The health system burden of chronic disease care: An estimation of provider costs of selected chronic diseases in Uganda

Tropical Medicine and International Health

Volumn 20, Issue 6, 2015, Pages 781-790

  Settumba, Stella Nalukwago ^a   Sweeney, Sedona ^b   Seeley, Janet ^a,b   Biraro, Samuel ^a   Mutungi, Gerald ^c   Munderi, Paula ^a   Grosskurth, Heiner ^b,d   Vassall, Anna ^b  

^a UGANDA VIRUS RESEARCH INSTITUTE   (Uganda)

^b LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

^c MINISTRY OF HEALTH   (Uganda)

^d National Institute for Medical Research   (Tanzania)

Author keywords

Cost; Health systems; Human immunodeficiency virus; Low and middle income countries; Non communicable diseases; Uganda

Indexed keywords

ESTIMATION METHOD; HEALTH SERVICES; HEALTH WORKER; PERIPHERAL REGION; STANDARDIZATION;

ARTICLE; CHRONIC DISEASE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL PRACTICE; CONTROLLED STUDY; DIABETES MELLITUS; EPILEPSY; FEMALE; HEALTH CARE COST; HEALTH CARE FACILITY; HEALTH CARE PERSONNEL; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; HEALTH SERVICE; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; HYPERTENSION; MALE; OBSERVATIONAL STUDY; PRESCRIPTION; RANDOMIZED CONTROLLED TRIAL; STRUCTURED INTERVIEW; TANZANIA; UGANDA; COST; ECONOMICS; HIV INFECTIONS; INFORMATION PROCESSING; PROCEDURES; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; RETROSPECTIVE STUDY; STATISTICAL MODEL; STATISTICS AND NUMERICAL DATA;

UGANDA;

HUMAN IMMUNODEFICIENCY VIRUS;

CHRONIC DISEASE; COSTS AND COST ANALYSIS; DATA COLLECTION; DIABETES MELLITUS; EPILEPSY; HEALTH CARE COSTS; HIV INFECTIONS; HUMANS; HYPERTENSION; MODELS, ECONOMIC; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; RETROSPECTIVE STUDIES; UGANDA;

EID: 84928757672     PISSN: 13602276     EISSN: 13653156     Source Type: Journal    
DOI: 10.1111/tmi.12487     Document Type: Article

References (18)

1. Beaglehole R, Epping-Jordan J, Patel V et al. Improving the prevention and management of chronic disease in low-income and middle-income countries: a priority for primary health care. Lancet 2008: 372: 940-949.
2. World Health Organisation. Global Status Report on non-Communicable Diseases 2010. World Health Organisation: Geneva, 2011.
3. Abegunde DO, Mathers CD, Adam T, Ortegon M, Strong K. The burden and costs of chronic diseases in low-income and middle-income countries. Lancet 2007: 370: 1929-1938.
4. Lozano R, Naghavi M, Foreman K et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012: 380: 2095-2128.
5. Boutayeb A. The double burden of communicable and non-communicable diseases in developing countries. Trans R Soc Trop Med Hyg 2006: 100: 191-199.
6. World Health Organisation - Global Health Workforce Alliance. The Kampala Declaration and Agenda for Global Action. World Health Organisation: Geneva, 2008.
7. Maher D, Smeeth L, Sekajugo J. Health transition in Africa: practical policy proposals for primary care. Bull World Health Organ 2010: 88: 943-948.
8. Atun R, Jaffar S, Nishtar S et al. Improving responsiveness of health systems to non-communicable diseases. Lancet 2013: 381: 690-697.
9. Sridhar D, Brolan CE, Durrani S et al. Recent shifts in global governance: implications for the response to non-communicable diseases. PLoS Med 2013: 10: e1001487.
10. Ebrahim S, Pearce N, Smeeth L, Casas JP, Jaffar S & Piot P. Tackling non-communicable diseases In low- and middle-income countries: is the evidence from high-income countries all we need? PLoS Med. 2013;10:e1001377.
11. Drummond MF, Sculpher MJ, Torrance GW, O'Brien BJ & Stoddart GL. Methods for the Economic Evaluation of Health Care Programmes (3rd edn). Oxford University Press: New York, 2005, 379.
12. Walker D, Kumaranayake L. Allowing for differential timing in cost analyses: discounting and annualization. Health Policy Plan 2002: 17: 112-118.
13. Conteh L, Walker D. Cost and unit cost calculations using step-down accounting. Health Policy Plan 2004: 19: 127-135.
14. Kirigia J, Sambo H, Sambo L & Barry S. Economic burden of diabetes mellitus in the WHO African region. BMC Int Health Hum Rights. 2009;9:6.
15. Falconer DG, Buckley A, Colagiuri R. Counting the cost of type 2 diabetes in Vanuatu. Diabetes Res Clin Pract 2010: 87: 92-97.
16. Mbanya JC, Motala AA, Sobngwi E, Assah FK, Enoru ST. Diabetes in sub-Saharan Africa. Lancet 2010: 375: 2254-2266.
17. Oanda historical Exchange Rates. [cited 2013]; (Available from: http://www.oanda.com/currency/historical-rates/).
18. Labhardt ND, Balo JR, Ndam M, Grimm JJ, Manga E. Task shifting to non-physician clinicians for integrated management of hypertension and diabetes in rural Cameroon: a programme assessment at two years. BMC Health Serv Res 2010: 10: 339.