The cost and quality of life impact of glaucoma in Tanzania: An observational study

Ian Murdoch, Andrew F Smith, Helen Baker, Bernadetha Shilio and Kazim Dhalla

PLOS ONE, 2020, vol. 15, issue 6, 1-12

Abstract: Aims: To determine the cost and quality of life impact imposed by glaucoma in Tanzania, East Africa. Methods: An expert panel of eye health professionals was convened to agree current glaucoma practice in Tanzania. In addition a structured patient survey was developed and administered. Supplemental cost and quality of life information was collected using cost questionnaires and validated quality of life measures, including the EQ5D and VFQ-25. Results: Key findings include following. Non-adherence is a major issue, especially in rural settings where over 50% of the patients may fail to return for review. Whilst medical therapy is overwhelmingly the first line treatment, the cost of maintaining this represents up to 25% of a patient’s income. There is an impact of glaucoma on patients general well-being as determined by the EQ-5D and more tellingly on visual function with particular impact on role limitations as determined by the VF25. Despite our sample being taken in a private clinic and thus containing a much larger proportion of professionals than the general population, one third of the population earned Tanzanian Shillings (TZS) 170,000 per month which is below the minimum wage. Conclusion: These findings are of great importance for health care planners seeking to determine cost-effective, acceptable methods of both identifying and treating this major cause of preventable blindness.

Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0232796

DOI: 10.1371/journal.pone.0232796

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