The financial burden of out of pocket expenditure for treatment of diabetic mellitus in Addis Ababa
No Thumbnail Available
Date
2018-10
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa Universty
Abstract
Background: Diabetes Mellitus is a chronic disease. Worldwide it exerts a huge toll on suffer
financially and emotionally. The chronicity and complexity of the disease leads to diverse financial
and psychological stress especially at the household level that exposes household for catastrophic
expenditure.
Objective: The objective of this study was to assess the financial burden of out of pocket
expenditure for treatment of diabetic mellitus in Addis Ababa.
Methods: A total of 434 Diabetic Mellitus patients who were living in Addis Ababa and getting
health care service in public hospitals were selected using systematic random sampling technique.
Data was collected using structured questionnaire and processed using STATA software.
Results: The study found that the average out-of-pocket expenditure for treatment of diabetic
mellitus patients to be Birr 662 per month. As far as the overshoot catastrophic expenditure is
concerned, amongst the very low-income respondents, 54% of them spent 40% or more their total
expenditure on DM management. Also, on the other hand, amongst the very high income
respondents, 24% of them spent 40% or more their total expenditure on DM management. Thus, the
extent of catastrophic diabetic payment at low income households was 94%. The regression results
also indicate that as level of education increase, respondents are less likely to encounter a
catastrophic DM expenditure compare to Basic and Elementary education. From the results, it
became clear that household with large households family size are less likely to encounter
catastrophic DM expenditure compared to their small family size counterparts. As the
patient/household member become educated, the possibility of being engaged in high income
genenerating occupation will increase and thus, the family members tend to support each other
financially. This shows that both the descriptive statistics and regression analysis produced similar
results.
Conclusion: It would appear that the OOP for DM management negatively affected the financial
burden of the respondents.This will however be improved when the patients and/or the housedhold
member become educated, engaged in high income generating occupation and the family members
are supported each other financially.
Description
Keywords
Diabetes Mellitus,psychological stress