Patient-incurred costs in a differentiated service delivery club intervention compared to standard clinical care in Northwest Tanzania.

ABSTRACT:

Introduction

Placing all clients with a positive diagnosis for HIV on antiretroviral therapy (ART) has cost implications both for patients and health systems, which could, in turn, affect feasibility, sustainability and uptake of new services. Patient-incurred costs are recognized barriers to healthcare access. Differentiated service delivery (DSD) models in general and community-based care in particular, could reduce these costs. We aimed to assess patient-incurred costs of a community-based DSD intervention (clubs) compared to clinic-based care in the Shinyanga region, Tanzania.

Methods

Cross-sectional survey among stable ART patients (n = 390, clinic-based; n = 251, club-based). For each group, we collected socio-demographic, income and expenditure data between May and Au

SUBMITTER: Okere NE 

PROVIDER: S-EPMC8222647 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature