Medico-Economic Evaluation of the Management of Mental Disorders in Public Psychiatric Hospitals in Cote d'ivoire

Francois Djo Bi Djo; Asseman Medard Koua; M'Besso Amandine Stéphanie Adjossan; Damaukan Dimitri-Kevin Koffi; Eméric Désiré Konandri; Akmé Sylvie Akpa; Yessonguilana Jean-Marie Yéo-Ténéna

doi:doi:10.11648/j.ajpn.20231104.14

Research Article |

Medico-Economic Evaluation of the Management of Mental Disorders in Public Psychiatric Hospitals in Cote d'ivoire

Francois Djo Bi Djo^*, Asseman Medard Koua, M'Besso Amandine Stéphanie Adjossan, Damaukan Dimitri-Kevin Koffi, Eméric Désiré Konandri, Akmé Sylvie Akpa, Yessonguilana Jean-Marie Yéo-Ténéna

Published in American Journal of Psychiatry and Neuroscience (Volume 11, Issue 4)

Received: 2 December 2023 Accepted: 18 December 2023 Published: 26 December 2023

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Abstract

Economic evaluation is becoming an increasingly important part of public health decision- making. It is useful for rationalising the allocation of available resources in order to maintain a quality health care system that is accessible to all. The economic costs of mental illness are a barrier to access to quality psychiatric care. This study aims to determine the average annual cost of mental disorders in public psychiatric hospitals in Côte d'Ivoire. This descriptive cross- sectional study focused on 100 patients over 15 years of age with psychiatric pathologies who had at least one psychiatric hospitalisation in the two psychiatric hospitals of the country, namely Bouaké and Bingerville. The study showed that the caretakers were parents (77%) with an average monthly income of 185,000 CFA francs and were working in the informal sector (43%). The most frequent diagnosis was acute psychotic disorders and related disorders (51%) and antipsychotics were the most commonly used, including the combination of Haloperidol and Chlorpromazine. The average annual cost per patient was estimated at 303,132.77 FCFA and 523,059.88 FCFA respectively in Bouaké and Bingerville. It is essential that policies look at subsidising mental health care in order to alleviate the economic burden of people living with mental illness.

Published in	American Journal of Psychiatry and Neuroscience (Volume 11, Issue 4)
DOI	10.11648/j.ajpn.20231104.14
Page(s)	94-99
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Medico-Economic Evaluation, Mental Illness, Affordability, Cost of Illness

References

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APA Style

Djo Bi Djo, F., Medard Koua, A., Amandine Stéphanie Adjossan, M., Dimitri-Kevin Koffi, D., Désiré Konandri, E., et al. (2023). Medico-Economic Evaluation of the Management of Mental Disorders in Public Psychiatric Hospitals in Cote d'ivoire. American Journal of Psychiatry and Neuroscience, 11(4), 94-99. https://doi.org/10.11648/j.ajpn.20231104.14

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ACS Style

Djo Bi Djo, F.; Medard Koua, A.; Amandine Stéphanie Adjossan, M.; Dimitri-Kevin Koffi, D.; Désiré Konandri, E., et al. Medico-Economic Evaluation of the Management of Mental Disorders in Public Psychiatric Hospitals in Cote d'ivoire. Am. J. Psychiatry Neurosci. 2023, 11(4), 94-99. doi: 10.11648/j.ajpn.20231104.14

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AMA Style

Djo Bi Djo F, Medard Koua A, Amandine Stéphanie Adjossan M, Dimitri-Kevin Koffi D, Désiré Konandri E, et al. Medico-Economic Evaluation of the Management of Mental Disorders in Public Psychiatric Hospitals in Cote d'ivoire. Am J Psychiatry Neurosci. 2023;11(4):94-99. doi: 10.11648/j.ajpn.20231104.14

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@article{10.11648/j.ajpn.20231104.14,
  author = {Francois Djo Bi Djo and Asseman Medard Koua and M'Besso Amandine Stéphanie Adjossan and Damaukan Dimitri-Kevin Koffi and Eméric Désiré Konandri and Akmé Sylvie Akpa and Yessonguilana Jean-Marie Yéo-Ténéna},
  title = {Medico-Economic Evaluation of the Management of Mental Disorders in Public Psychiatric Hospitals in Cote d'ivoire},
  journal = {American Journal of Psychiatry and Neuroscience},
  volume = {11},
  number = {4},
  pages = {94-99},
  doi = {10.11648/j.ajpn.20231104.14},
  url = {https://doi.org/10.11648/j.ajpn.20231104.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20231104.14},
  abstract = {Economic evaluation is becoming an increasingly important part of public health decision- making. It is useful for rationalising the allocation of available resources in order to maintain a quality health care system that is accessible to all. The economic costs of mental illness are a barrier to access to quality psychiatric care. This study aims to determine the average annual cost of mental disorders in public psychiatric hospitals in Côte d'Ivoire. This descriptive cross- sectional study focused on 100 patients over 15 years of age with psychiatric pathologies who had at least one psychiatric hospitalisation in the two psychiatric hospitals of the country, namely Bouaké and Bingerville. The study showed that the caretakers were parents (77%) with an average monthly income of 185,000 CFA francs and were working in the informal sector (43%). The most frequent diagnosis was acute psychotic disorders and related disorders (51%) and antipsychotics were the most commonly used, including the combination of Haloperidol and Chlorpromazine. The average annual cost per patient was estimated at 303,132.77 FCFA and 523,059.88 FCFA respectively in Bouaké and Bingerville. It is essential that policies look at subsidising mental health care in order to alleviate the economic burden of people living with mental illness.
},
 year = {2023}
}

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TY  - JOUR
T1  - Medico-Economic Evaluation of the Management of Mental Disorders in Public Psychiatric Hospitals in Cote d'ivoire
AU  - Francois Djo Bi Djo
AU  - Asseman Medard Koua
AU  - M'Besso Amandine Stéphanie Adjossan
AU  - Damaukan Dimitri-Kevin Koffi
AU  - Eméric Désiré Konandri
AU  - Akmé Sylvie Akpa
AU  - Yessonguilana Jean-Marie Yéo-Ténéna
Y1  - 2023/12/26
PY  - 2023
N1  - https://doi.org/10.11648/j.ajpn.20231104.14
DO  - 10.11648/j.ajpn.20231104.14
T2  - American Journal of Psychiatry and Neuroscience
JF  - American Journal of Psychiatry and Neuroscience
JO  - American Journal of Psychiatry and Neuroscience
SP  - 94
EP  - 99
PB  - Science Publishing Group
SN  - 2330-426X
UR  - https://doi.org/10.11648/j.ajpn.20231104.14
AB  - Economic evaluation is becoming an increasingly important part of public health decision- making. It is useful for rationalising the allocation of available resources in order to maintain a quality health care system that is accessible to all. The economic costs of mental illness are a barrier to access to quality psychiatric care. This study aims to determine the average annual cost of mental disorders in public psychiatric hospitals in Côte d'Ivoire. This descriptive cross- sectional study focused on 100 patients over 15 years of age with psychiatric pathologies who had at least one psychiatric hospitalisation in the two psychiatric hospitals of the country, namely Bouaké and Bingerville. The study showed that the caretakers were parents (77%) with an average monthly income of 185,000 CFA francs and were working in the informal sector (43%). The most frequent diagnosis was acute psychotic disorders and related disorders (51%) and antipsychotics were the most commonly used, including the combination of Haloperidol and Chlorpromazine. The average annual cost per patient was estimated at 303,132.77 FCFA and 523,059.88 FCFA respectively in Bouaké and Bingerville. It is essential that policies look at subsidising mental health care in order to alleviate the economic burden of people living with mental illness.

VL  - 11
IS  - 4
ER  -

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Author Information

Francois Djo Bi Djo

Medical Sciences Training and Research Unit, Alassane Ouattara University, Bouaké, Ivory Coast; Bouaké Psychiatric Hospital, Bouaké, Ivory Coast

Contact Email
Asseman Medard Koua

Medical Sciences Training and Research Unit, Alassane Ouattara University, Bouaké, Ivory Coast; Bouaké Psychiatric Hospital, Bouaké, Ivory Coast
M'Besso Amandine Stéphanie Adjossan

Bouaké Psychiatric Hospital, Bouaké, Ivory Coast
Damaukan Dimitri-Kevin Koffi

Bouaké Psychiatric Hospital, Bouaké, Ivory Coast
Eméric Désiré Konandri

Medical Sciences Training and Research Unit, Alassane Ouattara University, Bouaké, Ivory Coast; Bouaké Psychiatric Hospital, Bouaké, Ivory Coast
Akmé Sylvie Akpa

Bouaké Psychiatric Hospital, Bouaké, Ivory Coast
Yessonguilana Jean-Marie Yéo-Ténéna

Medical Sciences Training and Research Unit, Félix Houphouët Boigny University, Abidjan, Ivory Coast

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APA Style

Djo Bi Djo, F., Medard Koua, A., Amandine Stéphanie Adjossan, M., Dimitri-Kevin Koffi, D., Désiré Konandri, E., et al. (2023). Medico-Economic Evaluation of the Management of Mental Disorders in Public Psychiatric Hospitals in Cote d'ivoire. American Journal of Psychiatry and Neuroscience, 11(4), 94-99. https://doi.org/10.11648/j.ajpn.20231104.14

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ACS Style

Djo Bi Djo, F.; Medard Koua, A.; Amandine Stéphanie Adjossan, M.; Dimitri-Kevin Koffi, D.; Désiré Konandri, E., et al. Medico-Economic Evaluation of the Management of Mental Disorders in Public Psychiatric Hospitals in Cote d'ivoire. Am. J. Psychiatry Neurosci. 2023, 11(4), 94-99. doi: 10.11648/j.ajpn.20231104.14

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AMA Style

Djo Bi Djo F, Medard Koua A, Amandine Stéphanie Adjossan M, Dimitri-Kevin Koffi D, Désiré Konandri E, et al. Medico-Economic Evaluation of the Management of Mental Disorders in Public Psychiatric Hospitals in Cote d'ivoire. Am J Psychiatry Neurosci. 2023;11(4):94-99. doi: 10.11648/j.ajpn.20231104.14

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@article{10.11648/j.ajpn.20231104.14,
  author = {Francois Djo Bi Djo and Asseman Medard Koua and M'Besso Amandine Stéphanie Adjossan and Damaukan Dimitri-Kevin Koffi and Eméric Désiré Konandri and Akmé Sylvie Akpa and Yessonguilana Jean-Marie Yéo-Ténéna},
  title = {Medico-Economic Evaluation of the Management of Mental Disorders in Public Psychiatric Hospitals in Cote d'ivoire},
  journal = {American Journal of Psychiatry and Neuroscience},
  volume = {11},
  number = {4},
  pages = {94-99},
  doi = {10.11648/j.ajpn.20231104.14},
  url = {https://doi.org/10.11648/j.ajpn.20231104.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20231104.14},
  abstract = {Economic evaluation is becoming an increasingly important part of public health decision- making. It is useful for rationalising the allocation of available resources in order to maintain a quality health care system that is accessible to all. The economic costs of mental illness are a barrier to access to quality psychiatric care. This study aims to determine the average annual cost of mental disorders in public psychiatric hospitals in Côte d'Ivoire. This descriptive cross- sectional study focused on 100 patients over 15 years of age with psychiatric pathologies who had at least one psychiatric hospitalisation in the two psychiatric hospitals of the country, namely Bouaké and Bingerville. The study showed that the caretakers were parents (77%) with an average monthly income of 185,000 CFA francs and were working in the informal sector (43%). The most frequent diagnosis was acute psychotic disorders and related disorders (51%) and antipsychotics were the most commonly used, including the combination of Haloperidol and Chlorpromazine. The average annual cost per patient was estimated at 303,132.77 FCFA and 523,059.88 FCFA respectively in Bouaké and Bingerville. It is essential that policies look at subsidising mental health care in order to alleviate the economic burden of people living with mental illness.
},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - Medico-Economic Evaluation of the Management of Mental Disorders in Public Psychiatric Hospitals in Cote d'ivoire
AU  - Francois Djo Bi Djo
AU  - Asseman Medard Koua
AU  - M'Besso Amandine Stéphanie Adjossan
AU  - Damaukan Dimitri-Kevin Koffi
AU  - Eméric Désiré Konandri
AU  - Akmé Sylvie Akpa
AU  - Yessonguilana Jean-Marie Yéo-Ténéna
Y1  - 2023/12/26
PY  - 2023
N1  - https://doi.org/10.11648/j.ajpn.20231104.14
DO  - 10.11648/j.ajpn.20231104.14
T2  - American Journal of Psychiatry and Neuroscience
JF  - American Journal of Psychiatry and Neuroscience
JO  - American Journal of Psychiatry and Neuroscience
SP  - 94
EP  - 99
PB  - Science Publishing Group
SN  - 2330-426X
UR  - https://doi.org/10.11648/j.ajpn.20231104.14
AB  - Economic evaluation is becoming an increasingly important part of public health decision- making. It is useful for rationalising the allocation of available resources in order to maintain a quality health care system that is accessible to all. The economic costs of mental illness are a barrier to access to quality psychiatric care. This study aims to determine the average annual cost of mental disorders in public psychiatric hospitals in Côte d'Ivoire. This descriptive cross- sectional study focused on 100 patients over 15 years of age with psychiatric pathologies who had at least one psychiatric hospitalisation in the two psychiatric hospitals of the country, namely Bouaké and Bingerville. The study showed that the caretakers were parents (77%) with an average monthly income of 185,000 CFA francs and were working in the informal sector (43%). The most frequent diagnosis was acute psychotic disorders and related disorders (51%) and antipsychotics were the most commonly used, including the combination of Haloperidol and Chlorpromazine. The average annual cost per patient was estimated at 303,132.77 FCFA and 523,059.88 FCFA respectively in Bouaké and Bingerville. It is essential that policies look at subsidising mental health care in order to alleviate the economic burden of people living with mental illness.

VL  - 11
IS  - 4
ER  -

Copy | Download