There’s no such thing as a free TB diagnosis: Catastrophic TB costs in Urban Uganda

References

• Abimbola, S., Ukwaja, K. N., Onyedum, C. C., Negin, J., Jan, S., & Martiniuk, A. L. (2015). Transaction costs of access to health care: Implications of the care-seeking pathways of tuberculosis patients for health system governance in Nigeria. Global Public Health, 10(9), 1060–1077. doi: 10.1080/17441692.2015.1007470
   PubMed Web of Science ®Google Scholar
• Aspler, A., Menzies, D., Oxlade, O., Banda, J., Mwenge, L., Godfrey-Faussett, P., & Ayles, H. (2008). Cost of tuberculosis diagnosis and treatment from the patient perspective in Lusaka, Zambia. The “international” Journal of Tuberculosis and Lung Disease, 12(8), 928–935.
   PubMed Web of Science ®Google Scholar
• Boccia, D., Pedrazzoli, D., Wingfield, T., Jaramillo, E., Lonnroth, K., Lewis, J., … Evans, C. A. (2016). Towards cash transfer interventions for tuberculosis prevention, care and control: Key operational challenges and research priorities. BMC Infectious Diseases, 16(1), 307. doi: 10.1186/s12879-016-1529-8
   PubMedGoogle Scholar
• Drummond, M. F., Sculpher, M. J., Claxton, K., Stoddart, G. L., & Torrance, G. W. (2015). Methods for the economic evaluation of health care programmes. Oxford, England: Oxford university press.
   Google Scholar
• Fuady, A., Houweling, T. A. J., Mansyur, M., & Richardus, J. H. (2018). Catastrophic total costs in tuberculosis-affected households and their determinants since Indonesia's implementation of universal health coverage. Infectious Diseases of Poverty, 7(1), 3. doi: 10.1186/s40249-017-0382-3
   PubMedGoogle Scholar
• John, K. R., Daley, P., Kincler, N., Oxlade, O., & Menzies, D. (2009). Costs incurred by patients with pulmonary tuberculosis in rural India. The “international” Journal of Tuberculosis and Lung Disease, 13(10), 1281–1287.
   PubMed Web of Science ®Google Scholar
• Kafeero, S. (2017, June 2). Government sets Shs130,000 minimum wage. Daily Monitor. Retrieved from http://www.monitor.co.ug/News/National/Government-sets-Shs130000-minimum-wage/688334-3952236-dtv5xs/index.html
   Google Scholar
• Kemp, J. R., Mann, G., Simwaka, B. N., Salaniponi, F. M., & Squire, S. B. (2007). Can Malawi's poor afford free tuberculosis services? Patient and household costs associated with a tuberculosis diagnosis in Lilongwe. Bulletin of the World Health Organization, 85(8), 580–585. doi: 10.2471/blt.06.033167
   PubMed Web of Science ®Google Scholar
• Lönnroth, K., Aung, T., Maung, W., Kluge, H., & Uplekar, M. (2007). Social franchising of TB care through private GPs in Myanmar: An assessment of treatment results, access, equity and financial protection. Health Policy and Planning, 22(3), 156–166. doi: 10.1093/heapol/czm007
   PubMed Web of Science ®Google Scholar
• Madan, J., Lönnroth, K., Laokri, S., & Squire, S. B. (2015). What can dissaving tell us about catastrophic costs? Linear and logistic regression analysis of the relationship between patient costs and financial coping strategies adopted by tuberculosis patients in Bangladesh, Tanzania and Bangalore, India. BMC Health Services Research, 15(1), 476. doi: 10.1186/s12913-015-1138-z
   PubMedGoogle Scholar
• Mauch, V., Woods, N., Kirubi, B., Kipruto, H., Sitienei, J., & Klinkenberg, E. (2011). Assessing access barriers to tuberculosis care with the tool to Estimate patients’ costs: Pilot results from two districts in Kenya. BMC Public Health, 11(1), 43. doi: 10.1186/1471-2458-11-43
   PubMedGoogle Scholar
• Mesfin, M. M., Newell, J. N., Madeley, R. J., Mirzoev, T. N., Tareke, I. G., Kifle, Y. T., … Walley, J. D. (2010). Cost implications of delays to tuberculosis diagnosis among pulmonary tuberculosis patients in Ethiopia. BMC Public Health, 10(1), 173. doi: 10.1186/1471-2458-10-173
   PubMedGoogle Scholar
• National Tuberculosis and Leprosy Program. (2017). Manual for management and control of tuberculosis and leprosy. Uganda Ministry of Health, 2017.
   Google Scholar
• Needham, D. M., Foster, S. D., Tomlinson, G., & Godfrey-Faussett, P. (2001). Socio-economic, gender and health services factors affecting diagnostic delay for tuberculosis patients in urban Zambia. Tropical Medicine and International Health, 6(4), 256–259. doi: 10.1046/j.1365-3156.2001.00709.x
   PubMed Web of Science ®Google Scholar
• Needham, D. M., Godfrey-Faussett, P., & Foster, S. D. (1998). Barriers to tuberculosis control in urban Zambia: The economic impact and burden on patients prior to diagnosis. The “international” Journal of Tuberculosis and Lung Disease, 2(10), 811–817.
   PubMed Web of Science ®Google Scholar
• Prasanna, T., Jeyashree, K., Chinnakali, P., Bahurupi, Y., Vasudevan, K., & Das, M. (2018). Catastrophic costs of tuberculosis care: A mixed methods study from Puducherry, India. Global Health Action, 11(1), 1477493. doi: 10.1080/16549716.2018.1477493
   PubMed Web of Science ®Google Scholar
• R Core Team (2017). R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing.
   Google Scholar
• Richter, L. M., Lonnroth, K., Desmond, C., Jackson, R., Jaramillo, E., & Weil, D. (2014). Economic support to patients in HIV and TB grants in rounds 7 and 10 from the global fund to fight AIDS, tuberculosis and malaria. PloS one, 9(1), e86225. doi: 10.1371/journal.pone.0086225
   PubMed Web of Science ®Google Scholar
• Richterman, A., Steer-Massaro, J., Jarolimova, J., Luong Nguyen, L. B., Werdenberg, J., & Ivers, L. C. (2018). Cash interventions to improve clinical outcomes for pulmonary tuberculosis: Systematic review and meta-analysis. Bulletin of the World Health Organization, 96(7), 471–483. doi: 10.2471/BLT.18.208959
   PubMed Web of Science ®Google Scholar
• Rudgard, W. E., Evans, C. A., Sweeney, S., Wingfield, T., Lonnroth, K., Barreira, D., & Boccia, D. (2017). Comparison of two cash transfer strategies to prevent catastrophic costs for poor tuberculosis-affected households in low- and middle-income countries: An economic modelling study. PLOS Medicine, 14(11), e1002418. doi: 10.1371/journal.pmed.1002418
   PubMed Web of Science ®Google Scholar
• Saunderson, P. R. (1995). An economic evaluation of alternative programme designs for tuberculosis control in rural Uganda. Social Science & Medicine, 40(9), 1203–1212. doi: 10.1016/0277-9536(94)00240-t
   PubMed Web of Science ®Google Scholar
• Sekandi, J. N., Zalwango, S., Martinez, L., Handel, A., Kakaire, R., Nkwata, A. K., … Whalen, C. C. (2015). Four degrees of separation: Social contacts and health providers influence the steps to final diagnosis of active tuberculosis patients in Urban Uganda. BMC Infectious Diseases, 15(1), 361. doi: 10.1186/s12879-015-1084-8
   PubMedGoogle Scholar
• Shete, P. B., Haguma, P., Miller, C. R., Ochom, E., Ayakaka, I., Davis, J. L., … Cattamanchi, A. (2015). Pathways and costs of care for patients with tuberculosis symptoms in rural Uganda. The International Journal of Tuberculosis and Lung Disease, 19(8), 912–917. doi: 10.5588/ijtld.14.0166
   PubMed Web of Science ®Google Scholar
• Squire, S., Thomson, R., Namakhoma, I., El Sony, A., Kritski, A., & Madan, J. (2015). Catastrophic care-seeking costs as an indicator for lung health. BMC Proceedings, 9(Suppl 10), S4. doi:10.1186/1753+6561-9-S10-S4 doi: 10.1186/1753-6561-9-S10-S4
   PubMedGoogle Scholar
• Sreeramareddy, C. T., Qin, Z. Z., Satyanarayana, S., Subbaraman, R., & Pai, M. (2014). Delays in diagnosis and treatment of pulmonary tuberculosis in India: A systematic review. The International Journal of Tuberculosis and Lung Disease, 18(3), 255–266. doi: 10.5588/ijtld.13.0585
   PubMed Web of Science ®Google Scholar
• Steffen, R., Menzies, D., Oxlade, O., Pinto, M., de Castro, A. Z., Monteiro, P., & Trajman, A. (2010). Patients’ costs and cost-effectiveness of tuberculosis treatment in DOTS and non-DOTS facilities in Rio de Janeiro, Brazil. PloS one, 5(11), e14014. doi: 10.1371/journal.pone.0014014
   PubMed Web of Science ®Google Scholar
• Stop TB Partnership. (2008). The tool to estimate patients’ costs. Retrieved from http://stoptb.org/wg/dots_expansion/tbandpoverty/assets/documents/Tool to estimate Patients%27 Costs.pdf
   Google Scholar
• Sweeney, S., Mukora, R., Candfield, S., Guinness, L., Grant, A. D., & Vassall, A. (2018). Measuring income for catastrophic cost estimates: Limitations and policy implications of current approaches. Social Science & Medicine, 215, 7–15. doi: 10.1016/j.socscimed.2018.08.041
   PubMed Web of Science ®Google Scholar
• Tanimura, T., Jaramillo, E., Weil, D., Raviglione, M., & Lonnroth, K. (2014). Financial burden for tuberculosis patients in low- and middle-income countries: A systematic review. European Respiratory Journal, 43(6), 1763–1775. doi: 10.1183/09031936.00193413
   PubMed Web of Science ®Google Scholar
• Uganda Bureau of Statistics. (2014). Uganda national household survey 2012/2013. Kampala, Uganda: Uganda Bureau of Statistics. Retrieved from https://www.ubos.org/onlinefiles/uploads/ubos/UNHS_12_13/2012_13%20UNHS%20Final%20Report.pdf
   Google Scholar
• Uganda Bureau of Statistics. (2017). Uganda Consumer Price Index: 2009/10=100. Kampala, Uganda: Uganda Bureau of Statistics. Retrieved from https://www.ubos.org/wpcontent/uploads/publications/CPI%20Publication%20for%20August%202017.pdf
   Google Scholar
• Ukwaja, K. N., Alobu, I., Lgwenyi, C., & Hopewell, P. C. (2013). The high cost of free tuberculosis services: Patient and household costs associated with tuberculosis care in Ebonyi State, Nigeria. PloS one, 8(8), e73134. doi: 10.1371/journal.pone.0073134
   PubMed Web of Science ®Google Scholar
• Umar, N. A., Fordham, R., Abubakar, I., & Bachmann, M. (2012). The indirect cost due to pulmonary tuberculosis in patients receiving treatment in Bauchi State—Nigeria. Cost Effectiveness and Resource Allocation, 10(1), 6. doi: 10.1186/1478-7547-10-6
   PubMedGoogle Scholar
• Vassall, A., Seme, A., Compernolle, P., & Meheus, F. (2010). Patient costs of accessing collaborative tuberculosis and human immunodeficiency virus interventions in Ethiopia. The “international” Journal of Tuberculosis and Lung Disease, 14(5), 604–610.
   PubMed Web of Science ®Google Scholar
• Wingfield, T., Boccia, D., Tovar, M., Gavino, A., Zevallos, K., Montoya, R., … Evans, C. A. (2014). Defining catastrophic costs and comparing their Importance for adverse tuberculosis outcome with multi-drug resistance: A prospective cohort study, Peru. PLoS Medicine, 11(7), e1001675. doi: 10.1371/journal.pmed.1001675
   PubMed Web of Science ®Google Scholar
• Wingfield, T., Tovar, M. A., Huff, D., Boccia, D., Montoya, R., Ramos, E., … Evans, C. A. (2016). The economic effects of supporting tuberculosis-affected households in Peru. European Respiratory Journal, 48(5), 1396–1410. doi: 10.1183/13993003.00066-2016
   PubMed Web of Science ®Google Scholar
• World Health Organization. (2016). WHO End TB Strategy. Global strategy and targets for tuberculosis prevention, care and control after 2015. Geneva, Switzerland: WHO, 2015.
   Google Scholar
• World Health Organization. (2017). Global tuberculosis report 2017.
   Google Scholar
• XE Currency Converter. (2017, July). Currency exchange rates. Retrieved from http://www.xe.com/currencyconverter/
   Google Scholar