Costs of providing tuberculosis diagnosis and treatment services in Viet Nam
H. V. Minh,* V. Q. Mai,* N. V. Nhung,† L. V. Hoi,† K. B. Giang,‡ L. H. Chung,* V. D. Kien,*
N. T. Duyen,* N. B. Ngoc,* T. T. Anh,* T. B. Phuong,* T. T. Ngan,* P. H. Khanh§
*Center for Population Health Sciences, Hanoi University of Public Health, Hanoi, †National Lung Disease Hospital,
Hanoi, ‡Hanoi Medical University, Hanoi, §World Health Organization Viet Nam, Hanoi, Viet Nam
Objective: To estimate the cost of providing tuberculosis (TB) diagnosis and treatment packages at different levels of health facilities in Viet Nam. Design: This was a retrospective costing study from the providers’ perspective using a standard costing approach. We included typical services for TB diagnosis and treatment based on standard protocols. Results: The least expensive TB service was the 6- month isoniazid preventive therapy regimen for latent tuberculous infection provided by district health centres (US$7.20–14.30, accounting for 0.3–0.7% of Viet Nam’s per capita gross domestic product [GDP] of US$2052.30 in 2014). The cost of diagnosing and treating a patient with drug-susceptible TB (the most common type of TB) ranged between US$51.20 and US$180.70, and represented 2.5–8.8% of Viet Nam’s per capita GDP in 2014. The most expensive TB service was the diagnosis and treatment of a multidrug-resistant TB case (US$1568.20–2391.20), accounting for 76.4– 116.5% of Viet Nam’s per capita GDP in 2014). Conclusion: The cost of TB diagnosis and treatment services in Viet Nam varied according to level of health facility, type of TB, different costing options, and different staff cost scenarios.
Keywords: costs; tuberculosis; diagnosis; treatment; Viet Nam
Nguồn: Viện Khoa học Sức khỏe (NIHS), Bệnh viện Bạch Mai