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Financial cost of treating out-patients with schizophrenia in Nigeria

Published online by Cambridge University Press:  03 January 2018

Toyin G. Suleiman ,
Jude U. Ohaeri ,
Rahman A. Lawal ,
Adam Y. Haruna  and
O. B. Orija
Toyin G. Suleiman*
Affiliation:
Yaba Psychiatric Hospital
Jude U. Ohaeri
Affiliation:
University College Hospital, Ibadan
Rahman A. Lawal
Affiliation:
Yaba Psychiatric Hospital, Lagos, Nigeria
Adam Y. Haruna
Affiliation:
Yaba Psychiatric Hospital, Lagos, Nigeria
O. B. Orija
Affiliation:
Yaba Psychiatric Hospital, Lagos, Nigeria
*
Dr J. U. Ohaeri, Department of Psychiatry, University College Hospital, Ibadan, Oyo State, Nigeria
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Abstract

Background

An assessment of the monetary costs of treating a group of Nigerian out-patients with schizophrenia, in comparison with insulin-dependent diabetics, was made.

Method

Fifty out-patients with schizophrenia (mean age 42.9) and 40 with diabetes (mean age 41.9), attending government hospitals in Lagos, were assessed at six-monthly intervals, for direct and indirect costs (US$=82 naira; minimum monthly wage=500 naira)

Results

Twenty (40%) of those with schizophrenia and eight (20%) of the diabetics had no income at all. The mean total cost of schizophrenia in six months (2951.4 naira) or US$ 35.9) was significantly less than that of diabetes (11 791 naira or US$ 143). The cost of antipsychotic drugs accounts for 52.8% of the cost of schizophrenia; insulin injections accounted for 92.8% of the total cost of diabetes. Patients with schizophrenia and their relatives suffered significantly more loss of working days. Cost of illness was not significantly correlated with age and duration of illness.

Conclusions

Because of drastic currency devaluation, and lack of disability benefits and nursing homes, the findings contrast with Western reports where cost of drugs constitutes 2–5%, and indirect costs constitute over 50% of the total cost of schizophrenia.

Type
Papers
Information
The British Journal of Psychiatry , Volume 171 , Issue 4 , October 1997 , pp. 364 - 368
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

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References

Andrews, G. (1991) The cost of schizophrenia revisited. Schizophrenia Bulletin, 17, 389–394.CrossRefGoogle ScholarPubMed
Andreasen, N. (1991) Assessment issues and the cost of schizophrenia. Schizophrenia Bulletin, 17, 408–410.CrossRefGoogle ScholarPubMed
Andrews, G., Hall, W., Golstein, G., et al (1985) The economic cost of schizophrenia. Archives of General Psychiatry, 42, 537–543.CrossRefGoogle Scholar
Aregbeyen, J. B. (1988) Public health services financing in Nigeria. Economic Insight, XI, 10–17.Google Scholar
Davies, L. & Drummond, M. F. (1990) The economic burden of schizophrenia. Psychiatric Bulletin, 14, 522–525.CrossRefGoogle Scholar
Davies, L. & Drummond, M. F. (1994) Economics and schizophrenia: the real cost. British Journal of Psychiatry, 165 (suppl. 25), 18–21.CrossRefGoogle Scholar
Hall, W., Gregory, G. & Andrews, G. (1985) Estimating the economic costs of schizophrenia. Schizophrenia Bulletin, 11, 598–610.CrossRefGoogle ScholarPubMed
Ige, A. O. (1993) Burden of psychiatric illness on the family. Unpublished Thesis, West African College of Physicians.Google Scholar
Ikwuagwu, P. U., Nafzinger, J. C., Ihezue, U. H., et al (1994) A study of the social and clinical characteristics of inpatients at a Psychiatric Unit in Northern Nigeria. West African Journal of Medicine, 313, 191–195.Google Scholar
Martyns-Yellowe, I. S. (1992) The burden of schizophrenia on the family: a study from Nigeria. British Journal of Psychiatry, 161, 779–782.CrossRefGoogle Scholar
Mayou, R., Peveler, R., Davies, L., et al (1991) Psychiatric morbidity in young adults with insulin-dependent diabetes mellitus. Psychological Medicine, 21, 639–645.CrossRefGoogle ScholarPubMed
Ohaeri, J. U. (1993) Long-term outcome of treated schizophrenia in a Nigeria cohort: Retrospective analysis of 7-year follow-ups. Journal of Nervous and Mental Disease, 181, 514–516.CrossRefGoogle Scholar
Ohaeri, J. U., Akinlade, K. S. & Suberu, M. A. (1995) The psychosocial problems that worry chronically ill Nigerians. How they cope: comparison of schizophrenic and diabetic subjects. Nigerian Medical Journal, 28, 5–10.Google Scholar
Price, D. P., Kelmen, S. & Miller, L. S. (1992) The economic burden of mental illness. Hospital and Community Psychiatry, 43, 1227–1232.Google Scholar
Sartorius, N., Doyle, M., Korten, A., et al (1986) Early manifestations and first-contact incidence of schizophrenia in different cultures. Psychological Medicine, 16, 909–928.CrossRefGoogle ScholarPubMed
Salokangas, R. K., Palo-Oja, T., Ojaren, M., et al (1991) Need for community care among psychotic outpatients. Acta Psychiatrica Scandinavica, 84, 191–196.CrossRefGoogle ScholarPubMed
Shur, E. (1988) The epidemiology of schizophrenia. British Journal of Hospital Medicine, 40, 38–45.Google ScholarPubMed
Wilde, N. I. & Whittington, R. (1995) Pharmaco-economic drug evaluation. Pharmaco-Economics, 8, 62–81.CrossRefGoogle Scholar
World Health Organization (1992) The ICD–10 Classification of Mental and Behavioural Disorders. Clinical Descriptions and Diagnostic Guidelines. Geneva: WHO.Google Scholar
Wyatt, R. J., Henter, I., Leary, M. C., et al (1995) An economic evaluation of schizophrenia in 1991. Social Psychiatry and Psychiatric Epidemiology. 30, 196–205.CrossRefGoogle ScholarPubMed
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