AIM: To determine the health system costs, cost to people with diabetes and their carers, and impact on quality of life associated with type 2 diabetes in Vanuatu. METHODS: A cross-sectional paper based survey was administered to 199 people with type 2 diabetes as part of a larger diabetes project. RESULTS: There were 172 respondents (86% response rate) with a mean age of 56 years (mean duration of diabetes 8 years, 106 females; 67 unemployed). Over the preceding year there were 2352 outpatient visits for health care totalling 442,400 vatu ($4020 USD); 140 overnight hospital stays totalling 1,383,620 vatu ($12,580 USD); and prescription medications costing 3220 vatu/person ($29.20 USD). Major out-of-pocket costs for individuals were the over-the-counter medications totalling 6600 vatu/person/year ($60 USD) for 31 people (18%); transport at 1980 vatu/person/year ($18.00 USD) for 110 people (64%) and special diets for 38 people (22%) costing 36,480 vatu/person ($332 USD). Quality of life was 91/100 on the EQ-5D visual analogue scale. CONCLUSIONS: Given that diabetes in Vanuatu is likely to be significantly under-diagnosed and under-treated the current costs, while substantial are artificially low but are set to rise sharply with increased awareness of diabetes and growing rates of obesity. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.
AIM: To determine the health system costs, cost to people with diabetes and their carers, and impact on quality of life associated with type 2 diabetes in Vanuatu. METHODS: A cross-sectional paper based survey was administered to 199 people with type 2 diabetes as part of a larger diabetes project. RESULTS: There were 172 respondents (86% response rate) with a mean age of 56 years (mean duration of diabetes 8 years, 106 females; 67 unemployed). Over the preceding year there were 2352 outpatient visits for health care totalling 442,400 vatu ($4020 USD); 140 overnight hospital stays totalling 1,383,620 vatu ($12,580 USD); and prescription medications costing 3220 vatu/person ($29.20 USD). Major out-of-pocket costs for individuals were the over-the-counter medications totalling 6600 vatu/person/year ($60 USD) for 31 people (18%); transport at 1980 vatu/person/year ($18.00 USD) for 110 people (64%) and special diets for 38 people (22%) costing 36,480 vatu/person ($332 USD). Quality of life was 91/100 on the EQ-5D visual analogue scale. CONCLUSIONS: Given that diabetes in Vanuatu is likely to be significantly under-diagnosed and under-treated the current costs, while substantial are artificially low but are set to rise sharply with increased awareness of diabetes and growing rates of obesity. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.
Authors: Loes Jaspers; Veronica Colpani; Layal Chaker; Sven J van der Lee; Taulant Muka; David Imo; Shanthi Mendis; Rajiv Chowdhury; Wichor M Bramer; Abby Falla; Raha Pazoki; Oscar H Franco Journal: Eur J Epidemiol Date: 2014-12-21 Impact factor: 8.082
Authors: Stella Nalukwago Settumba; Sedona Sweeney; Janet Seeley; Samuel Biraro; Gerald Mutungi; Paula Munderi; Heiner Grosskurth; Anna Vassall Journal: Trop Med Int Health Date: 2015-03-06 Impact factor: 2.622