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A cost-effectiveness analysis of alternative tuberculosis control programs in rural Zambia
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 per...
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| Format: | Thesis |
| Language: | English |
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Health Economics Unit
2015
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| _version_ | 1867613140071481344 |
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| access_status_str | Open Access |
| author | Chipeta, Kettie |
| author_browse | Chipeta, Kettie |
| author_facet | Chipeta, Kettie |
| author_sort | Chipeta, Kettie |
| collection | Thesis |
| description | 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. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/12492 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:31:24.573Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2015 |
| publishDateRange | 2015 |
| publishDateSort | 2015 |
| publisher | Health Economics Unit |
| publisherStr | Health Economics Unit |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/12492 A cost-effectiveness analysis of alternative tuberculosis control programs in rural Zambia Chipeta, Kettie Health Economics 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. 2015-02-17T12:54:24Z 2015-02-17T12:54:24Z 1999 Master Thesis Masters MA http://hdl.handle.net/11427/12492 eng application/pdf Health Economics Unit Faculty of Health Sciences University of Cape Town |
| spellingShingle | Health Economics Chipeta, Kettie A cost-effectiveness analysis of alternative tuberculosis control programs in rural Zambia |
| thesis_degree_str | Master's |
| title | A cost-effectiveness analysis of alternative tuberculosis control programs in rural Zambia |
| title_full | A cost-effectiveness analysis of alternative tuberculosis control programs in rural Zambia |
| title_fullStr | A cost-effectiveness analysis of alternative tuberculosis control programs in rural Zambia |
| title_full_unstemmed | A cost-effectiveness analysis of alternative tuberculosis control programs in rural Zambia |
| title_short | A cost-effectiveness analysis of alternative tuberculosis control programs in rural Zambia |
| title_sort | cost effectiveness analysis of alternative tuberculosis control programs in rural zambia |
| topic | Health Economics |
| url | http://hdl.handle.net/11427/12492 |
| work_keys_str_mv | AT chipetakettie acosteffectivenessanalysisofalternativetuberculosiscontrolprogramsinruralzambia AT chipetakettie costeffectivenessanalysisofalternativetuberculosiscontrolprogramsinruralzambia |