Measuring the economic burden for TB patients in the End TB Strategy and Universal Health Coverage frameworks

dc.contributor.authorPedrazzoli, D.
dc.contributor.authorBorghi, J.
dc.contributor.authorViney, Kerri
dc.contributor.authorHouben, R. M.
dc.contributor.authorLönnroth, K.
dc.date.accessioned2019-11-19T01:22:51Z
dc.date.available2019-11-19T01:22:51Z
dc.date.issued2019-01-01
dc.date.updated2019-05-12T08:17:55Z
dc.description.abstractTuberculosis (TB) is a disease of poverty. Ensuring access to health care without the risk of financial hardship due to out-of-pocket health care expenditures (Universal Health Coverage [UHC]) is essential for providing accessible care to underprivileged populations, but this is not enough. The End TB Strategy promotes both patient-centred TB services and social protection measures, which aim to mitigate the economic hardship faced by TB patients and their households due to direct medical and non-medical expenditures, as well as to lost income. The strategy includes a target that no families should face catastrophic total costs due to TB. The indicator linked to this target aims to capture the total economic burden linked to TB care, and thus differs from the ‘catastrophic expenditure on health' indicator, a key component of the UHC monitoring framework aligned with the Sustainable Development Goals. Countries, and particularly high TB burden countries, are expected to conduct nationally representative TB patient cost surveys to establish baseline measurements for the catastrophic costs indicator. Findings from these surveys should also help identify entry points for developing policies to ensure better financial and social protection for TB patients. In this paper, we define the key measurable concepts for TB patient cost surveys, notably the types of costs that are captured, and related affordability measures. We discuss methods for measuring these notions in the UHC framework and contrast them with how they are measured in TB patient cost surveys.en_AU
dc.description.sponsorshipDP and RH are funded by the United States Agency for International Development (USAID) through TREAT-TB grant GHN-A-00-08-000400. KV is supported by a Sidney Sax Early Career Fellowship from the Australian National Health and Medical Research Council, Canberra ACT, Australia (GNT1121611).en_AU
dc.format.mimetypeapplication/pdfen_AU
dc.identifier.issn1027-3719en_AU
dc.identifier.urihttp://hdl.handle.net/1885/186357
dc.language.isoen_AUen_AU
dc.provenanceThis is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_AU
dc.publisherInternational Union against Tuberculosis and Lung Diseaseen_AU
dc.relationhttp://purl.org/au-research/grants/nhmrc/GNT1121611en_AU
dc.rights© 2019 The Unionen_AU
dc.rights.licenseCreative Commons Attribution Licenseen_AU
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_AU
dc.sourceInternational Journal of Tuberculosis and Lung Diseaseen_AU
dc.subjectTBen_AU
dc.subjectpatient costsen_AU
dc.subjectfinancial protectionen_AU
dc.subjectaffordabilityen_AU
dc.titleMeasuring the economic burden for TB patients in the End TB Strategy and Universal Health Coverage frameworksen_AU
dc.typeJournal articleen_AU
dcterms.accessRightsOpen Accessen_AU
dcterms.dateAccepted2018-08-23
local.bibliographicCitation.issue1en_AU
local.bibliographicCitation.lastpage11en_AU
local.bibliographicCitation.startpage5en_AU
local.contributor.affiliationPedrazzoli, D., London School of Hygiene & Tropical Medicineen_AU
local.contributor.affiliationBorghi, J., London School of Hygiene & Tropical Medicineen_AU
local.contributor.affiliationViney, Kerri, College of Health and Medicine, ANUen_AU
local.contributor.affiliationHouben, R. M., London School of Hygiene & Tropical Medicineen_AU
local.contributor.affiliationLönnroth, K., Karolinska Instituteten_AU
local.contributor.authoremailu4903353@anu.edu.auen_AU
local.contributor.authoruidViney, Kerri, u4903353en_AU
local.description.notesImported from ARIESen_AU
local.identifier.absfor111711 - Health Information Systems (incl. Surveillance)en_AU
local.identifier.absfor110309 - Infectious Diseasesen_AU
local.identifier.absfor111706 - Epidemiologyen_AU
local.identifier.absseo920207 - Health Policy Economic Outcomesen_AU
local.identifier.absseo920206 - Health Inequalitiesen_AU
local.identifier.absseo920109 - Infectious Diseasesen_AU
local.identifier.ariespublicationu3102795xPUB663en_AU
local.identifier.citationvolume23en_AU
local.identifier.doi10.5588/ijtld.18.0318en_AU
local.identifier.scopusID2-s2.0-85060388112
local.identifier.uidSubmittedByu3102795en_AU
local.publisher.urlhttps://www.ingentaconnect.comen_AU
local.type.statusPublished Versionen_AU

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