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What can dissaving tell us about catastrophic costs? Linear and logistic regression analysis of the relationship between patient costs and financial coping strategies adopted by tuberculosis patients in Bangladesh, Tanzania and Bangalore, India

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  • Jason J Madan
  • Knut Lonnroth
  • Samia Laokri
  • Stephen Bertel SB Squire

Abstract

Tuberculosis (TB) is a major global public health problem which affects poorest individuals the worst. A high proportion of patients incur 'catastrophic costs' which have been shown to result in severe financial hardship and adverse health outcomes. Data on catastrophic cost incidence is not routinely collected, and current definitions of this indicator involve several practical and conceptual barriers to doing so. We analysed data from TB programmes in India (Bangalore), Bangladesh and Tanzania to determine whether dissaving (the sale of assets or uptake of loans) is a useful indicator of financial hardship.

Suggested Citation

  • Jason J Madan & Knut Lonnroth & Samia Laokri & Stephen Bertel SB Squire, 2015. "What can dissaving tell us about catastrophic costs? Linear and logistic regression analysis of the relationship between patient costs and financial coping strategies adopted by tuberculosis patients ," ULB Institutional Repository 2013/223014, ULB -- Universite Libre de Bruxelles.
    • Handle: RePEc:ulb:ulbeco:2013/223014
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    Citations

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    Cited by:

    1. A. Akhtar & Nadeem Ahmad & Indrani Roy Chowdhury, 2020. "Socio-economic inequality in catastrophic health expenditure among households in India: A decomposition analysis," Indian Economic Review, Springer, vol. 55(2), pages 339-369, December.
    2. Fukushi Morishita & Rajendra-Prasad Yadav & Mao Tan Eang & Saly Saint & Nobuyuki Nishikiori, 2016. "Mitigating Financial Burden of Tuberculosis through Active Case Finding Targeting Household and Neighbourhood Contacts in Cambodia," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-22, September.
    3. Sweeney, Sedona & Mukora, Rachel & Candfield, Sophie & Guinness, Lorna & Grant, Alison D. & Vassall, Anna, 2018. "Measuring income for catastrophic cost estimates: Limitations and policy implications of current approaches," Social Science & Medicine, Elsevier, vol. 215(C), pages 7-15.
    4. Phonenaly Chittamany & Takuya Yamanaka & Sakhone Suthepmany & Thepphouthone Sorsavanh & Phitsada Siphanthong & Jacques Sebert & Kerri Viney & Thipphasone Vixaysouk & Moeko Nagai & Vilath Seevisay & Ki, 2020. "First national tuberculosis patient cost survey in Lao People’s Democratic Republic: Assessment of the financial burden faced by TB-affected households and the comparisons by drug-resistance and HIV s," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-21, November.
    5. M.D. Azharuddin Akhtar & Nadeem Ahmad & Indrani Roy Chowdhury, 2020. "Measuring Socio-Economic Inequality in Self-Reported Morbidity in India: Decomposition Analysis," Review of Development and Change, , vol. 25(1), pages 89-111, June.
    6. Junious M Sichali & Jahangir A K Khan & Elvis M Gama & Hastings T Banda & Ireen Namakhoma & Grace Bongololo & Rachael Thomson & Berthe Stenberg & S Bertel Squire, 2019. "Direct costs of illness of patients with chronic cough in rural Malawi—Experiences from Dowa and Ntchisi districts," PLOS ONE, Public Library of Science, vol. 14(12), pages 1-12, December.

    More about this item

    Keywords

    Catastrophic health expenditure; Tuberculosis; Financial protection for health; Innovative measurements; coping strategies;
    All these keywords.

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