MDR-TB patients in KwaZulu-Natal, South Africa: Cost-effectiveness of 5 models of care.

ABSTRACT:

Background

South Africa has a high burden of MDR-TB, and to provide accessible treatment the government has introduced different models of care. We report the most cost-effective model after comparing cost per patient successfully treated across 5 models of care: centralized hospital, district hospitals (2), and community-based care through clinics or mobile injection teams.

Methods

In an observational study five cohorts were followed prospectively. The cost analysis adopted a provider perspective and economic cost per patient successfully treated was calculated based on country protocols and length of treatment per patient per model of care. Logistic regression was used to calculate propensity score weights, to compare pairs of treatment groups, whilst adjusting for baselin

SUBMITTER: Loveday M 

PROVIDER: S-EPMC5906004 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature