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Table 3 Summary of health system and patient costs in Haiti

From: Impact of DOTS expansion on tuberculosis related outcomes and costs in Haiti

 

MEAN

(SD)

SOURCE

Pre-Diagnosis

   

Total Time (onset of symptoms to diagnosis)

4.4 months

(3.5 months)

PCQ

Number of Visits

4.7

(7.2)

PCQ

Cost to health system for visits (total)

$16.31

  

   Lab costs (per patient – 3AFB smears)

$4.46

(--)

[53]

Patients out-of-pocket: for visits (total)

$40.55

($138)

PCQ

Miscellaneous

$22.87

($116.85)

PCQ

Lost income for patient/family: for visits

$6.19*

 

PCQ

Miscellaneous

$61.71*

 

PCQ

Hospitalization

   

N (%) hospitalized

47 (56%)

  

Average length of stay (for all 84)

21.3 days

(27.2)

PCQ

Health system costs (per patient)

$321.00

(--)

HFQ

Patient out-of-pocket (per hospitalization)

$92.69

($323.41)

PCQ

Lost income for patients and family

$29.40*

($44.37)

PCQ

Direct Observation of Treatment (DOT)

   

Number of visits

75

--

NTP

N (%) on DOT

43 (51%)

--

 

Health system costs: for DOT (total)

$48.75

--

HFQ

For drug costs (new case)

$20.93

--

**

Patient out-of-pocket expenses (total)

$56.25

($141.00)

PCQ

Lost income for patient and family

$20.40*

($25.50)

PCQ

Follow-up (Medical Check Up)

   

Number of visits

6

--

NTP

Health system costs (total)

$20.82

--

HFQ

Patient out-of-pocket expenses

$1.88

($11.65)

PCQ

Lost income for patient and family

$2.35*

($3.67)

PCQ

Total cost per TB patient treated

   

Health system

$432.27

  

Patient and Family: out-of-pocket costs

$214.24

  

Lost Income

$120.05

  

Total patients and families

$334.29

  
  1. Notes:
  2. * Income = $0.17 (US) per hour based on average per capita GNI ($440) (reference 9)/2496 hours (= 48 hours × 52 weeks)
  3. PCQ = Patient cost questionnaire
  4. HFQ = Health facility questionnaire
  5. NTP = National TB programme guidelines
  6. ** = Prices for drugs in DOTS areas from [86], and 1.4 times higher in non-DOTS areas [15;16]