Household Catastrophic Health Expenditure due to Tuberculosis

Authors

  • M Muniyandi

Keywords:

tuberculosis, economic impact, catastrophic health expenditure, poverty, vulnerable population, tribal group, india

Abstract

Tuberculosis (TB) is disproportionately affects the most economically disadvantaged strata of society. Many studies have assessed the association between poverty and TB, but only a few have assessed the direct financial burden TB treatment and care can place on households. Patient costs can be catastrophic health expenditure for TB affected households in Particularly Vulnerable Tribal Groups (PVTGs). A survey of pulmonary tuberculosis (PTB) was carried out in Saharia dominated Pohri Block of Shivpuri district of Madhya Pradesh state in central India during the period 2013 to 2014. Of 9964 surveyed, 280 PTB cases identified formed the study population for the present study. Among 280 TB patients identified, 220 (79%) cases interviewed at their residence by trained field investigators after obtaining written informed consent. This study demonstrates the economic burden in terms of direct, indirect and total costs for both diagnosis and treatment. In our sample, majority getting treatment free of costs and those who incurred costs, they faced catastrophic TB care expenditure amounted to 10%, which is the proportion of various costs in relation to annual family income. TB is a major cause of impoverishment, as it puts a heavy burden on the family budget, which can force families to absolute poverty.

How to Cite

Household Catastrophic Health Expenditure due to Tuberculosis. (2015). Global Journal of Medical Research, 15(K5), 1-10. https://medicalresearchjournal.org/index.php/GJMR/article/view/1032

References

Unknown Title. 189(86), 188.

(1000) Unknown Title. 579(567), 340.

(2003) Unknown Title. 573(499), 200-2000.

Brian Pullan (1419) Conclusion. 1469, 210-216.

A Iyer (2005) Ill and impoverished: The medical poverty trap.

W Burman, C Dalton, D Cohn, J Butler, R Reves (1997) A cost-effectiveness analysis of directly observed therapy vs self administered therapy for treatment of tuberculosis. 112(1), 63-70.

(2011) Office of the Registrar General and Census Operation.

Gowri Sengupta (2014) Action for Cyber Health Promotion: A Mixed-Method Assessment to Study the Effect of Cyberbullying on Health. 11(1), 6-12.

T Chakma, R Vinay, S Pall, L Kaushal, D Manjula (1996) Survey of pulmonary tuberculosis in a primitive tribe of Madhya Pradesh. 43, 85-89.

J Chuma, L Gilson, C Molyneux (2007) Treatment-seeking behaviour, cost burdens and coping strategies among rural and urban households in Coastal Kenya: an equity analysis. 12, 673-686.

L Croft, A Hayward, A Story (1998) Tuberculosis peer educators: personal experiences of working with socially excluded communities in London. 17(10), 36-40.

M Devra, O Stephen, B Megan, B Till (2012) Tuberculosis and poverty: the contribution of patient costs in sub-Saharan Africa -a systematic review. 12, 980.

R Dholakia (1997) The potential economic benefits of DOTS against TB in India.

K Floyd, D Wilkinson, C Gilks (1997) Comparison of cost effectiveness of directly observed treatment (DOT) and conventionally delivered treatment for tuberculosis: experience from rural South Africa. 315(7120), 1407-1411.

C Hanson (2002) Tuberculosis, poverty and inequity: a review of the literature and discussion of issues.

S Hossain, M Quaiyum, K Zaman, S Banu, M Husain, M Islam, E Cooreman, M Borgdorff, K Lonnroth, A Salim, Van, Leth (2012) Socio Economic Position in TB Prevalence and Access to Services: Results from a Population Prevalence Survey and a Facility-Based Survey in Bangladesh. 7(9), 44980.

Sukhan Jackson, Adrian Sleigh, Guo-Jie Wang, Xi-Li Liu (2006) Household Poverty, Off-farm Migration and Pulmonary Tuberculosis in Rural Henan, China. 10, 231-244.

C Jane, M Thomas (2012) Catastrophic health care spending and impoverishment in Kenya. 12, 413.

Julia Kemp, G Mann, B Simwaka, F Salaniponi, S Squire (2007) Can Malawi's poor afford free tuberculosis sevices? Patient and household costs associated with a tuberculosis diagnosis in Lilongwe. 85(8), 580-585.

G Khatri, T Frieden (2000) The status and prospects of tuberculosis control in India. 4(3), 193-200.

(2001) Level and pattern of consumer expenditure, 1999-2000, 55 th Round.

Marco Varkevisser, Stéphanie Van Der Geest, Frederik Schut (2010) Assessing hospital competition when prices don't matter to patients: the use of time-elasticities. 10(1), 43-60.

B Nhlema, J Kemp, G Steenbergen, S Theobald, S Tang, S Squire (2003) A systematic analysis of TB and poverty.

O O'donnell, E Van, Doorslaer, A Wagstaff, M Lindelow (2008) Analyzing health equity using household survey data: A guide to techniques and their implementation.

David Peters, Abdo Yazbeck, Rashmi Sharma, Gnv Ramana, Lant Pritchett, Adam Wagstaff (2002) Better Health Systems for India's Poor. 1-376.

M Pradhan, N Prescott (2002) Social risk management options for medical care in Indonesia. 11, 431-446.

R Rajeswari, R Balasubramanian, M Muniyandi, S Geetharamani, X Theresa, Venkatesan (1999) Socio-Economic impact of tuberculosis on patient and family in India. 3, 869-877.

Vikas Rao, Punnathanathu Gopi, Jyothi Bhat, Nagamiah Selvakumar, Rajiv Yadav, Balkrishna Tiwari, Vijay Gadge, Manoj Bhondeley, Fraser Wares (2010) Pulmonary tuberculosis: a public health problem amongst the Saharia, a primitive tribe of Madhya Pradesh, Central India. 14(8), e713-e716.

Steven Russell (2004) THE ECONOMIC BURDEN OF ILLNESS FOR HOUSEHOLDS IN DEVELOPING COUNTRIES: A REVIEW OF STUDIES FOCUSING ON MALARIA, TUBERCULOSIS, AND HUMAN IMMUNODEFICIENCY VIRUS/ACQUIRED IMMUNODEFICIENCY SYNDROME. 71(2_suppl), 147-155.

P Saksena, J Hsu, D Evans (2014) Financial Risk Protection and Universal Health Coverage: Evidence and Measurement Challenges. 11(9), 1001701.

H Sawert, S Kongsin, P Payanandana, P Akarasewi, P Nunn, M Raviglione (1997) Costs and benefits of improving tuberculosis control: the case of Thailand. 44(12), 1805-1816.

N Surender, N Gupta, S Gupta (2013) Surveillance data analysis of Revised National Tuberculosis Control Program of Kangra, Himachal Pradesh. 2(3), 250-255.

Verena Mauch, Naomi Woods, Beatrice Kirubi, Hillary Kipruto, Joseph Sitienei, Eveline Klinkenberg (2011) Assessing access barriers to tuberculosis care with the Tool to Estimate Patients' Costs: pilot results from two districts in Kenya. 11(1).

Margaret Whitehead, Göran Dahlgren, Lucy Gilson (2001) Developing the Policy Response to Inequities in Health: A Global Perspective. 308-324.

Margaret Whitehead, Göran Dahlgren, Lucy Gilson (2006) Developing the Policy Response to Inequities in Health: A Global Perspective. 308-324.

D Wilkinson, K Floyd, C Gilks (1997) Costs and cost-effectiveness of alternative tuberculosis management strategies in South Africa: Implications for policy. 87(4), 451-455.

(2005) Designing health finance systems to reduce catastrophic health expenditure. (02).

Kai Xiao, Qiu Khut, Phuong Nguyen, Ariuntuya Ochirpurev, Sean Casey, Jessica Kayamori-Lopes, Gina Samaan (2004) Progress on International Health Regulations (2005) core capacities in WHO's Western Pacific Region. 16(3), 45-52.

K Xu, D Evans, G Carrin, A Aguilar-Rivera, P Musgrove, T Evans (2007) Protecting households from catastrophic health spending: Moving away from out-of-pocket health care payments to prepayment mechanisms is the key to reducing financial catastrophe. 26(4), 972-983.

Ke Xu, David Evans, Patrick Kadama, Juliet Nabyonga, Peter Ogwal, Pamela Nabukhonzo, Ana Aguilar (2006) Understanding the impact of eliminating user fees: Utilization and catastrophic health expenditures in Uganda. 62(4), 866-876.

K Xu, D Evans, K Kawabata, R Zeramdini, J Klavus, C Murray (2003) Household catastrophic health expenditure: a multicountry analysis. 362, 111-117.

Tuohong Zhang, Shenglan Tang, Gao Jun, Margaret Whitehead (2007) Persistent problems of access to appropriate, affordable TB services in rural China: experiences of different socio-economic groups. 7(1), 19.

Household Catastrophic Health Expenditure due to Tuberculosis

Published

2015-12-29

How to Cite

Household Catastrophic Health Expenditure due to Tuberculosis. (2015). Global Journal of Medical Research, 15(K5), 1-10. https://medicalresearchjournal.org/index.php/GJMR/article/view/1032