A cost-effectiveness analysis of alternative tuberculosis control programs in rural Zambia

• Main Author: Chipeta, Kettie
• Format: Dissertation
• Language: English
• Published: University of Cape Town 2015
• Subjects: Health Economics
• Online Access: http://hdl.handle.net/11427/12492

This study reviewed community-based directly observed treatment and the conventional approach to tuberculosis management in order to find cost-effective approach. Both patient and health system cost data were used. Hospital cost data were collected from a mission hospital in rural Zambia for the periods 1989 and 1997. Patient cost data were collected from a sample of 50 patients in terms of time and travel costs. The cure rate was used as the measure of effectiveness. Results showed that community-based DOT is the most cost-effective approach because of its reduced costs to the patients and health system. Finally, it was also found that community-based DOT is the most viable economic option given the existing resource constraints. Suggestions for future study are offered and limitations of research are explored.