Socioeconomic Challenges of Chronic Suppurative Otitis Media Management in State Tertiary Health Facility in Nigeria.
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Date
2014
Journal Title
Journal ISSN
Volume Title
Publisher
Published by Egyptian Society of Ear, Nose, Throat and Allied Sciences, Egypt.
Abstract
Chronic suppurative otitis media (CSOM) is a serious health care concern worldwide due to its substantial financial and non-financial burden. The aim was to determine the socio-economic challenges of CSOM in developing economy.
Methods
It is a nine month prospective study of all patients with a diagnosis of CSOM seen at Kogi State Specialist Hospital in north-central Nigeria. A semi-structured questionnaire was used to collect relevant information from patients/caregiver after an informed consent and ethical clearance obtained from relevant authorities. Information retrieved included socio-demographic data, site and duration of discharge, the financial cost of various stages of treatment and follow up.
Result
Eighty-two new patients were seen during the study period aged 2–56 years with a mean age was 8.84 years, male:female ratio of 2.2:1. About 84.1% of the patients were from within the town. The average cost of consultation per visit was 150 NGN (US$1.00). The recorded cost of outpatient medical management with basic investigation was about 14,550.00 NGN (US$97) while those requiring rehabilitation was 85,100 NGN (US$567.3). The average cost of medication and ear dressing was 2475.00 ± 82.6 NGN (US$17) and 750 NGN (US$5) respectively. None was operated.
Conclusion
The socioeconomic cost of CSOM is still very high both financially and non-financially. Children are at the receiving end, there is a need for capacity building to reduce the cost burden and out of pocket expenses through health insurance scheme will go a long way.
Description
Socioeconomic challenges of chronic suppurative otitis media management in state tertiary health facility inNigeria
Keywords
Chronic suppurative otitis media, Cost analysis, Children, Developing economy
Citation
Afolabi.O.A., Fadare, J.O., Omokanye, H.K., Olatoke, F., Odi, T.O., Saka, M.J. & Adaranijo R.K. (2014): Socioeconomic Challenges of Chronic Suppurative Otitis Media Management in State Tertiary Health Facility in Nigeria. Egyptian Journal of Ear, Nose, Throat and Allied Sciences. 15, 17–22.