The indirect cost due to pulmonary Tuberculosis in patients receiving treatment in Bauchi State-Nigeria.

Cost Effectiveness and Resource Allocation : C/E
Nisser UmarM Bachmann

Abstract

To determine the time spent and income lost by patients and their households for seeking tuberculosis diagnosis and treatment in Bauchi State-Nigeria. A cross sectional study where 242 TB patients were sampled from 27 out of 67 facilities providing TB services in a north-eastern state of Nigeria. Sampling was stratified based on facility type, patients' HIV status and gender. The income lost among the hospitalized group was estimated at $156/patient and about $114 in the non-hospitalized patients group. Age, gender, facility of diagnosis, level of education and occupation were significant (p-values <0.05) associated with total (both patients and their households) income lost. However, AFB sputum-smear result and HIV status had no significant effects on the income lost. Hospitalised patients spent an average time of 924.98 hours for diagnosis and treatment whereas the non-hospitalised spent an average of 141.29 hours. The estimated US dollar valued of these hours was US517.98 and US$79.13 for hospitalised and non-hospitalised patient groups respectively. Hospitalisation and the facility of diagnosis were statistically significant (p-value <0.05) predictors of the time patients and household spent on TB. Tuberculosis poses causes...Continue Reading

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Citations

Jun 2, 2016·Infectious Diseases of Poverty·Joses Muthuri Kirigia, Rosenabi Deborah Karimi Muthuri
Oct 29, 2015·Health Services Insights·Ugochukwu U OnyeonoroChukwuma B Duru
Dec 18, 2015·BMC Proceedings·S B SquireJason Madan
Jun 18, 2019·Infectious Diseases of Poverty·Daniel Chukwuemeka Ogbuabor, Obinna Emmanuel Onwujekwe
Feb 7, 2020·Global Public Health·Rebecca L WalcottJuliet N Sekandi
Feb 9, 2020·Tropical Medicine & International Health : TM & IH·Hyejeong ShinDavid W Dowdy
Oct 30, 2015·Infectious Diseases of Poverty·Shanquan ChenHenry Lucas

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