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; email@example.com
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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.
- Arodiwe EB, Nwokediuko SC, Ike SO. Medical causes of death in a teaching hospital in south—eastern Nigeria: a 16 year review. Niger J Clin Pract. 2014;17:711–716.
- Uchendu, OJ, Forae, GD. Diseases mortality patterns in elderly patients: A Nigerian teaching hospital experience in Irrua, Niger Med J. 2013; 54(4):250-253.
- Ezeonwu B, Chima O, Oguonu T, Ikefuna A, Nwafor I. Morbidity and mortality pattern of childhood illnesses seen at the children emergency unit of federal medical center, asaba, Nigeria. Ann Med Health Sci Res. 2014(Suppl 3):S239-44.
- Oleribe OO, Momoh J, Uzochukwu BSC, Mbofana F, Adebiyi A, Barbera T, et al. Identifying challenges facing healthcare system in Africa. Int J Gen Med. 2019; 12:395-403.
- Asante FA, Asenso-Okyere K: Economic burden of malaria in Ghana. A Technical Report submitted to the World Health Organization African Regional Office (WHO AFRO). 2003.
- World Health Organization. World Health Report. Making a difference 1999. Available from: http://www.who.imt/whr/1999. Accessed March 7, 2021.
- Yamey G. Roll back malaria: a falling global health campaign. BMJ. 2004;328(7448):1086-1087
- Simoes EAF, Cherian T, Chow J. Shahid-Salles S, Laxminarayan R, John T. Acute respiratory infections in Children. In: Jamison DT, Breman JG, Measham AR, et al, eds. Disease control Priorities in Developing Countries. 2nd ed. Washington (DC): The International Bank for Reconstruction and Development / The World Bank and Oxford University Press, New York; 2006: Chapter 25.
- Andrews RM, McCarthy J, Carapetis JR, Currie BJ. Skin disorders including pyoderma, scabies and tinea infections. Ped Clin North Am. 2009;56:1421-1440.
- Chosidow O. Clinical Practices. Scabies. N Engl J Med. 2006;20:354-356.
- Okafor OO, Akinbami FO, Orimadegun AE, Okafor CM, Ogunbiyi AO. Prevalence of dermatological lesions in hospitalized children at the University College Hospital, Ibadan, Nigeria. Niger J Clin Pract. 2011(3):287-92. doi: 10.4103/1119-3077.86769. PMID: 22037070.
- Ugbomoiko US, Oyedeji SA, Babamale OA, Heukelbach J. Scabies in Resource-Poor Communities in Nasarawa State, Nigeria: Epidemiology, Clinical Features and Factors Associated with Infestation. Trop Med Infect Dis. 2018;3(2):59.
- Odili AN, Chori BS, Danladi B, Nwakile PC, Okoye IC, Abdullah U et al. Prevalence, awareness, treatment and control of hypertension in Nigeria. Data from a nationwide survey 2017. Global Heart. 2020;15(1):47. http://doi.org/10.5334/gh.848.
- World Health Organization. Non-communicable Diseases (NCD) Country profiles. Nigeria. Risk of premature deaths due to NCDs. Geneva: World Health Organization; 2018.
- Olusanya BA, Ugalahi MO, Ogunleye OT, Baiyeroju AM. Refractive errors among children attending a tertiary eye facility in Ibadan, Nigeria: highlighting the need for school eye health programs. Ann Ib Postgrad Med. 2019;17(1):49-59.
- Okoye OI, Umeh RE . Eye health of industrial workers in Southeastern Nigeria. West Afr J Med. 2002; 21:132–137.
- Ashaye AO, Asuzu MC. Ocular findings seen among the staff of an institution in Lagos, Nigeria. West Afr J Med. 2005; 24:96–99
- Resnikoff S, Pascolini D, Mariotti SP, Pokharel GP. Global magnitude of visual impairment caused by uncorrected refractive errors in 2004. Bull World Health Organ. 2008;86:63–70.
- Maher D, Smeeth L, Sekajugo J. Health transition in Africa: practical policy proposals for primary care. Bull World Health Organ. 2010;88:943–948. doi:10.2471/BLT.10.077891.
- Mathers CD, Loscar D. Projections of global mortality and burden of disease from 2002 to 2030. PLOS medicine. 2006;3(11)e442. doi: 10.1371 / journal.
- World Health Organization. Noncommunicable diseases country profiles 2014. Geneva: World Health Organization; 2014.
- Witkowski, T.H. Food Marketing and Obesity in Developing Countries: Analysis, ethics and Public policy. J Mark. 2007;27(2):126-137.
- Joshi R, Colford JM, Reingold A. Nonmalarial acute undifferentiated fever in a rural hospital in Central India- Diagnostic uncertainty and overtreatment with antimalarial agents. Am J Trop Med Hyg. 2008;78(3):393-99