Table 7.
Concentration indices for total costs, total costs as a proportion of pre-TB annual household income and catastrophic costs due to TB diagnosis, stratified by Axshya SAMVAD and non-Axshya SAMVAD groups, among TB (new sputum-smear-positive) affected households in India, 2016–2017 (N = 451).
Axshya SAMVAD |
Non-Axshya SAMVAD |
||||
---|---|---|---|---|---|
Characteristics | Concentration index (95% CI) | p valuea | Concentration index (95% CI) | p valuea | Dominance test [30]b |
Total costs | −0.15 (−0.32. 0.11) | 0.068 | −0.06 (−0.20, 0.08) | 0.401 | Non-dominance (both curves not significantly different) |
Total costs as a proportion of pre-TB annual household income | −0.77 (−1.14, −0.40) | <0.001 | −0.63 (−092, −0.34) | <0.001 | Axshya SAMVAD dominates over non-Axshya SAMVAD |
Catastrophic costsc | −0.60 (−0.81, −0.39) | <0.001 | −0.58 (−0.78, −0.38) | <0.001 | Non-dominance (both curves not significantly different) |
TB: tuberculosis; SAMVAD: sensitisation and advocacy in marginalised and vulnerable areas of the district; Axshya SAMVAD: an active case finding strategy under project Axshya implemented by The Union, South East Asia office, New Delhi, India, across 285 districts of India; non-Axshya SAMVAD: patients detected through passive case findings.
a p value for the concentration index: indicates whether the concentration curve is significantly different from the line of equality.
bFor details on the dominance test, readers are requested to refer to O’Donnell et al. [30].
cTotal costs due to TB diagnosis more than 20% of pre-TB annual household income.