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. 2019 Mar-Apr;60(2):87-91.
doi: 10.4103/nmj.NMJ_33_19.

Health Status of Persons with Hemophilia: A Pilot Survey from a Resource-Constrained Country

Helen C Okoye  1 , Benedict Nwogoh  2 , Megan Adediran  3 , Theresa U Nwagha  1
Affiliations

Health Status of Persons with Hemophilia: A Pilot Survey from a Resource-Constrained Country

Helen C Okoye et al. Niger Med J. 2019 Mar-Apr.

Abstract

Background: Most resource-poor countries are yet to develop standard hemophilia treatment center (HTC) despite improved outcome of health status of persons with hemophilia (PWH).

Aim: This study aimed to evaluate the health status of PWH in Nigeria.

Methodology: In this descriptive, cross-sectional study, modified prevalidated and pretested questionnaire (National health and Nutrition examination survey (NHANES) 2013 Health Status questionnaire (HSQ)) was consecutively administered to consenting PWH (pediatric and adult) attending the 2018 Annual General Meeting of the Haemophilia Foundation of Nigeria. The study's measurable outcome variables were calculated health status and its determinants. Association between the outcome variables and clinical characteristics of PWH was done using SPSS software version 22, and P < 0.05 was considered statistically significant.

Results: Of the 36 PWH who participated in the survey, 50% had good health status, 38.9% had poor health status, while only 11.1% had excellent health status. A majority (88.9%) had access to HTC with <6 consultations in the past year. Nearly 47.2% were hospitalized for disease-related problem in the past year. There was nonsignificant difference between health status and disease type (P = 0.751) and severity (P = 0.086), treatment plan (0.496), type of treatment facility (P = 0.152), and access to a doctor (P = 0.67).

Conclusion: Several PWH in resource-poor settings still suffer serious morbidity that impacts negatively on their health status. More robust (multicenter) research is needed to ascertain the true picture of health status of PWH in resource-poor countries.

Keywords: Hemophilia; health status; resource-poor countries.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Centers where persons with hemophilia receive care
See this image and copyright information in PMC

References

    1. Pavlova A, Oldenburg J. Defining severity of hemophilia: More than factor levels. Semin Thromb Hemost. 2013;39:702–10. - PubMed
    1. White GC, 2nd, Rosendaal F, Aledort LM, Lusher JM, Rothschild C, Ingerslev J, et al. Definitions in hemophilia. Recommendation of the scientific subcommittee on factor VIII and factor IX of the scientific and standardization committee of the International Society on Thrombosis and Haemostasis. Thromb Haemost. 2001;85:560. - PubMed
    1. Knobe K, Berntorp E. Haemophilia and joint disease: Pathophysiology, evaluation, and management. J Comorb. 2011;1:51–9. - PMC - PubMed
    1. Fijnvandraat K, Cnossen MH, Leebeek FW, Peters M. Diagnosis and management of haemophilia. BMJ. 2012;344:e2707. - PubMed
    1. Ferreira AA, Leite IC, Bustamante-Teixeira MT, Corrêa CS, da Cruz DT, Rodrigues Dde O, et al. Health-related quality of life in hemophilia: Results of the hemophilia-specific quality of life index (Haem-a-Qol) at a Brazilian blood center. Rev Bras Hematol Hemoter. 2013;35:314–8. - PMC - PubMed