Email updates

Keep up to date with the latest news and content from BMC Public Health and BioMed Central.

Open Access Highly Accessed Study protocol

Social and economic impact of diabetics in Bangladesh: protocol for a case–control study

Sheikh Mohammed Shariful Islam1*, Andreas Lechner2, Uta Ferrari3, Guenter Froeschl4, Louis W Niessen5, Jochen Seissler6 and Dewan Shamsul Alam7

Author Affiliations

1 Center for Control of Chronic Diseases (CCCD), icddr,b, and Center for International Health, Ludwig-Maximilians-Universität, Munich, Germany

2 Diabetes Center, Diabetes Research Group, Medizinische Klinik und Poliklinik IV, Ludwig-Maximilians-Universität, Ziemssenstr. 1, München 80336, Germany

3 Diabetes Center, Diabetes Research Group, Medizinische Klinik und Poliklinik IV, Ludwig-Maximilians-Universität, Ziemssenstr. 1, München 80336, Germany

4 Center for International Health, Ludwig-Maximilians-Universität, Munich, Germany

5 Liverpool School of Tropical Medicine, UK and Adjunct Professor, Johns Hopkins University, Baltimore, MD, USA

6 Diabetes Center, Diabetes Research Group, Medizinische Klinik und Poliklinik IV, Ludwig-Maximilians-Universität, Ziemssenstr. 1, München 80336, Germany

7 CCCD, icddr,b, 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka 1212, Bangladesh

For all author emails, please log on.

BMC Public Health 2013, 13:1217  doi:10.1186/1471-2458-13-1217

Published: 21 December 2013

Abstract

Background

Diabetes affects both individuals and their families and has an impact on economic and social development of a country. Information on the availability, cost, and quality of medical care for diabetes is mostly not available for many low- and middle-income countries including Bangladesh. Complications from diabetes, which can be devastating, could largely be prevented by wider use of several inexpensive generic medicines, simple tests and monitoring and can be a cost saving intervention. This study will provide an in-depth and comprehensive picture of social and economic impacts of diabetes in Bangladesh and propose clear recommendations for improving prevention and management of diabetes. The objectives of the study are:

1) To study the association between diabetes and other health problems and its social impacts

2) To estimate the economic impact of diabetes including total direct and indirect costs

3) To measure the impact of diabetes on quality of life among diabetes patients in Bangladesh

4) To study the impact of diabetes on the health care system

Methods

This is a case–control study comparing cases with type 2 diabetes to controls without diabetes matched on age, sex and place of residence. 564 cases and 564 controls will be selected from the outpatient department of a tertiary hospital in Dhaka, Bangladesh. Data on socioeconomic status, health utility index, direct and indirect costs for diabetes, medication adherence, quality of life, treatment satisfaction, diet, physical activity, mental state examination, weight, height, hip and waist circumference, blood pressure, pulse, medication history, laboratory data and physical examination will be conducted.

Outcome measures: The primary outcome measures will be association between diabetes and other health problems, cost of diabetes, impact of diabetes on quality of life and secondary outcome measures are impact of diabetes on healthcare systems in Bangladesh.

Discussion

This study will provide an in-depth and comprehensive picture of social and economic impacts of diabetics in Bangladesh and propose clear recommendations for improving prevention and management of diabetics. It will help to develop programs and policies for better management of Diabetics and cost effective strategies in Bangladesh context.

Keywords:
Diabetes; Social and economic impact; Bangladesh