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埃塞俄比亚与结核病相关的灾难性成本

A A Deribew¹, Z G Dememew¹, K M Alemu¹

¹United States Agency for International Development (USAID) Eliminate TB Project, Management Sciences for Health (MSH), Addis Ababa.

Public health action

|July 3, 2024

概括

在埃塞俄比亚,结核病相关的灾难性成本在干预措施后显著下降. 然而,成本仍然很高,需要采取进一步行动,以减少患者的财务负担.

科学领域:

公共卫生公共卫生
卫生经济学卫生经济学
结核病研究结核病研究

背景情况:

结核病 (TB) 在全球范围内给家庭带来了巨大的经济负担.
减少与结核病相关的灾难性成本是全球卫生倡议的关键目标.
埃塞俄比亚在特定地区实施了干预措施,以减轻这些成本.

研究的目的:

评估干预措施对减少结核病相关灾难性成本的影响.
测量埃塞俄比亚面临灾难性成本的家庭比例的变化.
确定结核病成本降低工作中的剩余挑战.

主要方法:

从2020年11月到2021年2月,在埃塞俄比亚四个地区的19个区域进行了基线调查.
干预措施包括安装诊断机器,改善连接,建立转诊系统和卫生工作者培训.
一项从10月到2022年12月的后续调查使用世卫组织的通用工具比较了灾难性成本.

主要成果:

面临灾难性成本的患者比例从64.7%降至43.8% (P < 0.0001).
直接的非医疗成本大幅下降,而医疗和间接成本增加.
总共有433名患者在基线和397名随访时接受了调查.

结论:

干预措施在两年内大大减少了结核病相关的灾难性成本.
尽管减少了成本,但成本仍然不可接受地高,并且在不同地区有所不同.
多部门方法,政策审查,去中心化和质量改进对于进一步降低成本至关重要.

关键词:

埃塞俄比亚埃塞俄比亚埃塞俄比亚灾难性的成本是灾难性的成本.结核病是一种肺结核病.

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