Estimating the pre- and post-diagnosis costs of tuberculosis for adults in Pakistan: household economic impact and costs mitigating strategies

Table 4 Summary of direct and indirect median costs [IQR] associated with TB care among adult (≥ 18 years) patients at public healthcare facilities with TB care in Karachi, Pakistan (n = 516)

Total costs		Direct medical costs		Direct non-medical costs		Indirect costs
USD	PKR	USD	PKR	USD	PKR	USD	PKR
Costs summary for outpatient care (n = 516)
Pre-diagnostic costs (median costs [IQR])
63.8 [44.7–90.5]	7377 [5168–10450]	25 [12.1–35]	2875 [1400–4000]	5.2 [4.3–6.5]	600 [500–750]	29.2 [19.5–47]	3375 [2250- 5400]
Diagnostic costs (median costs [IQR])
24 [15–35.5]	2755 [1686–4095]	8.0 [0.3–18.2]	900 [40–2100]	4.3 [3.0–12.1]	500 [350–1400]	6.5 [4.0–9.5]	750 [450–1100]
Treatment costs (median costs [IQR])
10.5 [6.5–15.6]	1217 [750–1800]	0.00 [0 – 0]	0.00 [0–0]	3.1 [1.7–5.5]	355 [200–637]	6.0 [3.5–10.1]	698 [400–1170]
Follow up costs (median costs [IQR])
15.7 [8.8–32.4]	1816 [1020–3747]	2.7 [1.3–9.0]	315 [150–1035]	3.5 [1.3–7.8]	400 [150–900]	4.9 [2.6–8.7]	561 [300–1000]
Total household costs (median costs [IQR])
129.2 [99.0–172.2]	14,919 [11415–19892]	42.0 [26.4–68.4]	4835 [3050–7895]	22.8 [15.6–3.63]	2635 [1800–4187]	52.0 [36.1–72.0]	5950 [4172–8304]
Costs summary for Inpatient care (n = 91)
349.0 [147.2–463.2]	40,300 [17000–53500]	284.0 [121.2–450.2]	32,800 [14000–52000]	56.3 [23.4–130.0]	6500 [2700–15000]	8.7 [4.7–18.2]	1000 [540–2100]

ISSN: 2397-0642