ArticleThe journal of headache and pain2012
Will (or can) people pay for headache care in a poor country?
Article in The journal of headache and pain, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Pooled it
- Headache-attributed burden among children and adolescents in Georgia: estimates from a national cross-sectional schools-based study.The journal of headache and pain · 2026Article
- Direct cost of headache treatment in Benin, a West African country, in 2023.The journal of headache and pain · 2025Article
- Health equity, care access and quality in headache - part 2.The journal of headache and pain · 2023Review
- Advocacy for patients with headache disorders.eNeurologicalSci · 2023Review
- One-quarter of individuals with weekly headache have never consulted a medical doctor: a Danish nationwide cross-sectional survey.The journal of headache and pain · 2022Article
- Therapy satisfaction and willingness-to-pay in Polish patients with restless legs syndrome.Sleep & breathing = Schlaf & Atmung · 2022Article
- The Global Campaign turns 18: a brief review of its activities and achievements.The journal of headache and pain · 2022Review
- Tension-type headache.Nature reviews. Disease primers · 2021Review
- The burden of headache disorders in Nepal: estimates from a population-based survey.The journal of headache and pain · 2015Article
- The burden attributable to headache disorders in India: estimates from a community-based study in Karnataka State.The journal of headache and pain · 2015Article
- The burden of primary headache disorders in Zambia: national estimates from a population-based door-to-door survey.The journal of headache and pain · 2015Article
- The methodology of population surveys of headache prevalence, burden and cost: principles and recommendations from the Global Campaign against Headache.The journal of headache and pain · 2014Review
- Diagnosis, prevalence estimation and burden measurement in population surveys of headache: presenting the HARDSHIP questionnaire.The journal of headache and pain · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 7 institutions in 7 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We asked whether attempts to introduce headache services in poor countries would be futile on grounds of cost and unsustainability. Using data from a population-based survey in the Republic of Georgia, an exemplary poor country with limited health care, and against the background of headache-attributed burden, we report on willingness to pay (WTP) for effective headache treatment. Consecutive households were visited in areas of Tbilisi (urban) and Kakheti (rural), together representative of Georgian habitation. Biologically unrelated adults were interviewed by medical residents using a structured ICHD-II-based diagnostic questionnaire, the MIDAS questionnaire and SF-36. The bidding-game method was employed to assess WTP. Of 1,145 respondents, 50.0% had episodic headache (migraine and/or tension-type headache) and 7.6% had headache on ≥15 days/month, which was not further diagnosed. MIDAS scores were higher in people with headache on ≥15 days/month (mean 11.2) than in those with episodic headache (mean 7.0; P = 0.004). People with headache had worse scores in all SF-36 sub-scales than those without, but no differences were found between headache types. Almost all (93%) respondents with headache reported WTP averaging USD 8 per month for effective headache treatment. WTP did not correlate with headache type or frequency, or with MIDAS or SF-36 scores. Headache is common and headache-attributed burden is high in Georgia, with a profound impact on HRQoL. Even those less affected indicated WTP for effective treatment, if it were available, that would on average cover costs, which locally are low. Headache services in a poor country are potentially sustainable.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.