The Economic Burden of Non-fatal Musculoskeletal Injuries in Northeastern Tanzania

Background: Although musculoskeletal injuries have increased in sub-Saharan Africa, data on the economic burden of non-fatal musculoskeletal injuries in this region are scarce. Objective: Socioeconomic costs of orthopedic injuries were estimated by examining both the direct hospital cost of orthoped...

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Autores principales:	Sonya Davey, Evgeny Bulat, Honest Massawe, Anthony Pallangyo, Ajay Premkumar, Neil Sheth
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/eb587de2d5fc4cdf9e1ea8b26c118562
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spelling	oai:doaj.org-article:eb587de2d5fc4cdf9e1ea8b26c1185622021-12-02T04:59:53ZThe Economic Burden of Non-fatal Musculoskeletal Injuries in Northeastern Tanzania2214-999610.5334/aogh.1355https://doaj.org/article/eb587de2d5fc4cdf9e1ea8b26c1185622019-03-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/1355https://doaj.org/toc/2214-9996Background: Although musculoskeletal injuries have increased in sub-Saharan Africa, data on the economic burden of non-fatal musculoskeletal injuries in this region are scarce. Objective: Socioeconomic costs of orthopedic injuries were estimated by examining both the direct hospital cost of orthopedic care as well as indirect costs of orthopedic trauma using disability days and loss of work as proxies. Methods: This study surveyed 200 patients seen in the outpatient orthopedic ward of the Kilimanjaro Christian Medical Center, a tertiary hospital in Northeastern Tanzania, during the month of July 2016. Findings: Of the patients surveyed, 88.8% earn a monthly income of less than $250 and the majority of patients (73.7%) reported that the healthcare costs of their musculoskeletal injuries were a catastrophic burden to them and their family with 75.0% of patients reporting their medical costs exceeded their monthly income. The majority (75.3%) of patients lost more than 30 days of activities of daily living due to their injury, with a median (IQR) functional day loss of 90 (30). Post-injury disability led to 40.6% of patients losing their job and 86.7% of disabled patients reported a wage decrease post-injury. There were significant associations between disability and post-injury unemployment (p < .0001) as well as lower post-injury wages (p = .022). Conclusion: This exploratory study demonstrates that in this region of the world, access to definitive treatment post-musculoskeletal injury is limited and patients often suffer prolonged disabilities resulting in decreased employment and income.Sonya DaveyEvgeny BulatHonest MassaweAnthony PallangyoAjay PremkumarNeil ShethUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Sonya Davey Evgeny Bulat Honest Massawe Anthony Pallangyo Ajay Premkumar Neil Sheth The Economic Burden of Non-fatal Musculoskeletal Injuries in Northeastern Tanzania
description	Background: Although musculoskeletal injuries have increased in sub-Saharan Africa, data on the economic burden of non-fatal musculoskeletal injuries in this region are scarce. Objective: Socioeconomic costs of orthopedic injuries were estimated by examining both the direct hospital cost of orthopedic care as well as indirect costs of orthopedic trauma using disability days and loss of work as proxies. Methods: This study surveyed 200 patients seen in the outpatient orthopedic ward of the Kilimanjaro Christian Medical Center, a tertiary hospital in Northeastern Tanzania, during the month of July 2016. Findings: Of the patients surveyed, 88.8% earn a monthly income of less than $250 and the majority of patients (73.7%) reported that the healthcare costs of their musculoskeletal injuries were a catastrophic burden to them and their family with 75.0% of patients reporting their medical costs exceeded their monthly income. The majority (75.3%) of patients lost more than 30 days of activities of daily living due to their injury, with a median (IQR) functional day loss of 90 (30). Post-injury disability led to 40.6% of patients losing their job and 86.7% of disabled patients reported a wage decrease post-injury. There were significant associations between disability and post-injury unemployment (p < .0001) as well as lower post-injury wages (p = .022). Conclusion: This exploratory study demonstrates that in this region of the world, access to definitive treatment post-musculoskeletal injury is limited and patients often suffer prolonged disabilities resulting in decreased employment and income.
format	article
author	Sonya Davey Evgeny Bulat Honest Massawe Anthony Pallangyo Ajay Premkumar Neil Sheth
author_facet	Sonya Davey Evgeny Bulat Honest Massawe Anthony Pallangyo Ajay Premkumar Neil Sheth
author_sort	Sonya Davey
title	The Economic Burden of Non-fatal Musculoskeletal Injuries in Northeastern Tanzania
title_short	The Economic Burden of Non-fatal Musculoskeletal Injuries in Northeastern Tanzania
title_full	The Economic Burden of Non-fatal Musculoskeletal Injuries in Northeastern Tanzania
title_fullStr	The Economic Burden of Non-fatal Musculoskeletal Injuries in Northeastern Tanzania
title_full_unstemmed	The Economic Burden of Non-fatal Musculoskeletal Injuries in Northeastern Tanzania
title_sort	economic burden of non-fatal musculoskeletal injuries in northeastern tanzania
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/eb587de2d5fc4cdf9e1ea8b26c118562
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The Economic Burden of Non-fatal Musculoskeletal Injuries in Northeastern Tanzania

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