ECONOMIC BURDEN OF FAMILY CARE-GIVING FOR THE ELDERLY AT THE GA-EAST MUNICIPALITY, GHANA.

ABSTRACT

Introduction: Family caregivers continue to be the primary source of care for the elderly in Ghana. However, their care-related economic burden is often overlooked.

Aim: The objective of the study was to estimate the economic burden of family care-giving for the elderly in the Ga-East Municipality.

Methods: A retrospective cross-sectional cost-of-care study was conducted among family caregivers in the Ga-East Municipality. A simple random sample of 98 respondents completed an interviewer-administered questionnaire. Total out-of-pocket cost of care-giving for the past one month was obtained. A human capital approach was used to estimate indirect cost of care-giving. Intangible costs were assessed using the 12-item Zarit burden interview and the financial cost dimension of the cost of care index.

Results: The total cost per month of family caregivers of the elderly in the sample was estimated at GHS60,603.04 (USD14,568.03). This constituted of 66% (GHS 40,104.00; USD9,640.38) being direct cost of care-giving and 34% (GHS20,499.04; USD4927.65) being indirect cost. The estimated average amount of direct cost expenses per month was GHS481.39 (USD115.72). Majority (78%) of the family caregivers in this study reported a high level of care-giving burden with females reporting a relatively higher level than males. Most of these family caregivers also reported a high level of financial stress as a result of care-giving for their elderly relative.

Conclusion: The financial challenges and economic burden of family caregivers as shown in this study, if unaddressed, would further hinder their capacity and endurance to support the elders in their community. Policies and programs are needed to address the financial needs and security of these family caregivers.