The epidemiological and economic burden of diabetes in Ghana: A scoping review to inform health technology assessment.

Diabetes remains one of the four major causes of morbidity and mortality globally among non-communicable diseases (NCDs. It is predicted to increase in sub-Saharan Africa by over 50% by 2045. The aim of this study is to identify, map and estimate the burden of diabetes in Ghana, which is essential f...

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Main Authors: Joseph Kazibwe, Mohamed Gad, Emmanuella Abassah-Konadu, Ivy Amankwah, Richmond Owusu, Godwin Gulbi, Sergio Torres-Rueda, Brian Asare, Anna Vassall, Francis Ruiz
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLOS Global Public Health
Online Access:https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0001904&type=printable
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author Joseph Kazibwe
Mohamed Gad
Emmanuella Abassah-Konadu
Ivy Amankwah
Richmond Owusu
Godwin Gulbi
Sergio Torres-Rueda
Brian Asare
Anna Vassall
Francis Ruiz
author_facet Joseph Kazibwe
Mohamed Gad
Emmanuella Abassah-Konadu
Ivy Amankwah
Richmond Owusu
Godwin Gulbi
Sergio Torres-Rueda
Brian Asare
Anna Vassall
Francis Ruiz
author_sort Joseph Kazibwe
collection DOAJ
description Diabetes remains one of the four major causes of morbidity and mortality globally among non-communicable diseases (NCDs. It is predicted to increase in sub-Saharan Africa by over 50% by 2045. The aim of this study is to identify, map and estimate the burden of diabetes in Ghana, which is essential for optimising NCD country policy and understanding existing knowledge gaps to guide future research in this area. We followed the Arksey and O'Malley framework for scoping reviews. We searched electronic databases including Medline, Embase, Web of Science, Scopus, Cochrane and African Index Medicus following a systematic search strategy. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews was followed when reporting the results. A total of 36 studies were found to fulfil the inclusion criteria. The reported prevalence of diabetes at national level in Ghana ranged between 2.80%- 3.95%. At the regional level, the Western region reported the highest prevalence of diabetes: 39.80%, followed by Ashanti region (25.20%) and Central region at 24.60%. The prevalence of diabetes was generally higher in women in comparison to men. Urban areas were found to have a higher prevalence of diabetes than rural areas. The mean annual financial cost of managing one diabetic case at the outpatient clinic was estimated at GHS 540.35 (2021 US $194.09). There was a paucity of evidence on the overall economic burden and the regional prevalence burden. Ghana is faced with a considerable burden of diabetes which varies by region and setting (urban/rural). There is an urgent need for effective and efficient interventions to prevent the anticipated elevation in burden of disease through the utilisation of existing evidence and proven priority-setting tools like Health Technology Assessment (HTA).
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spelling doaj-art-acce04276eda4ea1afeb5ffb3b7d7f132025-02-05T05:50:31ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752024-01-0143e000190410.1371/journal.pgph.0001904The epidemiological and economic burden of diabetes in Ghana: A scoping review to inform health technology assessment.Joseph KazibweMohamed GadEmmanuella Abassah-KonaduIvy AmankwahRichmond OwusuGodwin GulbiSergio Torres-RuedaBrian AsareAnna VassallFrancis RuizDiabetes remains one of the four major causes of morbidity and mortality globally among non-communicable diseases (NCDs. It is predicted to increase in sub-Saharan Africa by over 50% by 2045. The aim of this study is to identify, map and estimate the burden of diabetes in Ghana, which is essential for optimising NCD country policy and understanding existing knowledge gaps to guide future research in this area. We followed the Arksey and O'Malley framework for scoping reviews. We searched electronic databases including Medline, Embase, Web of Science, Scopus, Cochrane and African Index Medicus following a systematic search strategy. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews was followed when reporting the results. A total of 36 studies were found to fulfil the inclusion criteria. The reported prevalence of diabetes at national level in Ghana ranged between 2.80%- 3.95%. At the regional level, the Western region reported the highest prevalence of diabetes: 39.80%, followed by Ashanti region (25.20%) and Central region at 24.60%. The prevalence of diabetes was generally higher in women in comparison to men. Urban areas were found to have a higher prevalence of diabetes than rural areas. The mean annual financial cost of managing one diabetic case at the outpatient clinic was estimated at GHS 540.35 (2021 US $194.09). There was a paucity of evidence on the overall economic burden and the regional prevalence burden. Ghana is faced with a considerable burden of diabetes which varies by region and setting (urban/rural). There is an urgent need for effective and efficient interventions to prevent the anticipated elevation in burden of disease through the utilisation of existing evidence and proven priority-setting tools like Health Technology Assessment (HTA).https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0001904&type=printable
spellingShingle Joseph Kazibwe
Mohamed Gad
Emmanuella Abassah-Konadu
Ivy Amankwah
Richmond Owusu
Godwin Gulbi
Sergio Torres-Rueda
Brian Asare
Anna Vassall
Francis Ruiz
The epidemiological and economic burden of diabetes in Ghana: A scoping review to inform health technology assessment.
PLOS Global Public Health
title The epidemiological and economic burden of diabetes in Ghana: A scoping review to inform health technology assessment.
title_full The epidemiological and economic burden of diabetes in Ghana: A scoping review to inform health technology assessment.
title_fullStr The epidemiological and economic burden of diabetes in Ghana: A scoping review to inform health technology assessment.
title_full_unstemmed The epidemiological and economic burden of diabetes in Ghana: A scoping review to inform health technology assessment.
title_short The epidemiological and economic burden of diabetes in Ghana: A scoping review to inform health technology assessment.
title_sort epidemiological and economic burden of diabetes in ghana a scoping review to inform health technology assessment
url https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0001904&type=printable
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