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Counting the Cost of Diabetes in the Solomon Islands and Nauru

Author

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  • Si Thu Win Tin
  • George Iro
  • Eva Gadabu
  • Ruth Colagiuri

Abstract

Aim: To determine the costs associated with diabetes to governments, people with diabetes and their carers, and its impact on quality of life in two Pacific Island countries—the Solomon Islands and Nauru. Materials and Methods: This cross-sectional cost of illness study was conducted on 330 people with type 2 diabetes (197 from the Solomon Islands and 133 from Nauru) using a structured cost of illness survey questionnaire adapted from the Australian DiabCo$t study. Quality of life was measured by the EQ-5D Visual Analogue Scale. Results: There were 330 respondents (50% female; mean duration of diabetes 10.9 years; mean age 52.6 years). The estimated annual national cost of diabetes incurred by the Solomon Islands government was AUD12.8 million (AUD281 per person/year) and by Nauru government was AUD1.2 million (AUD747 per person/year). The major contribution to the government costs was inpatient services cost (71% in the Solomon Islands and 83% in Nauru). Annual expenditure for diabetes was approximately 20% of the governments’ annual health care expenditure. Considerable absenteeism and retirement from work due to diabetes was found. Conclusions: This study found substantial public and personal costs associated with diabetes. The findings provide objective data on which health policy, funding and planning decisions about the prevention and control of diabetes in the Solomon Islands and Nauru can be reliably based and subsequently evaluated.

Suggested Citation

  • Si Thu Win Tin & George Iro & Eva Gadabu & Ruth Colagiuri, 2015. "Counting the Cost of Diabetes in the Solomon Islands and Nauru," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-13, December.
    • Handle: RePEc:plo:pone00:0145603
    DOI: 10.1371/journal.pone.0145603
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    References listed on IDEAS

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    1. Mehdi Javanbakht & Hamid R Baradaran & Atefeh Mashayekhi & Ali Akbar Haghdoost & Mohammad E Khamseh & Erfan Kharazmi & Aboozar Sadeghi, 2011. "Cost-of-Illness Analysis of Type 2 Diabetes Mellitus in Iran," PLOS ONE, Public Library of Science, vol. 6(10), pages 1-7, October.
    2. World Bank, 2012. "The Economic Costs of Noncommunicable Diseases in the Pacific Islands," World Bank Publications - Reports 27219, The World Bank Group.
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    Cited by:

    1. Penny Farrell & Michael K. Sharp & Erica Reeve & Tom D. Brewer & Anna K. Farmery & Jillian Tutuo & Jessica R. Bogard & Samson Kanamoli & Anne Marie Thow, 2023. "Fruit and Non-Starchy Vegetable Acquisition and Supply in Solomon Islands: Identifying Opportunities for Improved Food System Outcomes," Sustainability, MDPI, vol. 15(2), pages 1-32, January.

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