Badaru Umaru M, Abdulrahman Hassan, Ahmad Rufai Y, Lawal Isa U, Zakari Musa K
Department of Physiotherapy, Faculty of Allied Health Sciences, Bayero University, Kano, Nigeria.
Department of Physiotherapy, Faculty of Allied Health Sciences, Bayero University, Kano, Nigeria.
Value Health Reg Issues. 2019 Sep;19:145-150. doi: 10.1016/j.vhri.2019.07.003. Epub 2019 Aug 28.
Children with cerebral palsy require effective, accessible and affordable medical and rehabilitation care.
The aim of this study was to evaluate the direct monthly cost of outpatient hospital-based care for children with cerebral palsy (CP) in Kano City, Nigeria.
The study was a cross-sectional survey. Consenting participants were recruited using the purposive sampling technique. Data on cost of medical and physiotherapy consultations, number of consultations per month, cost of diagnostic investigations, and out-of-pocket expenditures were captured using a researcher-designed questionnaire. Data were analyzed with descriptive statistics using Microsoft Excel and SPSS version 20.
A total of 106 children with CP and their caregivers participated in this study. The mean age of the children was 3.18 ± 1.90 years and that of their caregivers was 27.32 ± 4.63 years. The average direct cost of outpatient care per month was ₦14 295.38 (Nigerian naira) ($46.87) ± ₦13 211.52 ($43.32). The average monthly cost of physiotherapy was ₦503.77 ($1.65) ± ₦220.79 ($0.72), whereas those for transportation and radiological investigations were ₦1861.49 ($6.10) ± ₦1435.06 ($4.71) and ₦3771.46 ($12.37) ± ₦5135.32 ($16.84), respectively.
The average direct monthly cost of providing outpatient hospital-based care for children with CP in Kano City, Nigeria may not be affordable because most of the participants earned very meager monthly incomes. The highest medical cost was incurred from radiological investigation, whereas transportation was the most important out-of-pocket cost. The Nigerian government should make a policy decision for the automatic enrollment of all children diagnosed with CP into the National Health Insurance Scheme.
脑瘫患儿需要有效、可及且负担得起的医疗和康复护理。
本研究旨在评估尼日利亚卡诺市脑瘫患儿门诊医院护理的每月直接费用。
本研究为横断面调查。采用目的抽样技术招募同意参与的参与者。使用研究人员设计的问卷收集医疗和物理治疗咨询费用、每月咨询次数、诊断检查费用以及自付费用的数据。使用Microsoft Excel和SPSS 20版进行描述性统计分析数据。
共有106名脑瘫患儿及其照料者参与了本研究。患儿的平均年龄为3.18±1.90岁，其照料者的平均年龄为27.32±4.63岁。门诊护理每月的平均直接费用为14295.38尼日利亚奈拉（46.87美元）±13211.52奈拉（43.32美元）。物理治疗的平均每月费用为503.77奈拉（1.65美元）±220.79奈拉（0.72美元），而交通和放射学检查的费用分别为1861.49奈拉（6.10美元）±1435.06奈拉（4.71美元）和3771.46奈拉（12.37美元）±5135.32奈拉（16.84美元）。
在尼日利亚卡诺市，为脑瘫患儿提供门诊医院护理的每月平均直接费用可能难以负担，因为大多数参与者的月收入非常微薄。最高的医疗费用来自放射学检查，而交通是最重要的自付费用。尼日利亚政府应做出政策决定，将所有诊断为脑瘫的儿童自动纳入国家健康保险计划。
