Morbidity patterns among health insured patients seen in a general out-patient clinic in Bayelsa State, Nigeria.

Oghenekaro Godwin Egbi1,2*
1Doctoral Studies, Department of Health Systems Management, School of Public Health, University of Port Harcourt, Rivers State, Nigeria.
2Department of Medicine, Niger Delta University Teaching Hospital, Bayelsa State, Nigeria.
*Correspondence: Dr. Egbi, Oghenekaro Godwin; +234 8036583634;

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Background: Hospital morbidity and mortality data are useful for estimating disease burdens. The Bayelsa Health Insurance Scheme (BHIS) was commenced a few years ago to augment existing schemes and improve access to health care and service utilization.
Objective: To determine the pattern of morbidities among BHIS-insured patients attending a clinic.
Materials and Method: A review of case records of patients enrolled with the scheme and presenting at the General Out-patient Clinic (GOPC) of the Bayelsa Specialist Hospital between April 1, 2017 and March 31, 2018 was done. A proforma was designed to collect information on patient’s age, gender, diagnosis and date of consultation. Diseases were classified and categorized based on affected systems. Data was analysed using IBM R Statistical Package for the Social Sciences (SPSS) version 20.0.
Results: Two thousand and sixty-eight cases were used for analysis comprising 1,114 (53.9%) females and 954 (46.1%) males with those aged 5-18 years accounting for majority (40%) of cases.
CDs were diagnosed in 1,193 (57.7%) individuals while NCDs occurred in 875(42.3%). Infectious & parasitic diseases accounted for 662 (32.0%) of cases. This was followed by diseases of the respiratory system 325 (15.7%), the eyes and adnexa 192 (9.3%), and circulatory system 155 (7.5%) The commonest CDs were malaria (43.5%), upper respiratory infection (21.8%) and scabies (5.9%), Hypertension (17.7%) was the most frequent NCD followed by refractive errors (17.6%) and bones and joint diseases (9.4%), CDs decreased while NCDs increased incrementally with age with NCDs outstripping CDs during the fourth decade of life.
Conclusion: Infectious/parasitic diseases was the most common disease category. While CDs were more frequent among children and young adults, NCDs were more prevalent in the middle aged and elderly groups. There is need for a strategic approach to stem the emerging tide of NCDs without relenting on infection control.                   

Keywords: Bayelsa health insurance scheme, Communicable diseases, Malaria, Morbidity, Non-communicable diseases.

Cite this article: Egbi OG. Morbidity patterns among health insured patients seen in a general out-patient clinic in Bayelsa State, Nigeria. Yen Med J. 2021;3(2):124–129.


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