Document Detail

Free tuberculosis diagnosis and treatment are not enough: patient cost evidence from three continents.
MedLine Citation:
PMID:  23407227     Owner:  NLM     Status:  In-Data-Review    
SETTING: The National Tuberculosis Programs of Ghana, Viet Nam and the Dominican Republic.
OBJECTIVE: To assess the direct and indirect costs of tuberculosis (TB) diagnosis and treatment for patients and households.
DESIGN: Each country translated and adapted a structured questionnaire, the Tool to Estimate Patients' Costs. A random sample of new adult patients treated for at least 1 month was interviewed in all three countries.
RESULTS: Across the countries, 27-70% of patients stopped working and experienced reduced income, 5-37% sold property and 17-47% borrowed money due to TB. Hospitalisation costs (US42-118) and additional food items formed the largest part of direct costs during treatment. Average total patient costs (US538-1268) were equivalent to approximately 1 year of individual income.
CONCLUSION: We observed similar patterns and challenges of TB-related costs for patients across the three countries. We advocate for global, united action for TB patients to be included under social protection schemes and for national TB programmes to improve equitable access to care.
V Mauch; F Bonsu; M Gyapong; E Awini; P Suarez; B Marcelino; R E Melgen; K Lönnroth; N V Nhung; N B Hoa; E Klinkenberg
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease     Volume:  17     ISSN:  1815-7920     ISO Abbreviation:  Int. J. Tuberc. Lung Dis.     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706389     Medline TA:  Int J Tuberc Lung Dis     Country:  France    
Other Details:
Languages:  eng     Pagination:  381-7     Citation Subset:  IM    
Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands; KNCV Tuberculosis Foundation, The Hague, The Netherlands.
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