Economic Burden of Diabetesmellitus on Patients and Their Families Attending Hospitals in Addis Ababa, Ethiopia
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Date
2023-12-13
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Addis Ababa University
Abstract
Background: Diabetes is a chronic disease that imposes a substantial economic burden on countries, health systems, patients, and their families. The cost of treating and caring for diabetes puts a significant strain on household budgets exposing household for catastrophic expenditure.
Objective: To determine the rate of catastrophic health expenditure, identify associated factors and coping strategies among diabetes patient attending in hospitals, Addis Ababa, Ethiopia.
Method: A institutional-based cross-sectional survey was conducted in purposefully selected two public and two private hospital in Addis Ababa from July 3 to September 15 2023. A total of 391 adult diabetic patients who have had a hospital follow-up in the last 6 months or more were enrolled. A stratified sampling technique was applied. Patient data was collected through face-to-face interviews using a questionnaire administered via the ODK Collect app. Data was imported to STATA version 17 for analysis. Binary and multiple logistic regression was used to assess factor associated with catastrophic health expenditure, p value less than 0.05 was used as a significance level.
Result: The study enrolled 387 diabetic participants with a response rate of 98%. The incidence of catastrophic health expenditure was 35.6% at 15% of non-food expenditure.
Community-based health insurance membership (AOR = 0.222; 95% CI: 0.112–0.439),frequency of appointment (AOR = 0.262; 95% CI: 0.137–0.500) and emergency visit (AOR =10.863; 95% CI: 4.303–27.421) were statistically significant associated with catastrophic expenditure. Own money (saving and salary), family support and community based health insurance was the main coping mechanism to finance their treatments.
Conclusion: The study revealed economic burden of diabetes is substantial and community based health insurance, frequent appointment and emergency visit were identified as factor associated with economic burden. Therefore, to alleviate the economic strain, community based health insurance should be expanded, frequent appointment and emergency visits should be decreased by following diabetes medication advice.
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Economic Burden of Diabetes Mellitus