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The Economic Burden of Meningitis to Households in Kassena-Nankana District of Northern Ghana

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Listed:
  • Patricia Akweongo
  • Maxwell A Dalaba
  • Mary H Hayden
  • Timothy Awine
  • Gertrude N Nyaaba
  • Dominic Anaseba
  • Abraham Hodgson
  • Abdulai A Forgor
  • Rajul Pandya

Abstract

Objective: To estimate the direct and indirect costs of meningitis to households in the Kassena-Nankana District of Ghana. Methods: A Cost of illness (COI) survey was conducted between 2010 and 2011. The COI was computed from a retrospective review of 80 meningitis cases answers to questions about direct medical costs, direct non-medical costs incurred and productivity losses due to recent meningitis incident. Results: The average direct and indirect costs of treating meningitis in the district was GH¢152.55 (US$101.7) per household. This is equivalent to about two months minimum wage earned by Ghanaians in unskilled paid jobs in 2009. Households lost 29 days of work per meningitis case and thus those in minimum wage paid jobs lost a monthly minimum wage of GH¢76.85 (US$51.23) due to the illness. Patients who were insured spent an average of GH¢38.5 (US$25.67) in direct medical costs whiles the uninsured patients spent as much as GH¢177.9 (US$118.6) per case. Patients with sequelae incurred additional costs of GH¢22.63 (US$15.08) per case. The least poor were more exposed to meningitis than the poorest. Conclusion: Meningitis is a debilitating but preventable disease that affects people living in the Sahel and in poorer conditions. The cost of meningitis treatment may further lead to impoverishment for these households. Widespread mass vaccination will save households' an equivalent of GH¢175.18 (US$117) and impairment due to meningitis.

Suggested Citation

  • Patricia Akweongo & Maxwell A Dalaba & Mary H Hayden & Timothy Awine & Gertrude N Nyaaba & Dominic Anaseba & Abraham Hodgson & Abdulai A Forgor & Rajul Pandya, 2013. "The Economic Burden of Meningitis to Households in Kassena-Nankana District of Northern Ghana," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-6, November.
    • Handle: RePEc:plo:pone00:0079880
    DOI: 10.1371/journal.pone.0079880
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    References listed on IDEAS

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    1. Drummond, Michael F. & Sculpher, Mark J. & Torrance, George W. & O'Brien, Bernie J. & Stoddart, Greg L., 2005. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 3, number 9780198529453.
    2. Obinna Onwujekwe & Kara Hanson & Benjamin Uzochukwu, 2012. "Examining Inequities in Incidence of Catastrophic Health Expenditures on Different Healthcare Services and Health Facilities in Nigeria," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-6, July.
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    1. Maxwell Ayindenaba Dalaba & Paul Welaga & Abraham Oduro & Laata Latif Danchaka & Chieko Matsubara, 2018. "Cost of malaria treatment and health seeking behaviour of children under-five years in the Upper West Region of Ghana," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-14, April.
    2. Samuel Nii Ardey Codjoe & Vivian Adams Nabie, 2014. "Climate Change and Cerebrospinal Meningitis in the Ghanaian Meningitis Belt," IJERPH, MDPI, vol. 11(7), pages 1-17, July.
    3. Mark P. Connolly & Cole Tashjian & Nikolaos Kotsopoulos & Aomesh Bhatt & Maarten J. Postma, 2017. "A comparison of average wages with age-specific wages for assessing indirect productivity losses: analytic simplicity versus analytic precision," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(6), pages 697-701, July.

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