Economic burden of stroke in a rural South African setting
SOURCE: eNeurologicalSci
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2016
TITLE AUTHOR(S): M.Maredza, L.Chola
KEYWORDS: ECONOMIC CONDITIONS, HEALTH, RURAL COMMUNITIES, STROKES
Print: HSRC Library: shelf number 8967
HANDLE: 20.500.11910/1659
URI: http://hdl.handle.net/20.500.11910/1659
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2016
TITLE AUTHOR(S): M.Maredza, L.Chola
KEYWORDS: ECONOMIC CONDITIONS, HEALTH, RURAL COMMUNITIES, STROKES
Print: HSRC Library: shelf number 8967
HANDLE: 20.500.11910/1659
URI: http://hdl.handle.net/20.500.11910/1659
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Stroke is the second leading cause ofmortality and leading cause of disability in South Africa yet published data on the economic costs of stroke is lacking particularly in rural settings. We estimate the total direct costs of stroke in 2012 from a health system perspective using a prevalence-based, bottom-up costing approach. Direct costs include diagnosis, inpatient and outpatient care. Analysis is based on the Agincourt health and socio-demographic surveillance system, which covers approximately 90,000 people. Published data from the SASPI study, Tintswalo Hospital Stroke register, and national cost databases were used. Sensitivity analysis was carried out to account for the variability in the data used. e total direct costs of stroke were estimated to be R2.5-R4.2 million (US$283,500-US$485,000) in 2012 or 1.6-3% of the sub-district health expenditure. Of this, 80% was attributed to inpatient costs. Total costs were most sensitive to the underlying incidence rates and to assumptions regarding service utilisation. Our study provides a snapshot of costs incurred on stroke in rural South Africa.We showthat stroke is a disease with high economic costs. Further studies that assess the lifetime costs of stroke are needed to better understand savings accrued from intervening at different stages of the disease.-
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