Amissah John, Agyei-Baffour Peter, Badu Eric, Agyeman John Kwaku, Badu Eunice Darkowaa
Department of Health Policy Planning, Management and Economics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Department of Health Policy Planning, Management and Economics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Value Health Reg Issues. 2019 Sep;19:104-111. doi: 10.1016/j.vhri.2019.06.002. Epub 2019 Aug 2.
The cost burden of occupational injuries has significant effects on the social well-being of workers. Although there seems to be growing evidence on the cost burden on other public health issues, little is known about occupational injuries, especially in low- to middle-income countries including Ghana.
This study, therefore, sought to estimate the cost burden of managing occupational injuries among frontline construction workers.
A prevalence-based cost of illness approach was used to estimate the cost burden of construction injuries. A structured questionnaire was used to collect cost-related data from 640 frontline construction workers. Descriptive statistics were used to estimate direct and indirect cost of injuries using Microsoft Excel and STATA version 14.
Overall, a worker spends an average of GHC 104.84 ($24.52) and GHC 180.89 ($42.31) as direct and indirect costs, respectively. Compared with other injuries, fracture had the highest average cost, GHS 343.33 ($80.30), and concussion and internal injury recorded the lowest cost. Also, compared with other trade specialties, carpenters had the highest average cost burden and laborers had the lowest burden.
There is high direct and indirect cost for managing occupational injury among construction workers. Advocacy and awareness about workplace insurance and regulatory policies should adequately be strengthened and prioritized through periodic monitoring and evaluations.
职业伤害的成本负担对工人的社会福祉有重大影响。尽管关于其他公共卫生问题的成本负担的证据似乎越来越多,但对于职业伤害,尤其是在包括加纳在内的低收入和中等收入国家,人们了解甚少。
因此,本研究旨在估计一线建筑工人职业伤害管理的成本负担。
采用基于患病率的疾病成本法来估计建筑伤害的成本负担。使用结构化问卷从640名一线建筑工人那里收集与成本相关的数据。使用Microsoft Excel和STATA 14版进行描述性统计,以估计伤害的直接和间接成本。
总体而言,一名工人的直接成本和间接成本分别平均为104.84加纳塞地(24.52美元)和180.89加纳塞地(42.31美元)。与其他伤害相比,骨折的平均成本最高,为343.33加纳塞地(80.30美元),脑震荡和内伤的成本最低。此外,与其他行业专业相比,木匠的平均成本负担最高,而劳工的负担最低。
建筑工人职业伤害管理的直接和间接成本都很高。应通过定期监测和评估,充分加强并优先倡导和提高对工伤保险和监管政策的认识。