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Free Content Implementing tuberculosis control programmes in Kaduna State, Nigeria [Notes from the Field]

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This paper discusses the impact of pre-payment versus free drug therapy on case-finding and treatment of tuberculosis patients. While the Kaduna State tuberculosis pilot project introduced fees mainly as a cost-recovery measure, evaluation of several cohorts revealed that while it led to a reduction in the proportion of diagnosed smear-positive patients that could afford treatment, it markedly enhanced compliance in those willing to pay. Ways to balance this trade-off are suggested.

Keywords: case finding; compliance; pre-payment fees; tuberculosis

Document Type: Short Communication

Affiliations: School of Health Services Management, Faculty of Medicine, University of New South Wales, Sydney, Australia

Publication date: April 1, 1998

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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