Cost Estimation Tool Study: TB/HIV Patient Costs and Health System Impact

1. Example Presentation of Results Tool to Estimate Patients’ Costs

2. Outline • Study Site • Assessment of Costs • Direct costs • Indirect costs • Total Costs • TB/HIV • Health system results • Patient preferences • Recommendations and Questions

3. Study Site Provincial case notification rate x /100,000 District caseload x% of provincial District population x Sample size n = Insert Map here

4. Study Site – Socioeconomic information Distribution of TB patients interviewed by income bracket

5. Direct costs Total direct costs (pre-diagnosis, diagnosis, treatment) + Coping costs = Total direct costs      Indirect costs Total indirect costs (pre-diagnosis, diagnosis, treatment) = Total indirect costs Total costs: total direct costs + total indirect costs Total Costs

6. Pre-Diagnosis Costs Total avg. direct cost: x currency (median y) Total time spent: x hours (median y) Number of visits: x (median y) Patient Delay: x months

8. Treatment Costs Total avg. direct cost/visit: x (median y) Total turnaround time/visit: x hours (median y)

10. Coping Costs

11. Indirect Costs Stopped work due to TB: x months (n = y)

13. HIV+ = % of sample Pre-Diagnosis costs Treatment costs Additional costs n = X (+ x%) X (+ x%) mean x /month TB/HIV

14. Health System and TB

15. Reasons for not seeking Government services initially:

16. How could TB services be improved to alleviate financial burden?

17. Recommendations and Questions • …