Pre-Diagnosis and Diagnosis Cost Associated before Initiation of Directly Observed Treatment, Short Course Regimen in Urban Pokhara, Nepal

Type Journal Article - International Journal of Health Sciences & Research (www.ijhsr.org)
Title Pre-Diagnosis and Diagnosis Cost Associated before Initiation of Directly Observed Treatment, Short Course Regimen in Urban Pokhara, Nepal
Author(s)
Volume 7
Issue 4
Publication (Day/Month/Year) 2017
Page numbers 360-369
URL http://www.ijhsr.org/IJHSR_Vol.7_Issue.4_April2017/53.pdf
Abstract
Background: TB is disease that falls disproportionally in low income nation and the poor’s. Many
studies were available that assessed the Pre-treatment and treatment cost of TB but none of these
literature differentiates pre-diagnosis and diagnosis cost of TB. This study assessed both Pre-diagnosis
and Diagnosis cost of Tuberculosis.
Materials and Methods: An Institutional cross sectional study of all the patients (70) in intensive
phase of Urban-DOTS regimen were included in study. Microsoft Excel was used for data entry and
cleaning and analysis was done through SPSS version 16.0. P-value less than 0.05 were taken as the
cut-off values for Non- Parametric test of statistical significance between the variables.
Results: Of 70 patients, majority were male 46 (65.7%), non-migrants 36 (51.4%), non-poor
household member 39 (55.7%) and 55(76%) cope with household income and saving. The Median
Pre-diagnosis and Diagnosis cost was $ 74.61 (23.87 – 165.70) and $ 15.38 (5.20 – 187.50)
respectively. Total cost for the patients before initiation of DOTS regimen were associated with
household income group, diagnostic centre, number of health care provider, and coping mechanisms
(P < 0.05).

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