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Implementing tuberculosis control programmes in Kaduna State, Nigeria
1School of Health Services Management, Faculty of Medicine, University of New South Wales, Sydney, Australia.
Abstract:
This paper discusses the impact of pre-payment versus free drug therapy on case-finding and treatment of tuberculosis patients. While the Kaduna State tuberculosis pilot project introduced fees mainly as a cost-recovery measure, evaluation of several cohorts revealed that while it led to a reduction in the proportion of diagnosed smear-positive patients that could afford treatment, it markedly enhanced compliance in those willing to pay. Ways to balance this trade-off are suggested.