Aspects socio-économiques de la prise en charge du glaucome primitif à angle ouvert au Bénin

Sounouvou, I.; Assavedo, Abel Rodrigue; Alamou, S.; Kpomalegni, E.; Amoussouga, A.; Tchabi, S; Doutétien, C

doi:10.1016/j.jfo.2015.02.010

Cited by 5 publications

(1 citation statement)

References 9 publications

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“…La catégorie socio-professionnelle la plus représentée parmi les enquêtés, était les fonctionnaires. Notre résultat est similaire à celui de Sounouvou I. et al [10] au Bénin en 2015 qui ont rapporté une prédominance des fonctionnaires dans une proportion de 28,2%. Ceci pourrait s'expliquer par l'autonomie financière et l'assurance médicale dont bénéficierait cette classe.…”

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Glaucomatous Perimetric Alteration at Screening: Experience of Cades/O Donka in Conakry

Karim¹

2022

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Glaucomatous Perimetric Alteration at Screening: Experience of Cades/O Donka in Conakry

Karim¹

2022

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Résultats tonométriques préliminaires de la trabéculoplastie sélective au laser (SLT) chez les glaucomateux au Burkina Faso

Diallo

Ahnoux-Zabsonré

Dolo-Traoré

et al. 2021

Journal Français d'Ophtalmologie

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Direct healthcare cost and barriers to the medical management of primary open-angle glaucoma in healthcare facilities in Yaounde – Cameroon

Domngang,

Maguib,

Ngoune

et al. 2023

IHOPEJO

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Objectives: The objective of this study was to estimate the direct healthcare cost of glaucoma among patients attending two healthcare services in Yaounde, Cameroon. Materials and Methods: This investigation was a hospital-based, observational, and cross-sectional study of 122 glaucoma patients on follow-up from January to August 2021. The study was carried out using a pre-tested questionnaire and analyzed sociodemographic and clinical characteristics, monthly income, investigations performed, medications prescribed, and direct healthcare costs. Data were analyzed using the Statistical Package for the Social Sciences version 24. Results: A total of 122 glaucoma follow-up patients participated in the study of whom 73 (59.9%) were male (sex ratio M/F = 1.49). Seventy-one (58.19%) participants were above 60 years. The majority (67.4%) had a higher education level. Over 40% of participants reported a monthly income of <228 Euros. Only 38 (31.1%) had health insurance. During the study year, each patient underwent 2.25 ± 0.84 consultations, 2.76 ± 1.40 ocular pressure measurements, 0.73 ± 0.52 visual field examinations, and 0.32 ± 0.2 gonioscopy. Prostaglandin analogs were the most widely prescribed drugs (71%), followed by β-blockers (Carteolol and Timolol) and carbonic anhydrase inhibitors with frequencies of 62% and 15%, respectively. The direct medical cost of the study population was estimated at 468.47 ± 155.34 Euros. The greatest proportion of out-of-pocket expenses (61.13% of medical costs) concerned the purchase of drugs, with an average cost of 284.16 ± 115.25 Euros. Patients treated in the public sector spent an average of 425.78 ± 38.49 Euros, while those treated in the private sector spent 562.22 ± 139.18 Euros during the study year (P = 0.001). However, health coverage and type of glaucoma did not influence the direct cost of treatment. The main obstacles to glaucoma care were insufficient income followed by forgetfulness. Conclusion: The present study shows that almost all participants self-funded their glaucoma management. More than 60% of the direct healthcare cost was devoted to anti-glaucoma drugs and the main barrier to optimal glaucoma care was the lack of financial resources. All stakeholders need involvement, especially health policymakers, to prioritize glaucoma management to make it affordable for patients.

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Aspects socio-économiques de la prise en charge du glaucome primitif à angle ouvert au Bénin

Cited by 5 publications

References 9 publications

Glaucomatous Perimetric Alteration at Screening: Experience of Cades/O Donka in Conakry

Glaucomatous Perimetric Alteration at Screening: Experience of Cades/O Donka in Conakry

Résultats tonométriques préliminaires de la trabéculoplastie sélective au laser (SLT) chez les glaucomateux au Burkina Faso

Direct healthcare cost and barriers to the medical management of primary open-angle glaucoma in healthcare facilities in Yaounde – Cameroon

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