Determinant of catastrophic costs associated with treatment for rifampicin-resistant TB in households in the Republic of Moldova
SETTING: The Republic of Moldova is a lower-middle-income country. Patients with TB face some barriers to accessing TB services. Welfare benefits are available during TB treatment. OBJECTIVES: We aimed to determine the proportion of rifampicin-resistant TB (RR-TB) households that experienced catastr...
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International Union Against Tuberculosis and Lung Disease (The Union)
2024-06-01
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| Series: | IJTLD Open |
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| Online Access: | https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000006/art00005 |
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| author | A. Ciobanu V. Plesca S. Doltu M. Manea L. Domente A. Dadu |
| author_facet | A. Ciobanu V. Plesca S. Doltu M. Manea L. Domente A. Dadu |
| author_sort | A. Ciobanu |
| collection | DOAJ |
| description | SETTING: The Republic of Moldova is a lower-middle-income country. Patients with TB face some barriers to accessing TB services. Welfare benefits are available during TB treatment. OBJECTIVES: We aimed to determine the proportion of rifampicin-resistant TB (RR-TB) households that experienced catastrophic costs due to TB at a threshold of ≥20% of household income and investigate the associated risk factors. DESIGN: A cross-sectional countrywide study comprised 430 patients with RR-TB who had received TB treatment as an inpatient or outpatient for at least 2 months. RESULTS: RR-TB patients lost 30% of their household income in inpatient and 70% in outpatient TB care. TB-related costs were associated with being unofficially employed or unemployed (aOR 1.9, 95% CI 1.1–3.3), having fewer household members (aOR 2.1, 95% CI 1.3–3.5), having an income that accounted for over 50% of household income (aOR 2.4, 95% CI 1.5–3.8), and being a poor household (aOR 2.2, 95% CI 1.2–3.9). CONCLUSION: Although TB health services are provided to patients free of charge, 26% of RR-TB households experienced catastrophic TB costs. The associated factors should be considered to improve patient-centred TB care, especially in vulnerable groups. Welfare payments mitigate TB costs. |
| format | Article |
| id | doaj-art-c961e6c0b3a34ea5b938319ea6f65d6e |
| institution | Kabale University |
| issn | 3005-7590 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | International Union Against Tuberculosis and Lung Disease (The Union) |
| record_format | Article |
| series | IJTLD Open |
| spelling | doaj-art-c961e6c0b3a34ea5b938319ea6f65d6e2025-01-21T10:44:17ZengInternational Union Against Tuberculosis and Lung Disease (The Union)IJTLD Open3005-75902024-06-011626627310.5588/ijtldopen.23.06085Determinant of catastrophic costs associated with treatment for rifampicin-resistant TB in households in the Republic of MoldovaA. Ciobanu0V. Plesca1S. Doltu2M. Manea3L. Domente4A. Dadu5University of Medicine and Pharmacy ‘Nicolae Testemitanu’, Chisinau, Republic of Moldova;Institute of Phthisiopneumology ‘Chiril Draganiuc’, Chisinau, Republic of Moldova;Act for Involvement, Chisinau, Republic of Moldova;Institute of Phthisiopneumology ‘Chiril Draganiuc’, Chisinau, Republic of Moldova;Independent Consultant, Chisinau, Republic of MoldovaWHO Regional Office for Europe, Copenhagen, Denmark;SETTING: The Republic of Moldova is a lower-middle-income country. Patients with TB face some barriers to accessing TB services. Welfare benefits are available during TB treatment. OBJECTIVES: We aimed to determine the proportion of rifampicin-resistant TB (RR-TB) households that experienced catastrophic costs due to TB at a threshold of ≥20% of household income and investigate the associated risk factors. DESIGN: A cross-sectional countrywide study comprised 430 patients with RR-TB who had received TB treatment as an inpatient or outpatient for at least 2 months. RESULTS: RR-TB patients lost 30% of their household income in inpatient and 70% in outpatient TB care. TB-related costs were associated with being unofficially employed or unemployed (aOR 1.9, 95% CI 1.1–3.3), having fewer household members (aOR 2.1, 95% CI 1.3–3.5), having an income that accounted for over 50% of household income (aOR 2.4, 95% CI 1.5–3.8), and being a poor household (aOR 2.2, 95% CI 1.2–3.9). CONCLUSION: Although TB health services are provided to patients free of charge, 26% of RR-TB households experienced catastrophic TB costs. The associated factors should be considered to improve patient-centred TB care, especially in vulnerable groups. Welfare payments mitigate TB costs.https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000006/art00005rr-tbhousehold incomeout-of-pocket paymentpovertymoldovatuberculosis |
| spellingShingle | A. Ciobanu V. Plesca S. Doltu M. Manea L. Domente A. Dadu Determinant of catastrophic costs associated with treatment for rifampicin-resistant TB in households in the Republic of Moldova IJTLD Open rr-tb household income out-of-pocket payment poverty moldova tuberculosis |
| title | Determinant of catastrophic costs associated with treatment for rifampicin-resistant TB in households in the Republic of Moldova |
| title_full | Determinant of catastrophic costs associated with treatment for rifampicin-resistant TB in households in the Republic of Moldova |
| title_fullStr | Determinant of catastrophic costs associated with treatment for rifampicin-resistant TB in households in the Republic of Moldova |
| title_full_unstemmed | Determinant of catastrophic costs associated with treatment for rifampicin-resistant TB in households in the Republic of Moldova |
| title_short | Determinant of catastrophic costs associated with treatment for rifampicin-resistant TB in households in the Republic of Moldova |
| title_sort | determinant of catastrophic costs associated with treatment for rifampicin resistant tb in households in the republic of moldova |
| topic | rr-tb household income out-of-pocket payment poverty moldova tuberculosis |
| url | https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000006/art00005 |
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