Abstract:
Autism Spectrum Disorder (ASD) is a lifelong developmental condition
characterized by challenges in social communication, restricted behaviours, and
sensory difficulties. Globally, ASD affects about 1 in 100 children and places a
significant economic burden on families. While this burden is well-documented
in Europe, limited evidence exists for sub-Saharan Africa. This systematic
review explores the socioeconomic impact of ASD on families in the region by
examining direct and indirect healthcare costs, lost productivity, and financial
burden. A systematic search was conducted using EBSCOhost databases
(MEDLINE, ERIC, and Academic Search Complete) covering publications from
August 2019 to June 2024. Findings revealed that 41.6% of caregivers
reported a moderate burden of care, while 33.8% experienced a high burden.
Families with ASD children spent 20% of their income on therapies and school
fees. Only two relevant studies from South Africa were identified, highlighting a
critical evidence gap and the need for further research to inform supportive
policies.
