The financial burden of XXXX on households in Ekiti, Southwest Nigeria.

@entity1 @entity10479 @entity417 @entity3458 @entity432 @entity311
BACKGROUND: Studies on economic impact of @entity3458 ( @entity3458 ) are scanty despite its being common among @entity1 in developing countries who are mostly Africans. OBJECTIVE: To determine the financial burden of @entity3458 on households in Ado Ekiti, Southwest Nigeria. METHODS: A longitudinal and descriptive study of household expenditures on care of 111 @entity1 with @entity3458 managed at the pediatric hematology unit of the Ekiti State University Teaching Hospital was conducted between January and December 2014. RESULTS: There were 64 male and 47 female @entity1 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 @entity1 , respectively. @entity311 , @entity432 , and severe @entity417 were the leading comorbidities. The monthly household income ranged between    12,500 and    330,000 ( @entity10479 76 and @entity10479 2,000) with a median of    55,000 ( @entity10479 333), and health expenditure ranged between    2,500 and    215,000 ( @entity10479 15 and @entity10479 1,303) with a mean of    39,554  35,479 ( @entity10479 240  215). Parents of 63 @entity1 lost between 1 and 48 working days due to their @entity1 's ill health. Parents of 23 @entity1 took loans ranging between    6,500 and    150,000 ( @entity10479 39 and @entity10479 909) to offset hospital bills. The percentage of family income spent as health expenditure on each @entity1 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 @entity1 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). CONCLUSION: @entity3458 poses enormous financial burden on parents and households.
