ArticleClinicoEconomics and outcomes research : CEOR2015
The financial burden of sickle cell disease on households in Ekiti, Southwest Nigeria.
Article in ClinicoEconomics and outcomes research : CEOR, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors associated with catastrophic health expenditure in sub-Saharan Africa: A systematic review.PloS one · 2022Pooled it
- Analgesic Utilization Pattern and Cost of Managing Children with Sickle Cell Diseases: a Retrospective Single-site Audit.Journal of racial and ethnic health disparities · 2026Article
- Exploring the quality of life of caregivers of children with sickle cell disease in a secondary health facility in Ghana.Ghana medical journal · 2025Article
- The economic burden and catastrophic health expenditures among children with sickle cell anaemia on households in malaria-endemic areas: insights from Uganda and Malawi.BMC public health · 2025Article
- Socioeconomic health and impact of sickle cell disease and vaso-occlusive crises in India: results from B-VOCAL study.BMJ global health · 2025Observational
- Perceived stress and social support as correlates of sickle cell anaemia severity in a low-resource setting.BMC pediatrics · 2025Article
- Unveiling the psychosocial and academic implications of living with sickle cell disease among undergraduates in a private university in Nigeria.Frontiers in public health · 2025Article
- Financial strain and resilience: a qualitative exploration of parental perspectives on caring for children with sickle cell disease in Ghana.BMC health services research · 2024Article
- Family Functioning and Psychosocial Burden in Caregivers of Children with Sickle Cell Disease in a Tertiary Centre in North-Central Nigeria.Ethiopian journal of health sciences · 2024Article
- Economic burden and quality of life of caregivers of patients with sickle cell disease in the United Kingdom and France: a cross-sectional study.Journal of patient-reported outcomes · 2024Article
- Comparative assessment of quality of life among adolescents with sickle cell disease and sickle cell trait: evidence from Odisha, India.Journal of community genetics · 2024Article
- Looking ahead: ethical and social challenges of somatic gene therapy for sickle cell disease in Africa.Gene therapy · 2024Review
- Article
- Pattern of admissions and outcome in the children emergency department of a tertiary health institution in Southwestern Nigeria: A four-year review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Households Health Care Financing Methods: Social Status Differences, Economic Implications and Clinical Outcomes Among Patients Admitted in a Pediatric Emergency Unit of a Tertiary Hospital in South West Nigeria.Global pediatric health · 2023Article
- A Critical Review of Sickle Cell Disease Burden and Challenges in Sub-Saharan Africa.Journal of blood medicine · 2023Review
- The Effects of Sickle Cell Disease on the Quality of Life: A Focus on the Untold Experiences of Parents in Tanzania.International journal of environmental research and public health · 2022Article
- Incidence of Catastrophic Health Expenditures Amongst Hospitalized Neonates in Ekiti, Southwest Nigeria.ClinicoEconomics and outcomes research : CEOR · 2022Article
- Caregivers' experience of seeking care for adolescents with sickle cell disease in a tertiary care hospital in Bahrain.PloS one · 2022Article
- The cost of illness for childhood clinical pneumonia and invasive pneumococcal disease in Nigeria.BMJ global health · 2022Article
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Authors and funding
7 authors.
Funding
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Abstract
backgroundStudies on economic impact of sickle cell disease (SCD) are scanty despite its being common among children in developing countries who are mostly Africans.
objectiveTo determine the financial burden of SCD on households in Ado Ekiti, Southwest Nigeria.
methodsA longitudinal and descriptive study of household expenditures on care of 111 children with SCD managed at the pediatric hematology unit of the Ekiti State University Teaching Hospital was conducted between January and December 2014.
resultsThere were 64 male and 47 female children involved, aged between 15 and 180 months. They were from 111 households, out of which only eight (7.2%) were enrolled under the National Health Insurance Scheme. The number of admissions and outpatients' consultations ranged from 1 to 5 and 1 to 10 per child, respectively. Malaria, vaso-occlusive crisis, and severe anemia were the leading comorbidities. The monthly household income ranged between ₦12,500 and ₦330,000 (US$76 and US$2,000) with a median of ₦55,000 (US$333), and health expenditure ranged between ₦2,500 and ₦215,000 (US$15 and US$1,303) with a mean of ₦39,554±35,479 (US$240±215). Parents of 63 children lost between 1 and 48 working days due to their children's ill health. Parents of 23 children took loans ranging between ₦6,500 and ₦150,000 (US$39 and US$909) to offset hospital bills. The percentage of family income spent as health expenditure on each child ranged from 0.38 to 34.4. Catastrophic health expenditure (when the health expenditure >10% of family income) occurred in 23 (20.7%) households. Parents who took loan to offset hospital bills, low social class, and patients who took ill during the study period significantly had higher odds for catastrophic health expenditure (95% confidence interval [CI] 5.399-87.176, P=0.000; 95% CI 2.322-47.310, P=0.002; and 95% CI 1.128-29.694, P=0.035, respectively).
conclusionSCD poses enormous financial burden on parents and households.
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