PROMOTING ACCESS TO AFRICAN RESEARCH

Orient Journal of Medicine

Log in or Register to get access to full text downloads.

Remember me or Register



DOWNLOAD FULL TEXT Open Access  DOWNLOAD FULL TEXT Subscription or Fee Access

Cost effectiveness of Tuberculosis Treatment from the Patients' Perspective

Lawrence U. Ogbonnaya

Abstract


Objective: I o compare the cost-effectiveness of two strategies for supervising the Directly Observed Treatment Short course (DOTS) during the intensive phase of Tuberculosis treatment.


Methodology: 600 newly diagnosed previously untreated smear-positive pulmonary tuberculosis patients were randomly assigned to the study and control groups.


A trained lay supervisor supervised each study group patient at home while nurses supervised the control group patients at the clinic.


Results: At the end of the study, the control group incurred personal cost in transport fare 14 times higher, and lost income 6.5 times more, than the study group.


Conclusion: It is concluded that home-based lay worker supervised Directly Observed Treatment Short course is more cost effective from the patients' point of view.


DOTS needs to be re-focused out of the hospitals and clinics and made community based in view of the increasing TB caseload occasioned by HI V/AIDS.

Key Words: Cost effectiveness, Tuberculosis treatment, personal cost, patient's perspective

Orient Journal of Medicine Vol.16(3&4) 2004: 1-6



http://dx.doi.org/10.4314/ojm.v16i3.29078
AJOL African Journals Online