Households experiencing catastrophic costs due to tuberculosis in Uganda: magnitude and cost drivers
| العنوان: | Households experiencing catastrophic costs due to tuberculosis in Uganda: magnitude and cost drivers |
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| المؤلفون: | Charles Batte, Estella Birabwa, Abel Nkolo, Frank Mugabe, Seyoum Dejene, Peter Lochoro, Bruce Kirenga, Winters Muttamba, Simon Kasasa, Achilles Katamba, Ines Garcia Baena, Robert Kaos Majwala, Stavia Turyahabwe, Levicatus Mugenyi, Racheal Tumwebaze, Claudio Marra, Rogers Sekibira, Kaggwa Mugagga |
| المساهمون: | University of St Andrews. School of Medicine, University of St Andrews. Infection and Global Health Division |
| المصدر: | BMC Public Health, Vol 20, Iss 1, Pp 1-10 (2020) BMC Public Health |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Tuberculosis, Adolescent, 030231 tropical medicine, NDAS, Psychological intervention, Dissaving, Indirect non-medical costs, 03 medical and health sciences, Young Adult, HV, 0302 clinical medicine, SDG 3 - Good Health and Well-being, Cost of Illness, RA0421, RA0421 Public health. Hygiene. Preventive Medicine, Environmental health, HV Social pathology. Social and public welfare, Catastrophic costs, Epidemiology, Health care, Tuberculosis, Multidrug-Resistant, medicine, Humans, Uganda, 030212 general & internal medicine, health care economics and organizations, Retrospective Studies, business.industry, lcsh:Public aspects of medicine, Public health, Multi-drug-resistant tuberculosis, Public Health, Environmental and Occupational Health, lcsh:RA1-1270, Health Care Costs, medicine.disease, Direct medical costs, Cross-Sectional Studies, Cost driver, SDG 1 - No Poverty, Female, Biostatistics, business, Research Article |
| الوصف: | Background Tuberculosis (TB) patients in Uganda incur large costs related to the illness, and while seeking and receiving health care. Such costs create access and adherence barriers which affect health outcomes and increase transmission of disease. The study ascertained the proportion of Ugandan TB affected households incurring catastrophic costs and the main cost drivers. Methods A cross-sectional survey with retrospective data collection and projections was conducted in 2017. A total of 1178 drug resistant (DR) TB (44) and drug sensitive (DS) TB patients (1134), 2 weeks into intensive or continuation phase of treatment were consecutively enrolled across 67 randomly selected TB treatment facilities. Results Of the 1178 respondents, 62.7% were male, 44.7% were aged 15–34 years and 55.5% were HIV positive. For each TB episode, patients on average incurred costs of USD 396 for a DS-TB episode and USD 3722 for a Multi drug resistant tuberculosis (MDR TB) episode. Up to 48.5% of households borrowed, used savings or sold assets to defray these costs. More than half (53.1%) of TB affected households experienced TB-related costs above 20% of their annual household expenditure, with the main cost drivers being non-medical expenditure such as travel, nutritional supplements and food. Conclusion Despite free health care in public health facilities, over half of Ugandan TB affected households experience catastrophic costs. Roll out of social protection interventions like TB assistance programs, insurance schemes, and enforcement of legislation related to social protection through multi-sectoral action plans with central NTP involvement would palliate these costs. |
| وصف الملف: | application/pdf |
| تدمد: | 1471-2458 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::08dd8922dd132cbec24a6ccf3bed7855Test https://pubmed.ncbi.nlm.nih.gov/32938411Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....08dd8922dd132cbec24a6ccf3bed7855 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712458 |
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