Abstract: Poster Presentations |

A Study Of Socio -Economic Impact Of Tuberculosis On Patients And Their Family FREE TO VIEW

Nirmal Chand, MD, FCCP*; Tejbir Singh, MD; J. S. Khalsa, MBBS; Vishal Verma, MBBS; Jorawar S. Rathore, MBBS
Author and Funding Information

Medical College, Amritsar, India


Chest. 2004;126(4_MeetingAbstracts):832S-c-833S. doi:10.1378/chest.126.4_MeetingAbstracts.832S-c
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PURPOSE:  To quantify the socio-economic impact of tuberculosis on patients and their families from the costs incurred by patients in rural and urban areas..

METHODS:  An detailed interview based upon the prepared questionnaire was taken to collect socio-economic demographic characteristics, employment, income particulars, expenditure on illness and effects on children from newly detected sputum-positive pulmonary tuberculosis patients. The direct and indirect costs including money spent on diagnosis, drugs, investigations, travel and loss of wages. Total costs were projected for the entire 6 months of treatment.

RESULTS:  The study population consisted of 200 patients (reporting at Chest & T.B. Hospital, Amritsar), 80 of whom were females. Mean direct cost was Rs. 1824/-, indirect Rs. 4129/- and total cost was Rs. 5953/-. The mean number of work days lost was 88 and mean debts totaled Rs. 2214/-. Both rural and urban female patients faced rejection by their families (8%). Twelve percent of schoolchildren discontinued their studies, an additional 7% took up employment to support their family.

CONCLUSION:  The total costs, and particularly indirect costs due to TB, were relatively high. The average period of loss of wages was 3 months. Care giving activities of female patients decreased significantly, and a 12% of schoolchildren discontinued their studies.

CLINICAL IMPLICATIONS:  These studies may be useful in eradicating social stigmas like rejection of tubercular patients in the society .Health education may help students to continue their studies in the school.

DISCLOSURE:  N. Chand, None.

Wednesday, October 27, 2004

12:30 PM - 2:00 PM




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