERSITY IN PARTIAL FULFILLMENT OF
THE REQUIREMENTS FOR THE DEGREE OF MASTERS OF PUBLIC HEALTH|
|Appears in:||Thesis - Public Health|
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