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Table 8 Types of catastrophic costs

From: Tuberculosis and poverty: the contribution of patient costs in sub-Saharan Africa – a systematic review

Author(s) (year)

Country

Catastrophic Costs for Average Income Earners

Range (% of annual income)

Catastrophic Costs for Lowest 20%

Range (% of annual income)

Aspler, et al. (1998) [41]

Zambia

Total

12

Total, direct, indirect, pre-diagnosis, treatment, time, transportation, medication, hospitalization, direct clinic-based DOTS, indirect clinic-based DOTS

12-40

Awofeso, N. (1998) [42]

Nigeria

Medication

121

Medication

589

Bevan, E. (1997) [43]

Kenya

___

___

Medication, syringes and needles

11-32

Chard, S. (2001) [46]

Uganda

Medication, traditional healer, “tipping” providers

12-165

Medication, traditional healer, “tipping” providers

41-544

Chard, S. (2009) [47]

Uganda

Private provider, traditional healer

47-188

Private provider, traditional healer

154-618

Datiko and Lindtjørn (2010) [48]

Ethiopia

Total, travel, time, caregiver, direct, food

17-48

Total, travel, time, caregiver, direct, food

15-104

Floyd, et al. (2003) [50]

Malawi

Travel, hospitalization, DOTS visit

13-262

Travel, hospitalization

18-1043

Floyd, et al. (1997) [51]

South Africa

Total, hospitalization

11-12

Total, hospitalization

17-67

Gibson, et al. (1998) [52]

Sierra Leone

pre-program, program, hospital admission fees

17-88

Total, pre-program, program, hospital admission fees

32-287

Harper, et al. (2003) [53]

The Gambia

Private treatment

11

Private treatment

54

Kemp, et al. (2007) [54]

Malawi

Direct, income lost, user fees and medication, pre-diagnosis

21-40

Direct, income lost, user fees and medication, pre-diagnosis, food, travel

15-155

Mesfin, et al. (2010) [55]

Ethiopia

Medical, non-medical, indirect, direct, medication, caregiver, total

11-136

Medical, non-medical, indirect, direct, medication, caregiver, travel, total

12-292

Moalosi, et al. (2003) [56]

Botswana

Total caregiver costs Caregiver hospitalization Caregiver food and supplies

13-51

Total caregiver costs, caregiver hospitalization, caregiver medication, caregiver food and supplies

29-258

Needham, et al. (1996) [57]

Zambia

Total medical, direct, income lost

16-148

Total medical, total non-medical, direct, income lost

43-688

Needham, et al. (1998) [58]

Zambia

Total, indirect, pre-diagnosis, non-medical, food

11-47

Total, indirect, pre-diagnosis, non-medical, medical, food, diagnostic tests, caregiver, private provider, traditional healer, consultation fees, travel,

15-214

Needham, et al. (2004) [59]

Zambia

___

___

Transportation

11

Nganda, et al. (2003) [60]

Kenya

Hospitalization, travel

33-101

Hospitalization, travel

22-336

Okello, et al. (2003) [61]

Uganda

Hospitalization, travel

12-73

Hospitalization, travel

40-241

Saunderson, P.R. (1995) [31]

Uganda

Total, hospitalization, pre-diagnosis, indirect

34-249

Total, hospitalization, pre-diagnosis, indirect

111-809

Sinanovic, et al. (2003) [63]

South Africa

___

___

Total

11-43

Sinanovic and Kumaranay-ake (2006) [64]

South Africa

___

___

Total, time, travel

11-53

Vassall, et al. (2010) [65]

Ethiopia

Direct, indirect, travel and total pretreatment

23-298

Direct, indirect, travel and total pretreatment

50-639

Wandwalo, et al. (2005) [66]

Tanzania

Total, direct, indirect

16-32

Total, direct, indirect

18-65

Wilkinson, et al. (1997) [67]

South Africa

___

___

Total, hospitalization

20-27

Wyss, et al. (2001) [68]

Tanzania

Private provider

12

Traditional healer, private provider, hospitalization

10-29