Trop Med Int Health. 2021 Jun 30. doi: 10.1111/tmi.13648. Online ahead of print.
ABSTRACT
OBJECTIVE: To examine the out-of-pocket expenditure, health care burden , catastrophic health expenditure, hardship financing, and impoverishment effects of TB treatment in India.
METHODS: ata of three rounds of National Statistic Surveys 60th 2004-05, 71st 2013-14 and 75th 2017-18. Descriptive statistics, bivariate estimates and multivariate models were performed to calculate the out-of-pocket expenditure, health care burden, catastrophic health expenditure, hardship financing and impoverishment using standard definitions at December 2019 price values.
RESULTS: More than two-thirds of the TB cases are seen in the economically productive age group (14-59 years). Illiterate patients had a higher healthcare burden and out-of-pocket expenditure. The healthcare burden, hardship financing and catastrophic health expenditure are considerably higher for those utilising private hospitals. Male patients have a higher exposure to hardship financing than female patients. Impoverishment effects are higher among Hindus and illiterate populations due to utilization of hospitalization services.
CONCLUSION: The present analysis helps understand the trends in the financial burden of TB on households over last 15 years, thus providing evidence to policymakers for more effective channeling of resources in order to achieve a TB-free India by 2025.
PMID:34192385 | DOI:10.1111/tmi.13648
