Abstract
BackgroundDiabetes affects both individuals and their families and has an impact on economic and social development of a country. Information on the availability, cost, and quality of medical care for diabetes is mostly not available for many low- and middle-income countries including Bangladesh. Complications from diabetes, which can be devastating, could largely be prevented by wider use of several inexpensive generic medicines, simple tests and monitoring and can be a cost saving intervention. This study will provide an in-depth and comprehensive picture of social and economic impacts of diabetes in Bangladesh and propose clear recommendations for improving prevention and management of diabetes. The objectives of the study are:1) To study the association between diabetes and other health problems and its social impacts2) To estimate the economic impact of diabetes including total direct and indirect costs3) To measure the impact of diabetes on quality of life among diabetes patients in Bangladesh4) To study the impact of diabetes on the health care systemMethodsThis is a case–control study comparing cases with type 2 diabetes to controls without diabetes matched on age, sex and place of residence. 564 cases and 564 controls will be selected from the outpatient department of a tertiary hospital in Dhaka, Bangladesh. Data on socioeconomic status, health utility index, direct and indirect costs for diabetes, medication adherence, quality of life, treatment satisfaction, diet, physical activity, mental state examination, weight, height, hip and waist circumference, blood pressure, pulse, medication history, laboratory data and physical examination will be conducted.Outcome measures: The primary outcome measures will be association between diabetes and other health problems, cost of diabetes, impact of diabetes on quality of life and secondary outcome measures are impact of diabetes on healthcare systems in Bangladesh.DiscussionThis study will provide an in-depth and comprehensive picture of social and economic impacts of diabetics in Bangladesh and propose clear recommendations for improving prevention and management of diabetics. It will help to develop programs and policies for better management of Diabetics and cost effective strategies in Bangladesh context.
Highlights
Diabetes affects both individuals and their families and has an impact on economic and social development of a country
We propose to conduct a first-ever comprehensive case– control study of social and economic impact of diabetes in Bangladesh
The main objective of this study is to describe the social and economic impact of diabetes in Bangladesh, including out-pocket expenditures by patients and their families; other expenditures for medical care; impact on quality of life, disability and health utility; impact on the income, employment, education, and property of patients and their families; and the efficiency of medical care received for diabetes
Summary
Diabetes affects both individuals and their families and has an impact on economic and social development of a country. Information on the availability, cost, and quality of medical care for diabetes is mostly not available for many low- and middle-income countries including Bangladesh. The objectives of the study are: 1) To study the association between diabetes and other health problems and its social impacts 2) To estimate the economic impact of diabetes including total direct and indirect costs 3) To measure the impact of diabetes on quality of life among diabetes patients in Bangladesh 4) To study the impact of diabetes on the health care system. Lifestyle-related diseases like diabetes have emerged as major public health problems in the developing countries [3,4,5]. It is estimated that by 2030, Bangladesh will be the 5th largest country in the world in terms of population living with diabetes which will be challenging its health system in terms of meeting the demands of its population [2]
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