Abstract
Efforts to alleviate poverty and ensure sustainable development are recently being sabotaged by the remarkable loss of productivity, income, and human capital aggravated by Non-communicable Diseases (NCDs). While a considerable amount of literature in developed countries is concerned with the connection between NCDs and poverty, comparable studies for developing countries are sparse. Using a mixed-method research approach, this study assessed the level of poverty among those with NCDs, the out-of-pocket (OOP) expenses incurred on NCDs while considering the probability of NCDs inducing catastrophic health expenditure and impoverishment. Quantitative as well as qualitative data were obtained from individuals with NCDs and key personnel’s distributed across 9 referral hospitals in Southwestern Nigeria. The result showed that 25% of the respondents were multidimensionally poor, while 72% had no health insurance coverage. The findings further indicated that the median out-of-pocket cost on NCDs was N10,750 monthly and being multidimensionally poor increased the probability of incurring catastrophic health expenditure, meanwhile having a health insurance coverage reduced the probability of impoverishment due to NCD by 3% (p < 0.05). This implies that NCDs induced health expenditure is notably associated with economic distress that can aggravate poverty. Hence, there should be a strategic sensitization of Nigerians on the benefits of health insurance and social security should be provided for individuals with NCDs in order to reduce the burden on households.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Abegunde, D.O., Mathers, C.D., Adam, T., Ortegon, M., Strong, K.: The burden and costs of chronic diseases in low-income and middle-income countries. Lancet 370, 1929–1938 (2007)
Adisa, O.: Investigating determinants of catastrophic health spending among poorly insured elderly households in urban Nigeria. Int. J. Equity Health 14, 79 (2015). https://doi.org/10.1186/s12939-015-0241-4
Akawu, F.A., Agum, C.: Impact of poverty on access to healthcare facilities and services in nigeria: a study of Nasarawa state. J. Econ. Sustain. Dev. 9(6), 1–9 (2018)
Alkire, S., Santos, M.E.: Measuring acute poverty in the developing world: robustness and scope of the multidimensional poverty index. World Dev. 5, 251–274 (2014)
Aregbesola, B.S., Khan, S.M.: Determinants of catastrophic health expend Nigeria. Euro. J. Health Econ. (2017). https://doi.org/10.1007/s10198-017-0899-1
Aregbesola, B.S., Khan, S.M.: Out-of-pocket payments, catastrophic health expenditure and poverty among households in Nigeria. Int. J. Health Policy Manage. 7(9), 798–806 (2018). https://doi.org/10.15171/ijhpm.2018.19
Bryman, A., Cramer, D.: Quantitative Data Analysis for Social Scientists. Taylor & Frances/Routledge, Florence, KY, US (1990)
City Population. Nigeria: States and Cities - Population Statistics, Maps, Charts, Weather and Web Information (2018). https://citypopulation.de/Nigeria-Cities.html
Datta, K.B., Husain, M.J., Husain, M.M., Kostova, D.: Non-communicable disease-attributable medical expenditures, household financial stress and impoverishment in Bangladesh. Popul. Health 6, 252–258 (2018)
Engelgau, M.M., Karan, A., Mahal, A.: The economic impact of non-communicable diseases on households in India. Glob. Health 8, 9 (2012). https://doi.org/10.1186/1744-8603-8-9
Janssens, W., Goedecke, J., Bree, G.J., Aderibigbe, S.A., Akande, T.M., Mesnard, A.: The financial burden of non-communicable chronic diseases in rural Nigeria: wealth and gender heterogeneity in health care utilization and health expenditures. PLoS ONE 11(11), 121–166 (2016)
Kavosi, Z., Delavari, H., Keshtkaran, A., Setoudehzadeh, F.: Catastrophic health expenditures and coping strategies in households with cancer patients in Shiraz Namazi hospital. Middle East J. Cancer 5(1), 13–22 (2014)
Kien, V.D., Minh, H.V., Ngoc, B.B., Phuong, T.B., Ngan, T.T., Quam, M.B.: Inequalities in household catastrophic health expenditure and impoverishment associated with non-communicable diseases in Chi Linh, Hai Duong. Vietnam Asia Pac. J. Public Health 29(5S), 35S–44S (2017)
Leng, A., Jing, J., Nicholas, S., Wang, J.: Catastrophic health expenditure of cancer patients at the end-of-life: a retrospective observational study in China. BMC Palliat. Care. 18 (43), 1–10 (2019)
Li, Y., Wu, Q., Xu, L., Legge, D., Hao, Y., Gao, L., Ning, N., Wan, G.: Factors affecting catastrophic health expenditure and impoverishment from medical expenses in China: policy implications of universal health insurance. Bull. World Health Organ. 90, 664–671 (2012)
Minh, H.V., Tran, B.X.: Assessing the household financial burden associated with the chronic non-communicable diseases in a rural district of Vietnam. Glob. Health Action 5, 18892 (2012)
Mirelman, A.J., Rose, S., Khan, J.A.M., Ahmed, S., Peters, D.H., Niessen, L.W., Trujillo, A.J.: The relationship between non-communicable disease occurrence and poverty—evidence from demographic surveillance in Matlab. Bangladesh Health Policy Plan. 31(6), 785–792 (2016)
Multidimensional Poverty Peer Network (MPPN, n. d). National Multidimensional Poverty Index for Nigeria. https://mppn.org/nigeria-national-mpi/. Accessed 20 Jan 2020
Mwai, N.D.: Non-Communicable Diseases in Kenya: Economic Effects And Risk Factors (Ph.D Thesis) (2014). http://erepository.uonbi.ac.ke/bitstream/handle/11295/77585/%20MwaiNon%20communicable%20diseases%20in%20Kenya%3A%20economic%20effects%20and%20risk%20factors.pdf?sequence=1&isAllowed=y. Accessed 15 Jan 2019
Niessen, L.W., Mohan, D., Akuoku, J.K., Mirelman, J., Ahmed, S.Y., Koehlmoos, T.P., Peters, D.H.: Tackling socioeconomic inequalities and non-communicable diseases in low-income and middle-income countries under the Sustainable Development agenda. The Lancet Taskforce on NCDs and economics. Retrieved indicate the date it was retrieved from. http://doi.org/10.1016/S0140-6736(18)30482-3
Ogha, O.S., Madukwe, O.O., Chukwuonye, I.I., Onyenoro,U. U., Ukegbu, A.U., Okpechi, I.G.: Prevalence and determinants of hypertension in Abia State Nigeria: results from the Abia State Non-Communicable Diseases and Cardiovascular Risk Factors Survey. Ethn. Dis. 23(2): 16–1-7 (2013)
Okediji, P.T., Ojo, A.O., Ojo, A.I., Ojo, A.S., Ojo, O.E., Abioye-Kuteyi, E.A.: The economic impacts of chronic illness on households of patients in Ile-Ife. South-W. Niger. Cureus 9(10), (2017)
Onoka, C.A., Onwujekwe, O.E., Hanson, K., Uzochukwu, B.S.: Examining catastrophic health expenditures at variable thresholds using household consumption expenditure diaries. Trop. Med. Int. Health 16(10), 1334–1341 (2011)
Onyeonoro, U.O., Ogah, O.S., Ukegbu, A.U., Chukwuonye, I.I., Okechukwu, O.M., Moses, A.O.: Urban–rural differences in healthcare-seeking pattern of residents of Abia state, Nigeria, and the implication in the control of NCDs. Health Serv. Insights 9, 29–36 (2016). https://doi.org/10.4137/HSI.S31865
Owoeye, O.B., Olaniyan, O.: Economic Cost of Tobacco-Related Diseases in Nigeria: a Study of three Hospitals in Ibadan, Southwest Nigeria. Health Policy Training and Research Programme, Department of Economics University of Ibadan, Nigeria (2015)
Russell, S.: Illuminating cases: understanding the economic burden of illness through case study household research. Health Policy Plan. 20(5), 277–289 (2004). https://doi.org/10.1093/heapol/czi035
Tagoe, H.A.: Urban Poverty and Household Non-Communicable Disease Burden in Ghana: A Case Study Of Ashiedu Keteke Sub-metropolitan Area (Ph. D Thesis) (2014). http://ugspace.ug.edu.gh/handle/123456789/8176. Accessed 15 Aug 2019
Wagstaff, A., Doorslaer, V.E.: Catastrophe and impoverishment in paying for healthcare: with applications to Vietnam, 1993–98. Health Econ. 12, 921–934 (2003)
Wang, Q., Brenner, S., Kalmus, O., Banda, H.T., Allegri, M.: The economic burden of chronic non-communicable diseases in rural Malawi: an observational study. BMC Health Serv. Res. 16, 457 (2016). https://doi.org/10.1186/s12913-016-1716-8
World Bank. Poverty and Health (2014). https://www.worldbank.org/en/topic/health/brief/poverty-health
World Bank (n.d). Nigeria, Poverty Headcount. Retried from http://povertydata.worldbank.org/poverty/country/NGA
World Health Organization (WHO, 2011). https://www.who.int/healthsystems/publications/abuja_report_aug_2011.pdf?ua=1. Accessed 10 June 2019
World Health Organization (WHO, 2018). Non-communicable Disease. Key Facts. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
World Health Organization (WHO, 2019). Nigeria fulfils commitment, launches Plan for the Prevention and Control of Non-Communicable Diseases| WHO| Regional Office for Africa. https://www.afro.who.int/news/nigeria-fulfils-commitment-launches-plan-prevention-and-control-non-communicable-diseases
Xu, K., Evans, D.B., Kawabata, K., Zeramdini, R., Klavus, J., Murray, C.J.L.: Household catastrophic health expenditure: a multi-country analysis. Lancet 362, 111–117 (2003)
Yiltok, A., Adedeji, H.O., Ofakunrin, I.A., Ejeliogu, A.O., Okpe, E.: Prevalence and pattern of non-communicable diseases in children in Jos, Nigeria. Br. J. Med. Med. Res. 19(5), 1–7 (2017)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this paper
Cite this paper
Ibukun, C.O., Adebayo, A.A. (2021). Economic Burden of Non-communicable Diseases and Poverty in Nigeria: A Cross-sectional Study. In: Mojekwu, J.N., Thwala, W., Aigbavboa, C., Atepor, L., Sackey, S. (eds) Sustainable Education and Development. Springer, Cham. https://doi.org/10.1007/978-3-030-68836-3_37
Download citation
DOI: https://doi.org/10.1007/978-3-030-68836-3_37
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-68835-6
Online ISBN: 978-3-030-68836-3
eBook Packages: EngineeringEngineering (R0)