title: Cost and cost-effectiveness analysis of a bundled intervention to enhance outcomes after stroke in Nigeria: Rationale and design.
abstract: The economic and social costs of stroke to the society can be enormous. These costs can cause serious economic damage to both the individual and the nation. It is thus important to conduct a cost effectiveness analysis to indicate whether an intervention provides high value where its health benefits justify its costs. This study will provide evidence based on the costs of stroke with a view of improving intervention and treatments of stoke survivors in Nigeria. This study utilizes two types of economic evaluation methods - cost-effectiveness analysis and cost-benefit analysis - to determine the economic impact of Tailored Hospital-based Risk Reduction to Impede Vascular Events after Stroke (THRIVES) intervention. The study is conducted in four Nigerian hospitals where 400 patients are recruited to participate in the study. The cost-effectiveness of THRIVES post-discharge intervention is compared with the control Intervention scenario, which is the usual and customary care delivered at each health facility in terms of cost per quality adjusted life years (QALYs). It is expected that successful implementation of the project would serve as a model of cost-effective quality stroke care for implementation.
authors.affiliation: Department of Economics, University of Ibadan, Nigeria.
authors.forename: Olanrewaju
authors.initials: O
authors.lastname: Olaniyan
authors.affiliation: Department of Medicine, University of Ibadan, Nigeria ( mayowaowolabi@yahoo.com ).
authors.forename: Mayowa O
authors.initials: MO
authors.lastname: Owolabi
authors.affiliation: Department of Medicine, Federal Medical Centre, Abeokuta, Nigeria ( rufusakinyemi@yahoo.com ).
authors.forename: Rufus O
authors.initials: RO
authors.lastname: Akinyemi
authors.affiliation: Department of Medicine, University of Ibadan, Nigeria ( tundesalako@hotmail.com ).
authors.forename: Babatunde L
authors.initials: BL
authors.lastname: Salako
authors.affiliation: Department of Family and Preventive Medicine, University of California, San Diego, CA ( shurst@ucsd.edu ).
authors.forename: Samantha
authors.initials: S
authors.lastname: Hurst
authors.affiliation: Department of Health Promotion and Education, University of Ibadan, Nigeria ( omoyisola2002@yahoo.com ).
authors.forename: Oyedunni
authors.initials: O
authors.lastname: Arulogun
authors.affiliation: Division of Biostatistics and Epidemiology, Medical University of South Carolina ( gebregz@musc.edu ).
authors.forename: Mulugeta
authors.initials: M
authors.lastname: Gebregziabher
authors.affiliation: Department of Medicine, University of Ibadan, Nigeria ( ezinneuvere13@gmail.com ).
authors.forename: Ezinne
authors.initials: E
authors.lastname: Uvere
authors.affiliation: Department of Neurosciences, Medical University of South Carolina, Charleston, SC ( ovibes@musc.edu ).
authors.forename: Bruce
authors.initials: B
authors.lastname: Ovbiagele
keywords: Cost-effectiveness; Costs and cost analysis; Nigeria; Stroke