The economic burden incurred by families caring for a young child with developmental disability in Uganda

Each year, nearly 30 million children globally are at risk of developmental difficulties and disability as a result of newborn health conditions, with the majority living in resource-constrained countries. This study estimates the annual cost to families related to caring for a young child with deve...

Full description

Bibliographic Details
Main Authors: Kenneth R. Katumba, Cally J. Tann, Emily L. Webb, Patrick Tenywa, Margaret Nampijja, Janet Seeley, Giulia Greco
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLOS Global Public Health
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10115281/?tool=EBI
_version_ 1797695900170059776
author Kenneth R. Katumba
Cally J. Tann
Emily L. Webb
Patrick Tenywa
Margaret Nampijja
Janet Seeley
Giulia Greco
author_facet Kenneth R. Katumba
Cally J. Tann
Emily L. Webb
Patrick Tenywa
Margaret Nampijja
Janet Seeley
Giulia Greco
author_sort Kenneth R. Katumba
collection DOAJ
description Each year, nearly 30 million children globally are at risk of developmental difficulties and disability as a result of newborn health conditions, with the majority living in resource-constrained countries. This study estimates the annual cost to families related to caring for a young child with developmental disability in Uganda. Nested within a feasibility trial of early care and support for young children with developmental disabilities, this sub-study estimated the cost of illness, the cost of paternal abandonment of the caregiver and the affordability of care by household. Seventy-three caregivers took part in this sub-study. The average annual cost of illness to families was USD 949. The main cost drivers were the cost of seeking care and income lost due to loss of employment. Households caring for a child with a disability spent more than the national average household expenditure, and the annual cost of illness for all households was more than 100% of the national GDP per capita. In addition, 84% of caregivers faced economic consequences and resorted to wealth-reducing coping strategies. Families caring for a child with severe impairment incurred USD 358 more on average than those with mild or moderate impairment. Paternal abandonment was common (31%) with affected mothers losing an average of USD 430 in financial support. Caring for a young child with developmental disability was unaffordable to all the study households. Programmes of early care and support have the potential to reduce these financial impacts. National efforts to curb this catastrophic health expenditure are necessary.
first_indexed 2024-03-12T03:18:00Z
format Article
id doaj.art-42d94e8d74c9451fac2e550f2da940b4
institution Directory Open Access Journal
issn 2767-3375
language English
last_indexed 2024-03-12T03:18:00Z
publishDate 2023-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLOS Global Public Health
spelling doaj.art-42d94e8d74c9451fac2e550f2da940b42023-09-03T14:06:50ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752023-01-0134The economic burden incurred by families caring for a young child with developmental disability in UgandaKenneth R. KatumbaCally J. TannEmily L. WebbPatrick TenywaMargaret NampijjaJanet SeeleyGiulia GrecoEach year, nearly 30 million children globally are at risk of developmental difficulties and disability as a result of newborn health conditions, with the majority living in resource-constrained countries. This study estimates the annual cost to families related to caring for a young child with developmental disability in Uganda. Nested within a feasibility trial of early care and support for young children with developmental disabilities, this sub-study estimated the cost of illness, the cost of paternal abandonment of the caregiver and the affordability of care by household. Seventy-three caregivers took part in this sub-study. The average annual cost of illness to families was USD 949. The main cost drivers were the cost of seeking care and income lost due to loss of employment. Households caring for a child with a disability spent more than the national average household expenditure, and the annual cost of illness for all households was more than 100% of the national GDP per capita. In addition, 84% of caregivers faced economic consequences and resorted to wealth-reducing coping strategies. Families caring for a child with severe impairment incurred USD 358 more on average than those with mild or moderate impairment. Paternal abandonment was common (31%) with affected mothers losing an average of USD 430 in financial support. Caring for a young child with developmental disability was unaffordable to all the study households. Programmes of early care and support have the potential to reduce these financial impacts. National efforts to curb this catastrophic health expenditure are necessary.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10115281/?tool=EBI
spellingShingle Kenneth R. Katumba
Cally J. Tann
Emily L. Webb
Patrick Tenywa
Margaret Nampijja
Janet Seeley
Giulia Greco
The economic burden incurred by families caring for a young child with developmental disability in Uganda
PLOS Global Public Health
title The economic burden incurred by families caring for a young child with developmental disability in Uganda
title_full The economic burden incurred by families caring for a young child with developmental disability in Uganda
title_fullStr The economic burden incurred by families caring for a young child with developmental disability in Uganda
title_full_unstemmed The economic burden incurred by families caring for a young child with developmental disability in Uganda
title_short The economic burden incurred by families caring for a young child with developmental disability in Uganda
title_sort economic burden incurred by families caring for a young child with developmental disability in uganda
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10115281/?tool=EBI
work_keys_str_mv AT kennethrkatumba theeconomicburdenincurredbyfamiliescaringforayoungchildwithdevelopmentaldisabilityinuganda
AT callyjtann theeconomicburdenincurredbyfamiliescaringforayoungchildwithdevelopmentaldisabilityinuganda
AT emilylwebb theeconomicburdenincurredbyfamiliescaringforayoungchildwithdevelopmentaldisabilityinuganda
AT patricktenywa theeconomicburdenincurredbyfamiliescaringforayoungchildwithdevelopmentaldisabilityinuganda
AT margaretnampijja theeconomicburdenincurredbyfamiliescaringforayoungchildwithdevelopmentaldisabilityinuganda
AT janetseeley theeconomicburdenincurredbyfamiliescaringforayoungchildwithdevelopmentaldisabilityinuganda
AT giuliagreco theeconomicburdenincurredbyfamiliescaringforayoungchildwithdevelopmentaldisabilityinuganda
AT kennethrkatumba economicburdenincurredbyfamiliescaringforayoungchildwithdevelopmentaldisabilityinuganda
AT callyjtann economicburdenincurredbyfamiliescaringforayoungchildwithdevelopmentaldisabilityinuganda
AT emilylwebb economicburdenincurredbyfamiliescaringforayoungchildwithdevelopmentaldisabilityinuganda
AT patricktenywa economicburdenincurredbyfamiliescaringforayoungchildwithdevelopmentaldisabilityinuganda
AT margaretnampijja economicburdenincurredbyfamiliescaringforayoungchildwithdevelopmentaldisabilityinuganda
AT janetseeley economicburdenincurredbyfamiliescaringforayoungchildwithdevelopmentaldisabilityinuganda
AT giuliagreco economicburdenincurredbyfamiliescaringforayoungchildwithdevelopmentaldisabilityinuganda