Economic burden of the persistent morbidity of nodding syndrome on caregivers in affected households in Northern Uganda
Open Access
- 29 September 2020
- journal article
- research article
- Published by Public Library of Science (PLoS) in PLOS ONE
- Vol. 15 (9), e0238643
- https://doi.org/10.1371/journal.pone.0238643
Abstract
Nodding syndrome (NS), is an unexplained form of epilepsy which leads to stunted growth, cognitive decline, and a characteristic nodding of the head. Current data about its impact on households in Uganda is scarce. Therefore, this study aims to assess the economic burden of the persistent morbidity of NS on caregivers in affected households in Northern Uganda. A cross-sectional cost-of-care study was conducted from January 2019 to February 2019 in Lakwela village-Northern Uganda in 14 households, who are members of a community-based organization (CBO) established in the village with the support of a Japanese research team, (Uganda-Japan Nodding Syndrome Network). Data was collected through questionnaires. Both direct (medical and non-medical) and indirect (informal care) costs of caregiving were assessed. Indirect costs were valued using the human-capital method as loss of production. Direct costs constituted a higher proportion of costs for NS households, accounting for on average 7.7% of household expenditure. The annual weighted mean cost per NS patient was estimated at 27.6 USD (26.4 USD direct costs, 96.2% and 1.2 USD indirect cost, 3.8%). Average time spent on informal caregiving was 4.4 ±1.7 (standard deviation) hours/week with an estimated annual informal caregiving cost of 24.85 USD and gross domestic product (GDP) loss of 412.40 USD. Direct costs due to NS are still high among households in this study. More studies are needed to investigate measures that could help bring down these costs and equally reduce the day-to-day disruption of caregiver’s activities; consequently, improving the lives of these affected households and communities.Keywords
This publication has 45 references indexed in Scilit:
- Understanding the barriers to setting up a healthcare quality improvement process in resource-limited settings: a situational analysis at the Medical Department of Kamuzu Central Hospital in Lilongwe, MalawiBMC Health Services Research, 2014
- MRI findings in people with epilepsy and nodding syndrome in an area endemic for onchocerciasis: An observational studyAfrican Health Sciences, 2013
- An Epidemiologic Investigation of Potential Risk Factors for Nodding Syndrome in Kitgum District, UgandaPLOS ONE, 2013
- Case-control Studies on the Relationship between Onchocerciasis and Epilepsy: Systematic Review and Meta-analysisPLoS Neglected Tropical Diseases, 2013
- African outbreak stumps expertsNature, 2011
- Measuring and valuing productivity loss due to poor health: A critical reviewSocial Science & Medicine (1982), 2011
- Valuing Patient and Caregiver TimePharmacoEconomics, 2005
- Economic Evaluation of Epilepsy in Kiremba (Burundi): A Case-Control StudyEpilepsia, 2004
- Economic valuation of informal careThe European Journal of Health Economics, 2004
- Seizure Severity in Children with Epilepsy: A Parent‐Completed Scale Compared with Clinical DataEpilepsia, 1997