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Archives 2008
Myanmar Health Sciences Research Journal
Volume 20, Number 3
TITLE: Economic burden of TB patients attending Township TB Centre in Myanmar.
AUTHOR: Myint Naing; Saw Saw; Ko Ko Zaw
SOURCE: Myanmar Health Sciences Research Journal. 2008; 20(3): 171-177
ABSTRACT: This study was conducted at Township TB Center in North Okkalapa Township to explore the economic burden of TB patients by estimating the direct and indirect costs incurred by TB patients. Face-to-face interview with 101 TB patients by using semi-structured questionnaires was conducted. About 47 respondents (46.6%) were in the 35-54 age groups. Male and female ratio was 3:1. Seventy-four respondents (73.3%) were low socio-economic status group. Total cost (direct and indirect costs) before taking anti-TB treatment at Township TB Centre ranged from 0 to 697,300 kyats (mean=104,000, medium=66,500). During anti-TB treatment, total cost ranged from 0 to 357,900 kyats (mean = 55,600, median=23,000). Before taking anti-TB treatment, 68 patients (67.6%) had economic burden among which majority of patients were low family income group and low socio-economic status group. During anti-TB treatment, 40 patients (39.6%) had economic burden. Wages loss due to illness and low family income were major factors for economic burden. Twenty- seven TB patients (26.7%) incurred cost before anti-TB treatment as more than 10% of annual household income. Treatment delay increased the cost and may lead to economic burden for TB patients and their families. Transportation cost and daily wages loss due to attending TB Centre to get free drugs were found to be possible factors for economic burden of TB patients. Effective strategy to reduce delay in seeking care of TB suspects should be developed.
SUBJECT HEADINGS: Cost of Illness. Health Care Costs. Tuberculosis.
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