Health insurance and the financial implications of sickle cell disease among parents of affected children attending a tertiary facility in Lagos, south-west Nigeria

Chibuzor Franklin Ogamba; Adeseye Michael Akinsete; Henry Somtochukwu Mbaso; Oluwagbemiga Ayomiposi Adesina

摘要

Introduction:there is a paucity of data on the financial implications of sickle cell disease on households of affected children and their use of health insurance in Nigeria. This study assessed the awareness of health insurance, patterns of health service utilization and financial implications of sickle cell disease among children seeking care at a tertiary facility in Nigeria.Methods:a structured questionnaire was administered to parents of 314 children with sickle cell disease attending the pediatric hematology unit of the Lagos University Teaching Hospital between May and December 2019.Results:mean age of the children was 91.5 ± 43.1 months. M: F was 1.17: 1. 45.5% of households earned above NGN 150,000 (USD 417) monthly. 71.3% of the parents had heard of health insurance but only 20.7% were enrolled in a health insurance scheme. Awareness of health insurance was significantly associated with social class (p=0.000) and monthly household income (p=0.000). 60.8% of the parents preferred pre-facility treatment. Social class (p=0.01) and monthly household income (p=0.001) were significantly associated with home treatment. Time on admission ranged from 2-18 days with an average of 4.31 days. Average cost of hospitalization was USD 148 ± USD 14.2 and total cost of care incurred was USD 20,787. Neither age of child (p=0.857), estimated household income (p=0.863) nor social class (p=0.397) was associated with cost of care.Conclusion:a high cost of care was observed in our study population underscoring the need for increased awareness and access to health insurance for households of children with sickle cell disease.Copyright: Chibuzor Franklin Ogamba et al.

机译：介绍：缺乏关于受影响儿童家庭的镰状细胞疾病的财务影响的数据及其在尼日利亚的健康保险的财务影响。本研究评估了健康保险的意识，在尼日利亚第三节设施寻求护理的儿童中镰状细胞疾病的卫生服务利用模式和财务影响。方法：将314名儿童的父母给予314名儿童疾病的父母疾病2019年5月至12月之间的拉各斯大学教学医院小儿血液学单位。结果：儿童的平均年龄为91.5±43.1个月。 M：F为1.17：1。45.5％的家庭每月赚取150,000（417美元）。 71.3％的父母已经听说过健康保险，但只注册了20.7％的人入学。健康保险意识与社会阶层有关（P = 0.000）和每月家庭收入（P = 0.000）。 60.8％的父母优先预防预防措施。社会阶层（P = 0.01）和每月家庭收入（P = 0.001）与家庭治疗显着相关。入场时间从2-18天的时间平均4.31天。住院的平均成本为148±14.2美元，招致的总费用为20,787美元。既不是儿童年龄（P = 0.857），估计的家庭收入（P = 0.863）也不与社会阶层（P = 0.397）与护理成本相关联。结论：在我们的研究人口中观察到高度的护理成本，强调需要提高了镰状细胞病的儿童家庭的认识和获取健康保险。柔毛：Chibuzor Franklin Ogamba等。

Health insurance and the financial implications of sickle cell disease among parents of affected children attending a tertiary facility in Lagos, south-west Nigeria

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