tailieunhanh - The indirect cost due to pulmonary Tuberculosis in patients receiving treatment in Bauchi State—Nigeria

The income lost among the hospitalized group was estimated at $156/patient and about $114 in the non-hospitalized patients group. Age, gender, facility of diagnosis, level of education and occupation were significant (p-values | Umar et al. Cost Effectiveness and Resource Allocation 2012 10 6 http content 10 1 6 COST EFFECTIVENESS AND RESOURCE ALLOCATION RESEARCH Open Access The indirect cost due to pulmonary Tuberculosis in patients receiving treatment in Bauchi State Nigeria Nisser Ali Umar 1 Richard Fordham1 Ibrahim Abubakar2 and Max Bachmann3 Objective To determine the time spent and income lost by patients and their households for seeking tuberculosis diagnosis and treatment in Bauchi State-Nigeria. Method A cross sectional study where 242 TB patients were sampled from 27 out of 67 facilities providing TB services in a north-eastern state of Nigeria. Sampling was stratified based on facility type patients HIV status and gender. Results The income lost among the hospitalized group was estimated at 156 patient and about 114 in the non-hospitalized patients group. Age gender facility of diagnosis level of education and occupation were significant p-values associated with total both patients and their households income lost. However AFB sputum-smear result and HIV status had no significant effects on the income lost. Hospitalised patients spent an average time of hours for diagnosis and treatment whereas the non-hospitalised spent an average of hours. The estimated US dollar valued of these hours was and US for hospitalised and non-hospitalised patient groups respectively. Hospitalisation and the facility of diagnosis were statistically significant p-value predictors of the time patients and household spent on TB. Conclusion Tuberculosis poses causes tremendous burden in terms of time and productivity lost to both patients and their households in Bauchi State Nigeria. Background It has been estimated that about one-third of the world s population are currently infected with Mycobacterium Tuberculosis and about 3 million deaths are attributable to tuberculosis each year despite the availability of antibiotics that can cure