Browsing by Author "Asare, K.H."
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Item Health facility cost of buruli ulcer wound treatment in Ghana: A case study(Value in Health Regional Issues, 2014-09) Asare, K.H.; Aikins, M.Objective: To estimate the wound treatment cost borne by the Buruli Ulcer Treatment Centre of the Amasaman Government Hospital, Ghana. Methods: Three different types of data collection approaches were used, namely, 1) observation checklist, 2) in-depth interviews, and 3) expenditure data review. Wound dressing processes were observed. Retrospective health facility cost data of Buruli ulcer (BU) wound treatment for the year 2011 were used. Cost data gathered covered medical and nonmedical items. Cost analyses were carried out to determine the health facility's financial and economic costs. Results: The total annual financial cost was US $121,189.16, of which 99% was recurrent cost. This constitutes about 13% of the expenditure by the Amasaman Government Hospital for the year 2011. The total annual economic cost was US $143,609.22, of which 93% was recurrent cost. The main cost driver for both financial and economic costs was personnel. The annual BU wound treatment costs per capita were US $1615.86 for financial cost and US $1914.79 for economic cost, respectively. The study did not cover household patient costs. Conclusions: The cost of BU wound treatment takes a considerable amount of the hospital's expenditure. This shows the importance of health facility cost as one of the decision-making tools for both resource allocation and mobilization. Hospital management must therefore constantly examine its staffing norms and the associated cost to improve the hospital's resource allocation. © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR).Item Institutional Cost Of Wound Care In The Treatment Of Buruli Ulcer Patients At Amasaman Hospital(University of Ghana, 2012-07) Asare, K.H.; Aikins, M.; University of Ghana, College of Health Sciences, School of Public HealthBackground: Buruli Ulcer (BU) is a debilitating skin disease caused by mycobacterium ulcerans. BU disease generally occurs in underprivileged communities. BU is the third most common mycobacterium disease in a hale and hearty individual after tuberculosis and leprosy. BU disease results in severe skin and soft tissue destruction leading to the formation of extensive ulcers. Wound care is thus an essential part of BU treatment. Ghana has over 30 BU treatment centres nationwide which provide BU treatment free of charge to the affected persons. The cost at which the wound care service is provided to the BU patients by the BU treatment centres is not known. Objectives: The objective of the study was to estimate the financial and economic cost of wound care to the health facility in the treatment of Buruli ulcer patients. Specifically, it estimated the annual financial and annual economic cost of wound care to the health facility. Methods: The research was a cross sectional cost of illness study from the perspective of a health provider. It involved retrospective analysis of the cost data by the health facility during the treatment of the wounds of Buruli ulcer patients. The study area was the Amasaman Government Hospital. Desk review, observation and face to face interviews were the techniques used in the data collection. Data for expenditure on capital and recurrent items were collected. The annual financial cost was estimated as a sum of the cost of the annual capital and recurrent expenditure. The annual economic cost was also estimated as a sum of the cost of annual capital and recurrent expenditure however, this included the cost of donated items and volunteer time. Results: The estimated annual financial cost of BU wound care to the Amasaman Hospital was GH₵ 196,326.42 (US$ 104,196.17). The estimated annual economic cost of BU wound care to the Amasaman Hospital was GH₵ 232,646.92 (US$ 123,472.52). Of the estimated annual financial cost of BU wound care, 99% was due to recurrent expenditure and 1% was due to capital expenditure. The estimated economic cost of BU wound care revealed that, cost of recurrent items accounted for 93% whiles the cost of capital items accounted for 7% of the estimated cost. The annual cost of wound care for one BU patient was estimated to be about GH₵ 4,652.94 (US$2,469.45). Conclusion: The cost of BU wound care is enormous. BU wound care is a significant source of cost to the BU treatment centres.