Kaurav Yogesh, Bharti Aditi
Directorate of Health Services, Bhopal, M.P., India.
Directorate of Health Services, Bhopal, M.P., India.
Indian J Tuberc. 2023 Apr;70(2):147-148. doi: 10.1016/j.ijtb.2023.01.003. Epub 2023 Jan 20.
Globally, one quarter of the population is infected with TB; and only a small proportion of those infected will become sick. Tuberculosis along with poverty disproportionately affects the households causing a financial burden and catastrophic costs (if the total costs incurred by a household's exceeds 20% of its annual income), which could be direct or indirect and procuring detrimental effects on the effective strategic plans. Out of all diseases, India accounts for 18% of the catastrophic health expenditure including tuberculosis. Therefore, an utmost need for a national cost survey either separately or combined with other health surveys should be held for the comprehension of the baseline burden of Tuberculosis in the affected households, to identify the predictors of catastrophic costs, and simultaneously, intensive research and appropriate innovations are needed to assess the effectiveness of the measures undertaken for the reduction of the proportionate patients who overlook catastrophic costs.
在全球范围内，四分之一的人口感染了结核病；而这些感染者中只有一小部分会发病。结核病与贫困一起，对家庭造成了不成比例的影响，带来了经济负担和灾难性费用（如果一个家庭的总费用超过其年收入的20%），这可能是直接的或间接的，并对有效的战略计划产生不利影响。在所有疾病中，印度占包括结核病在内的灾难性医疗支出的18%。因此，迫切需要单独或与其他健康调查相结合进行一次全国成本调查，以了解受影响家庭中结核病的基线负担，确定灾难性费用的预测因素，同时，需要进行深入研究和适当创新，以评估为减少忽视灾难性费用的患者比例而采取的措施的有效性。
