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The economic burden of TB diagnosis and treatment in South Africa

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  • Foster, Nicola
  • Vassall, Anna
  • Cleary, Susan
  • Cunnama, Lucy
  • Churchyard, Gavin
  • Sinanovic, Edina

Abstract

Social protection against the cost of illness is a central policy objective of Universal Health Coverage and the post-2015 Global strategy for Tuberculosis (TB). Understanding the economic burden associated with TB illness and care is key to identifying appropriate interventions towards achieving this target. The aims of this study were to identify points in patient pathways from start of TB symptoms to treatment completion where interventions could be targeted to reduce the economic impact on patients and households, and to identify those most vulnerable to these costs.

Suggested Citation

  • Foster, Nicola & Vassall, Anna & Cleary, Susan & Cunnama, Lucy & Churchyard, Gavin & Sinanovic, Edina, 2015. "The economic burden of TB diagnosis and treatment in South Africa," Social Science & Medicine, Elsevier, vol. 130(C), pages 42-50.
    • Handle: RePEc:eee:socmed:v:130:y:2015:i:c:p:42-50
    DOI: 10.1016/j.socscimed.2015.01.046
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    1. Karun Sandeep Veesa & Kamalabhai Russell John & Patrick K Moonan & Saravanakumar Puthupalayam Kaliappan & Krishna Manjunath & Karuna D Sagili & Chinnappareddy Ravichandra & Pradeep Aravindan Menon & C, 2018. "Diagnostic pathways and direct medical costs incurred by new adult pulmonary tuberculosis patients prior to anti-tuberculosis treatment – Tamil Nadu, India," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-14, February.
    2. Gwenan M Knight & Gabriela B Gomez & Peter J Dodd & David Dowdy & Alice Zwerling & William A Wells & Frank Cobelens & Anna Vassall & Richard G White, 2015. "The Impact and Cost-Effectiveness of a Four-Month Regimen for First-Line Treatment of Active Tuberculosis in South Africa," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-13, December.
    3. Natasha Pillai & Nicola Foster & Yasmeen Hanifa & Nontobeko Ndlovu & Katherine Fielding & Gavin Churchyard & Violet Chihota & Alison D Grant & Anna Vassall, 2019. "Patient costs incurred by people living with HIV/AIDS prior to ART initiation in primary healthcare facilities in Gauteng, South Africa," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-14, February.
    4. Sedona Sweeney & Anna Vassall & Lorna Guinness & Mariana Siapka & Natsayi Chimbindi & Don Mudzengi & Gabriela B. Gomez, 2020. "Examining Approaches to Estimate the Prevalence of Catastrophic Costs Due to Tuberculosis from Small-Scale Studies in South Africa," PharmacoEconomics, Springer, vol. 38(6), pages 619-631, June.
    5. Sedona Sweeney & Anna Vassall & Nicola Foster & Victoria Simms & Patrick Ilboudo & Godfather Kimaro & Don Mudzengi & Lorna Guinness, 2016. "Methodological Issues to Consider When Collecting Data to Estimate Poverty Impact in Economic Evaluations in Low‐income and Middle‐income Countries," Health Economics, John Wiley & Sons, Ltd., vol. 25(S1), pages 42-52, February.
    6. Jhiedon L Florentino & Rosa Mia L Arao & Anna Marie Celina Garfin & Donna Mae G Gaviola & Carlos R Tan & Rajendra Prasad Yadav & Tom Hiatt & Fukushi Morishita & Andrew Siroka & Takuya Yamanaka & Nobuy, 2022. "Expansion of social protection is necessary towards zero catastrophic costs due to TB: The first national TB patient cost survey in the Philippines," PLOS ONE, Public Library of Science, vol. 17(2), pages 1-19, February.
    7. Phonenaly Chittamany & Takuya Yamanaka & Sakhone Suthepmany & Thepphouthone Sorsavanh & Phitsada Siphanthong & Jacques Sebert & Kerri Viney & Thipphasone Vixaysouk & Moeko Nagai & Vilath Seevisay & Ki, 2020. "First national tuberculosis patient cost survey in Lao People’s Democratic Republic: Assessment of the financial burden faced by TB-affected households and the comparisons by drug-resistance and HIV s," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-21, November.
    8. Innocent Chingombe & Munyaradzi P Mapingure & Shirish Balachandra & Tendayi N Chipango & Fiona Gambanga & Angela Mushavi & Tsitsi Apollo & Chutima Suraratdecha & John H Rogers & Leala Ruangtragool & E, 2021. "Patient costs for prevention of mother-to-child HIV transmission and antiretroviral therapy services in public health facilities in Zimbabwe," PLOS ONE, Public Library of Science, vol. 16(8), pages 1-11, August.
    9. Swati Jha & Nazir Ismail & David Clark & James J Lewis & Shaheed Omar & Andries Dreyer & Violet Chihota & Gavin Churchyard & David W Dowdy, 2016. "Cost-Effectiveness of Automated Digital Microscopy for Diagnosis of Active Tuberculosis," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-11, June.
    10. Nicola Foster & Lucy Cunnama & Kerrigan McCarthy & Lebogang Ramma & Mariana Siapka & Edina Sinanovic & Gavin Churchyard & Katherine Fielding & Alison D Grant & Susan Cleary, 2021. "Strengthening health systems to improve the value of tuberculosis diagnostics in South Africa: A cost and cost-effectiveness analysis," PLOS ONE, Public Library of Science, vol. 16(5), pages 1-21, May.

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