Browsing by Author "Zergaw, Ababi (Ph.D)"

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    Cost of Major Mental Illnesses to the Public Health Service Provider, Amanuel Hospital, Ethiopia
    (Addis Abeba University, 2013-10) Adugna, Mideksa; Zergaw, Ababi (Ph.D)
    Background: Mental health is about enhancing competencies of individuals and communities and enabling them to achieve their self-determined goals. Since mental illness is problem of society as a whole, it is a major challenge to global development. Objectives: To estimate the economic cost of major mental illnesses and determinants of cost from the public health service provider’s perspective. Methods: The design of the research was hospital based cross sectional quantitative survey. The costing method that the research used was prevalence based bottom-up costing approach. The cost identified is direct costs incurred by the health service provider for providing mental health service during one year period for major mental illnesses. Using this method cost was estimated by calculating average costs of major mental illnesses (Schizophrenia and Bi-polar). The average cost of treatment was identified by adding together the various pieces of cost of treatment. Cost items identified from outpatient, inpatient and emergency departments and laboratory units. Additionally physical resources of the hospital used were also added. Results: The hospital incurred a unit cost of 1,204.2 ETB to provide mental health services for major mental illnesses. The marginal cost of providing health care for each additional patient at the hospital was 118 ETB. The hospital incurred a unit cost of 229.3 ETB to provide emergency health service, 23,016.1 ETB to provide inpatient health and 611.4 ETB to provide outpatient health service for major mental illnesses. Among the total hospital cost the drugs cost amount was 31.5 ETB, 220.4 ETB and 496.6 ETB for providing emergency, inpatient and outpatient mental health service respectively. Conclusion: Distribution of the hospital cost significantly differs by the residence area of the patients. Distribution of the hospital outpatient cost significantly differs by the number of visits made to the outpatient department of the hospital. Providing inpatient mental health service is more costly than outpatient and emergency mental health services.