Ahead of print publication  

Economic burden of glaucoma in Nigeria: Estimating the direct health care cost in a tertiary eye clinic

1 Department of Ophthalmology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
2 Department of Ophthalmology, Federal Medical Centre, Asaba; and Health Economics Program, Department of Economics, Kaduna State University, Kaduna, Nigeria
3 Vitreoretinal Department, and Community Department, National Eye Centre, Kaduna, Nigeria
4 Ophthalmology Department, Rachel Eye Centre, Abuja and Surgery Department, Bingham University, Karu, Nasarawa State, Nigeria

Date of Submission06-Sep-2022
Date of Decision21-Nov-2022
Date of Acceptance11-Jan-2023
Date of Web Publication15-Mar-2023

Correspondence Address:
Ugochukwu A Eze,
Department of Ophthalmology, Federal Medical Centre, Asaba
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njo.njo_17_22


Aim: To estimate the direct health care cost of glaucoma in patients attending glaucoma clinic at National Eye Centre, Kaduna. Methods: The study was a hospital-based observational, cross-sectional study of 150 consecutive glaucoma patients on follow-up visits to the glaucoma clinic from November, 2017 to January, 2018. The study was conducted using a structured interviewer-administered questionnaire. The study investigated the patients’ monthly income, the method of funding glaucoma treatment, and cost of treatment of glaucoma. Data obtained were entered and analyzed using SPSS version 24 with level of significance set at 95% confidence interval. Results: There were a total of 150 patients who participated in the study, with a male-to-female ratio of M:F ratio is 1.2:1. Majority of respondents (65%) in the study were below the age of 60 years with a mean age of 55.36 (SD+/−13.7). The average monthly income of respondents was NGN 4,600 for unskilled workers, NGN 28,812 for skilled workers, and NGN 97,111 for professionals. The mean monthly direct health cost was NGN 9,954 and majority (91.7%) of the patients fund their treatment out of pocket. Only 14 (9.3%) patients were subscribers of the National Health Insurance Scheme. None among the unskilled and unemployed respondents had monthly direct costs below their average monthly income. The insured patients spent an average of 1.5% and 4.5%, respectively of their total monthly income on antiglaucoma medication and glaucoma surgery unlike the uninsured group who have spent 10.1% and 10.5%, respectively on medications and surgery. Conclusion: Data from this study have shown that up to one-tenth of the monthly income can be spent on glaucoma care alone. Health policy makers should consider making glaucoma a priority disease to ensure that patients on treatment have affordable, equitable, and of good quality in order to prevent consequent glaucoma-related blindness.

Keywords: Cost of glaucoma care, direct health care cost, economic burden, glaucoma

How to cite this URL:
Bello SU, Eze UA, Umar MM, Abdull M, Babalola O E. Economic burden of glaucoma in Nigeria: Estimating the direct health care cost in a tertiary eye clinic. Niger J Ophthalmol [Epub ahead of print] [cited 2023 Jun 2]. Available from: http://www.nigerianjournalofophthalmology.com/preprintarticle.asp?id=371423



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