Economic Cost of Malaria Treatment under the Health Insurance Scheme in the Savelugu-Nanton District of Ghana

Zakaria, HB; Asante, FA

doi:10.4314/gjds.v10i1-2.1

Cited by 5 publications

(5 citation statements)

References 5 publications

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“…In spite of the concerns from beneficiaries, it can be stated that the project interventions were generally sustainable. This result disagrees with Zakaria (2011) who found that NGOs are unable to sustain their development interventions.…”

Section: Resultscontrasting

confidence: 86%

Factors Affecting Sustainability of Cocoa Life Project Interventions in Ghana: Views of Beneficiaries in Wassa East District

Odoom¹,

Annor-Frempong²,

Akaba³

et al. 2023

Ghana J. Dev. Stud.

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This study interrogated the factors affecting the sustainability of project interventions implemented in the Wassa East District by World Vision Ghana (WVG) under the Cocoa Life Project in the country. Based on a mixed method research approach, a total of 406 respondents who were farmers, members of village savings and loans associations, gari processors, and soap makers were involved in the study using stratified, simple random, and convenience sampling methods. Structured interviews and focus group discussion guides were the instruments used for data collection. For the quantitative data analysis, frequencies, percentages, means, standard deviation and chi-square were used whereas qualitative data obtained was analyzed thematically. The study observed that project interventions implemented in the District by WVG were generally sustainable. Factors such as local ownership, commitment of community members, teamwork, and supportive relationship between WVG team and community members aided the sustainability of the interventions. Despite the flexibility in the delivery of the project interventions, community members who benefited from the interventions had some concerns about the Project. Concerns were particularly raised with respect to the level of participation, the nature of communication, and the level of accountability and transparency which characterized the Project. We recommend that World Vision Ghana, Mondelez International, and Cocoa Life Division team up with local authorities and community members to come out with clear measures to: increase local participation, improve communication, and enhance transparency and accountability throughout the delivery of Cocoa Life Project interventions in the country.

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Section: Resultscontrasting

confidence: 86%

Factors Affecting Sustainability of Cocoa Life Project Interventions in Ghana: Views of Beneficiaries in Wassa East District

Odoom¹,

Annor-Frempong²,

Akaba³

et al. 2023

Ghana J. Dev. Stud.

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“…The average indirect cost (GH¢25.04/US$6.59) was 1.7 times higher than the direct cost (GH¢14.87/US$3.91). This is consistent with many findings where the indirect costs of malaria treatment were higher than the direct costs of treatment [11,15,33,37,38]. Therefore, efforts to improve access to health care and reduction of financial burden to households in the treatment of malaria should not only be directed to direct medical costs but also indirect costs.…”

Section: Discussionsupporting

confidence: 89%

“…The overall average cost of treating malaria in the Kassena Nankana District was estimated at US GH¢27.83/US$7.2. Though the cost of treatment is lower than malaria treatment cost estimated in other similar studies conducted in other parts of Ghana [11,33], this amount is still relatively high given that most of the respondents were from poor households. High treatment costs can prevent the poor from seeking care when they have a fever episode as well as impoverish households who seek care when they have an episode of fever [11,34].…”

Section: Discussionmentioning

confidence: 73%

Health seeking behaviour and cost of fever treatment to households in a malaria endemic setting of northern Ghana: A cross sectional study

Dalaba

Akweongo

Adongo

et al. 2018

Preprint

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Background This study examined the health seeking behaviours and cost of treatment of malaria to households in the Kassena-Nankana district of Ghana. Methods A cross-sectional household survey was conducted between July and September 2015. Individuals who had an episode of fever or malaria in the past two weeks identified during routine Health and Demographic Surveillance System data collection were selected for the study. Socio-demographic characteristics, treatment seeking behaviours and cost of treatment of malaria were obtained from the patient perspective. Results Out of the 1,845 households visited, 21.3% (393/1,845) reported to have had an episode of fever or malaria in the past two weeks. Of the 393 people with malaria, 66.9% (263/393) reported taking an antimalarial. About 53.6% (141/263) of the antimalarials were obtained from formal healthy facilities. About 36.1% (95/263) reported to have taken Dihydroartemisinin-piperaquine, 35.4% (93/263) took Artesunate–Amodiaquine and 21.7% (57/263) took Artemether-Lumefantrine. Only 49.6%% (195/393) of the study participants had their blood sample taken for illness (microscopic or Rapid Diagnostic Test). Only 23.6% (62/263) took antimalarial within 24 hours of the onset of illness. The overall average costs (direct and indirect cost) incurred by households per malaria treatment was GH¢27.82/US$7.32 (range: GH¢0.2/ US$0.05 - GH¢200/ US$52.63). The average cost incurred in the treatment of malaria by those who were enrolled into the National Health Insurance Scheme (NHIS) was GH¢24.75/US$6.51 and those not enrolled was GH¢43.95/US$11.57. Conclusions Prompt treatment such as treatment within 24 hours of onset of malaria was low. The average costs to households per malaria treatment was GH¢27.82/US$7.32 and the preferred antimalarial was Dihydroartemisinin-piperaquine. There was a positive effect of NHIS enrolment on cost of treatment as the insured incurred less cost (US$5 less) in treatment than the uninsured.

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“…This is much lower, compared to those of higher‐income countries such as Australia (US$516.46‐US$ 66 856.92) 10 and Malaysia (US$1716.47) 9 . To put the economic burden of the condition in local perspective, our reported average direct cost of paediatric maxillofacial fractures however is higher compared with that of Cholera (US$ 84.45), 21 Malaria (US$ 46.20), 22 and Meningitis (US$ 72.14) 23 in Ghana. The average annual household income in Ghana is equivalent to US$1,273 24 .…”

Section: Discussionmentioning

confidence: 98%

Paediatric maxillofacial fractures in Ghana: Pattern, household cost, and distress

Blankson

Amanor

Dai-Kosi

et al. 2020

Int J Paed Dentistry

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Background Maxillofacial fractures in the paediatric population are peculiar in risks, management, and potential complications. Aim To determine the pattern, psychological distress to parents, and economic cost of paediatric maxillofacial fractures in Ghana. Design This study combined a retrospective evaluation with a cross‐sectional cost‐of‐illness (COI) analysis to describe the pattern and economic cost of paediatric maxillofacial fractures in Ghana. The DASS 21 was used to assess psychological distress to parents. Descriptive summaries were generated, and cross‐tabulations done, with consequent tests of associations. Results In all, 253 patients were included in the study, with 68 households responding to the COI evaluation. Consisting of 179 (70.8%) males and 74 (29.2%) females, the ages ranged from 10 months to 17 years (mean age of 9.0 ± 5.0 years). Maxillofacial fractures frequently resulted from falls (56.5%), while traffic injuries accounted for 27.3%. The average household cost for paediatric maxillofacial fractures in Ghana was US$ 148.77, with the direct cost component accounting for 76% of this amount. At least half of the parents had some degree of psychological distress from the injury sustained. Conclusion Knowledge of the pattern and disease burden of maxillofacial fractures in children is vital in informing preventive strategies, especially for evolving health systems in sub‐Saharan Africa.

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Economic Cost of Malaria Treatment under the Health Insurance Scheme in the Savelugu-Nanton District of Ghana

Cited by 5 publications

References 5 publications

Factors Affecting Sustainability of Cocoa Life Project Interventions in Ghana: Views of Beneficiaries in Wassa East District

Factors Affecting Sustainability of Cocoa Life Project Interventions in Ghana: Views of Beneficiaries in Wassa East District

Health seeking behaviour and cost of fever treatment to households in a malaria endemic setting of northern Ghana: A cross sectional study

Paediatric maxillofacial fractures in Ghana: Pattern, household cost, and distress

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