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J Neurosci Rural Pract. 2019 Jan-Mar;10(1):39-47. doi: 10.4103/jnrp.jnrp_210_18.

Economic Cost of Schizophrenia in a Nigerian Teaching Hospital.

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Department of Mental Health, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
Department of Mental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.



This study evaluated the economic cost of schizophrenia in Nigerian patients and identified factors that influence cost.


A total of 100 participants with schizophrenia were assessed using the modified economic cost questionnaire, the mini-international neuropsychiatric interview, the positive and negative syndrome scale, the Liverpool University Neuroleptic side-effect rating scale, and the global assessment of functioning scale. Associations between sociodemographic characteristics, illness-related variables and direct, indirect, and total costs of schizophrenia were assessed.


The average annual total, direct, and indirect costs of the treatment were $818.48, $349.59, and $468.89, respectively, per patient. The direct cost constituted 42.7%, while the indirect cost was 57.3% of the total costs of treatment. Hospitalization was the leading contributor to the direct cost, while productivity loss was a major component of the indirect cost.


Schizophrenia is an expensive disease in Nigeria, measures to reduce hospitalization could significantly reduce the cost of illness to the patient and their relatives.


Cost of illness; direct cost; economic burden; indirect cost; productivity loss; total cost

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