Example Presentation of Results

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Example Presentation of Results

• Tool to Estimate Patients Costs

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Outline

• Study Site
• Assessment of Costs
• Direct costs
• Indirect costs
• Total Costs
• TB/HIV
• Health system results
• Patient preferences
• Recommendations and Questions

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Study Site

• Provincial case
• notification rate
• x /100,000
• District caseload
• x of provincial
• District population
• x
• Sample size
• n

Insert Map here
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Study Site Socioeconomic information
Distribution of TB patients interviewed by income
bracket
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Total Costs

• Direct costs
• Total direct costs (pre-diagnosis, diagnosis,
  treatment)
• Coping costs
• Total direct costs     
• Indirect costs
• Total indirect costs (pre-diagnosis, diagnosis,
  treatment)
• Total indirect costs
• Total costs total direct costs total indirect
  costs

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Pre-Diagnosis Costs
Total avg. direct cost x currency (median y)
Total time spent x hours (median y) Number of
visits x (median y) Patient Delay x months
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Treatment Costs

• Total avg. direct cost/visit x (median y)
• Total turnaround time/visit x hours (median y)

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Coping Costs
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Indirect Costs

• Stopped work due to TB x months (n y)

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Direct Costs in US Direct Costs in US Direct Costs in US Mean Median
Pre-Diagnosis Costs Pre-Diagnosis Costs Pre-Diagnosis Costs
Coping Costs Coping Costs Coping Costs
Treatment Costs (cost/visit x 14 visits) Treatment Costs (cost/visit x 14 visits) Treatment Costs (cost/visit x 14 visits)
Sub-Total in US Sub-Total in US Sub-Total in US

Indirect Costs in US Indirect Costs in US Indirect Costs in US Mean Median
Months not working (n174) Months not working (n174) Months not working (n174)
Foregone income (4.5 x initial mo. income in US) Foregone income (4.5 x initial mo. income in US) Foregone income (4.5 x initial mo. income in US)
Drug collection time (hours/visit x 14 visits) Drug collection time (hours/visit x 14 visits) Drug collection time (hours/visit x 14 visits)
Foregone income (collection time x cur. income in US) Foregone income (collection time x cur. income in US) Foregone income (collection time x cur. income in US)
Sub-Total in US Sub-Total in US Sub-Total in US

Total Costs Mean Median Median Median
Direct Indirect Costs (US)
of annual individual income / of annual household income of annual individual income / of annual household income of annual individual income / of annual household income of annual individual income / of annual household income of annual individual income / of annual household income
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TB/HIV

• HIV of sample
• Pre-Diagnosis costs
• Treatment costs
• Additional costs

• n
• X ( x)
• X ( x)
• mean x /month

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Health System and TB
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Reasons for not seeking Government services
initially
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How could TB services be improved to alleviate
financial burden?
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Recommendations and Questions