PMID: 18647453Jul 24, 2008

Cost of tuberculosis diagnosis and treatment from the patient perspective in Lusaka, Zambia

The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease
A AsplerH Ayles

Abstract

Urban primary health centres in Lusaka, Zambia. 1) To estimate patient costs for tuberculosis (TB) diagnosis and treatment and 2) to identify determinants of patient costs. A cross-sectional survey of 103 adult TB patients who had been on treatment for 1-3 months was conducted using a standardised questionnaire. Direct and indirect costs were estimated, converted into US$ and categorised into two time periods: 'pre-diagnosis/care-seeking' and 'post-diagnosis/treatment'. Determinants of patient costs were analysed using multiple linear regression. The median total patient costs for diagnosis and 2 months of treatment was $24.78 (interquartile range 13.56-40.30) per patient--equivalent to 47.8% of patients' median monthly income. Sex, patient delays in seeking care and method of treatment supervision were significant predictors of total patient costs. The total direct costs as a proportion of income were higher for women than men (P < 0.001). Treatment costs incurred by patients on the clinic-based directly observed treatment strategy were more than three times greater than those incurred by patients on the self-administered treatment strategy (P < 0.001). Clinic-based treatment supervision posed a significant economic burden on ...Continue Reading

Related Concepts

Financing, Personal
Tuberculosis
Cross-Sectional Studies
Diagnosis
Male Population Group
Supervision (Regime/Therapy)
Treatment Protocols
Woman
Clinic
Health Center

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