The financial burden of out of pocket expenditure for treatment of diabetic mellitus in Addis Ababa
| dc.contributor.advisor | Tassew, Berhan (Mrs) | |
| dc.contributor.author | Emiyou, Aster | |
| dc.date.accessioned | 2018-11-23T11:23:56Z | |
| dc.date.accessioned | 2023-11-05T14:56:14Z | |
| dc.date.available | 2018-11-23T11:23:56Z | |
| dc.date.available | 2023-11-05T14:56:14Z | |
| dc.date.issued | 2018-10 | |
| dc.description.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. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/14447 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Ababa Universty | en_US |
| dc.subject | Diabetes Mellitus,psychological stress | en_US |
| dc.title | The financial burden of out of pocket expenditure for treatment of diabetic mellitus in Addis Ababa | en_US |
| dc.type | Thesis | en_US |