Socio-economic burden of sickle cell disease on families attending sickle cell clinic in Kano state, northwestern Nigeria

I.I. Beli , L.A. Ali , C.C. Onuoha , M. Jasseh , M. Zentar , N. Belakoul , Y. Layadi , J.A. Deblui , M. Fathi , A.H. Sani , A.G. Adamu , M.A. Mbahi , T. Laachfoubi , M. Umar
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Abstract

This study aimed to assess the socio-economic impact of sickle cell disease (SCD) on families of patients receiving care at the SCD clinic of Aminu Kano Teaching Hospital (AKTH) in Kano, Northwest Nigeria. The research adopted a descriptive cross-sectional approach, involving the participation of 273 individuals selected through a multi-stage sampling method. Data was gathered using semi-structured interviews and subjected to analysis using SPSS software. The study achieved a 100 % response rate, with 84 % of the participants being females. The average age of the participants was 35.1 ± 8.6 years, and a significant proportion (79.9 %) reported a monthly income of thirty thousand naira or less. The findings of the study revealed that SCD had a notable social impact, affecting 93.5 % of participants occasionally and 5.8 % most of the time. Furthermore, a substantial financial burden was experienced by 54.2 % of respondents most of the time and 45.1 % occasionally. The research also highlighted the significant influence of SCD on guardians' employment status, income levels, time spent in hospitals, medical expenditures, and overall quality of life. These findings underscore the considerable social and financial challenges faced by guardians of SCD patients. Study results supports prioritizing affordable healthcare access for families affected by SCD to alleviate the burdens they face.

镰状细胞病对尼日利亚西北部卡诺州镰状细胞诊所就诊家庭造成的社会经济负担
本研究旨在评估镰状细胞病(SCD)对尼日利亚西北部卡诺市阿米努卡诺教学医院(AKTH)SCD 诊所接受治疗的患者家庭的社会经济影响。研究采用描述性横断面方法,通过多阶段抽样方法选出 273 人参与研究。数据通过半结构式访谈收集,并使用 SPSS 软件进行分析。研究的回复率为 100%,其中 84% 的参与者为女性。参与者的平均年龄为 35.1 ± 8.6 岁,很大一部分人(79.9%)的月收入在 3 万奈拉或以下。研究结果显示,SCD 对社会产生了显著影响,93.5% 的参与者偶尔受到影响,5.8% 的参与者大部分时间受到影响。此外,54.2%的受访者大部分时间和 45.1%的受访者偶尔会承受巨大的经济负担。研究还强调了 SCD 对监护人的就业状况、收入水平、住院时间、医疗支出和整体生活质量的重大影响。这些发现强调了 SCD 患者监护人所面临的巨大社会和经济挑战。研究结果支持优先为受 SCD 影响的家庭提供负担得起的医疗保健服务,以减轻他们面临的负担。
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Global pediatrics
Global pediatrics Perinatology, Pediatrics and Child Health
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