Journal of Neurosciences in Rural Practice
Year : 2019  |  Volume : 10  |  Issue : 1  |  Page : 39-47

Economic cost of schizophrenia in a Nigerian Teaching Hospital

Department of Mental Health, College of Health Sciences, Obafemi Awolowo University; Department of Mental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria

Correspondence Address:
Ibidunni Olapeju Oloniniyi
Department of Mental Health, College of Health Sciences, Obafemi Awolowo University, Ile-Ife 220212
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jnrp.jnrp_210_18

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Objective: This study evaluated the economic cost of schizophrenia in Nigerian patients and identified factors that influence cost. Methods: A total of 100 participants with schizophrenia were assessed using the modified economic cost questionnaire, the mini-international neuropsychiatric interview, the positive and negative syndrome scale, the Liverpool University Neuroleptic side-effect rating scale, and the global assessment of functioning scale. Associations between sociodemographic characteristics, illness-related variables and direct, indirect, and total costs of schizophrenia were assessed. Results: The average annual total, direct, and indirect costs of the treatment were $818.48, $349.59, and $468.89, respectively, per patient. The direct cost constituted 42.7%, while the indirect cost was 57.3% of the total costs of treatment. Hospitalization was the leading contributor to the direct cost, while productivity loss was a major component of the indirect cost. Conclusion: Schizophrenia is an expensive disease in Nigeria, measures to reduce hospitalization could significantly reduce the cost of illness to the patient and their relatives.

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