Research Article

Cost of Tuberculosis Care in Programmatic Settings from Karnataka, India: Is It Catastrophic for the Patients?

Table 4

Direct and indirect costs during postdiagnostic periods and coping costs incurred by TB patients in the three selected urban TB units of Karnataka, India (2017-2018).

VariablesMedian (range) in INR
Davangere ()Belagavi ()Bengaluru ()Total ()

Postdiagnostic costs800 (400-18500)700 (300-21500)5000 (850-41900)4000 (300-41900)
(a) Direct cost: medical800 (0-5800)600 (0-3000)1040 (0-6000)800 (0-6000)
 Consultation charges§0 (0-450)0 (0-400)0 (0-2000)100 (0-2000)
 Laboratory investigations¥§0 (0-1300)0 (0-900)0 (0-2900)500 (0-2900)
 Drug cost0 (0-900)0 (0-1500)00
 Health supplements400 (0-2000)450 (0-1800)600 (0-6000)400 (0-6000)
 Administrative cost due to hospitalization§0 (0-1500)0 (0-2000)0 (0-14000)1200 (0-14000)
(b) Direct cost: nonmedical800 (0-1500)1200 (0-2500)1500 (0-9700)700 (0-9700)
 Transportation350 (0-700)250 (0-500)650 (0-2700)500 (0-2700)
 Food200 (0-400)300 (0-700)650 (0-2300)450 (0-2300)
 Accommodation§00 (0-450)00 (0-700)0 (0-3000)700 (0-3000)
 Guardian cost150 (0-250)200 (0-500)180 (0-3000)200 (0-3000)
(c) Indirect500 (0-8000)300 (0-10000)0 (0-40000)400 (0-40000)
 Total indirect: foregone income§0 (0-8000)0 (0-10000)0 (0-40000)2000 (0-40000)
 Coping costs§0 (0-15000)0 (0-10000)0 (0-10000)1000 (0-15000)

§As majority had zero cost, median cost is zero. ¥Sputum, X-ray, CT scan, magnetic resonance imaging, fine needle aspiration cytology, ultrasound-guided biopsy, and bronchoalveolar lavage. Protein powders/vitamins/eggs/fruits/nonvegetarian food.