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Free Content Costs of providing tuberculosis diagnosis and treatment services in 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: Viet Nam; costs; diagnosis; treatment; tuberculosis

Document Type: Research Article

Affiliations: 1: Center for Population Health Sciences, Hanoi University of Public Health, Hanoi 2: National Lung Disease Hospital, Hanoi 3: Hanoi Medical University, Hanoi 4: World Health Organization Viet Nam, Hanoi, Viet Nam

Publication date: September 1, 2017

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  • The International Journal of Tuberculosis and Lung Disease (IJTLD) is for clinical research and epidemiological studies on lung health, including articles on TB, TB-HIV and respiratory diseases such as COVID-19, asthma, COPD, child lung health and the hazards of tobacco and air pollution. Individuals and institutes can subscribe to the IJTLD online or in print – simply email us at [email protected] for details.

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