Table 7.
Total user costs of hospital-based and home-based management during the intensive phase of TB retreatment
| Mean cost US dollars (95% CI) | |||
| Hospital-based management | Home-based management | Mean difference* | |
| Patient costs | |||
| During admission | |||
| Direct medical† | 0.7 (0.2 to 1.2) | 0.4 (0.0 to 0.7) | 0.3 (−0.2 to 1.0) |
| Direct non-medical | |||
| Food | 69.8 (58.4 to 81.2) | 26.7 (21.5 to 31.8) | 43.1 (30.5 to 55.7) |
| Transport | 3.6 (1.6 to 5.7) | 1.6 (0.5 to 2.6) | 2.1 (−0.1 to 4.3) |
| Linen | 0.7 (0.1 to 1.3) | 1.1 (−0.1 to 2.3) | −0.5 (−1.8 to 0.9) |
| Other out of pocket | 11.9 (7.1 to 16.7) | 4.7 (3.2 to 6.2) | 7.2 (2.1 to 12.4) |
| Indirect‡ | 133.5 (111.6 to 155.4) | 37.0 (28.7 to 45.3) | 96.5 (73.2 to 119.7) |
| Health facility post discharge | |||
| Direct medical and non-medical | – | 1.1 (0.3 to 2.0) | −1.1 (−2.0 to -0.3) |
| Indirect | – | 0.3 (0.1 to 0.5) | −0.8 (−1.8 to 0.1) |
| Total patient costs | 220.2 (189.8 to 250.8) | 72.9 (60.5 to 85.3) | 147.4 (114.1 to 180.6) |
| Guardian costs | |||
| During admission | |||
| Direct non-medical | |||
| Food | 17.7 (11.1 to 24.2) | 13.6 (9.2 to 17.9) | 4.1 (−3.5 to 11.7) |
| Transport | 10.0 (5.6 to 14.3) | 6.4 (4.1 to 8.8) | 3.5 (−1.2 to 8.2) |
| Linen | 0.1 (−0.1 to 0.2) | 0.1 (0.0 to 0.3) | 0.0 (−0.3 to 0.2) |
| Other out of pocket | 2.9 (1.1 to 4.7) | 1.6 (0.7 to 2.5) | 1.3 (−0.7 to 3.4) |
| Indirect | 20.6 (8.4 to 32.9) | 5.2 (2.8 to 7.7) | 15.4 (3.1 to 27.7) |
| Health facility post discharge | |||
| Direct non-medical | – | 1.0 (−0.6 to 2.7) | −1.0 (−2.7 to 0.6) |
| Indirect | – | 0.8 (−0.1 to 1.8) | −0.8 (−1.8 to 0.1) |
| Total guardian costs | 51.3 (31.8 to 70.8) | 28.6 (21.5 to 36.2) | 22.4 (2.2 to 42.7) |
| Total user costs | 271.6 (234.4 to 308.7) | 101.8 (85.1 to 118.4) | 169.8 (128.9 to 210.7) |
*Bootstrapped estimates of mean differences and 95% CI.
†Drugs and investigations purchased privately if unavailable in the public facility.
‡Lost income.