Cost implications of delays to tuberculosis diagnosis among pulmonary tuberculosis patients in Ethiopia
2010

Cost of Delays in Tuberculosis Diagnosis in Ethiopia

Sample size: 924 publication Evidence: moderate

Author Information

Author(s): Mesfin Mengiste, Newell James N, Madeley Richard J, Mirzoev Tolib N, Tareke Israel G, Kifle Yohannes T, Gessessew Amanuel, Walley John D

Primary Institution: Nuffield Centre for International Health and Development, Institute of Health Sciences, University of Leeds, UK

Hypothesis

Delays in seeking care for tuberculosis increase the economic burden on patients and the public health system.

Conclusion

Delays in tuberculosis diagnosis significantly increase costs for patients and their families, worsening their economic situation.

Supporting Evidence

  • Patients incurred a median cost of $27 for tuberculosis diagnosis.
  • Delays in diagnosis were attributed to seeking care from alternative providers.
  • Costs were higher for women and rural residents.
  • The economic burden of tuberculosis diagnosis can exceed patients' monthly income.

Takeaway

When people take a long time to get checked for tuberculosis, it costs them a lot of money, which can make their lives harder.

Methodology

Patients were interviewed about their healthcare-seeking behavior and costs incurred prior to diagnosis.

Limitations

Public health system costs were underestimated as building and staff time were not included.

Participant Demographics

The median age was 34 years; 45% were female, 49% were rural residents, and 47% were illiterate.

Digital Object Identifier (DOI)

10.1186/1471-2458-10-173

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication