Health system costs of providing outpatient care for diabetes in people with TB in the Philippines
Yamanaka, T;
Castro, MC;
Ferrer, JP;
Solon, JA;
Cox, SE;
Laurence, YV;
Vassall, A;
(2024)
Health system costs of providing outpatient care for diabetes in people with TB in the Philippines.
IJTLD Open, 1 (3).
pp. 124-129.
ISSN 3005-7590
DOI: https://doi.org/10.5588/ijtldopen.23.0554
Permanent Identifier
Use this Digital Object Identifier when citing or linking to this resource.
<sec><title>BACKGROUND</title>Diabetes mellitus (DM) is a known risk factor for active TB. A key activity in the Philippines is to integrate TB services with other disease programmes, with a target of DM screening in 90% of TB cases. However, costs of providing
DM outpatient services for TB patients are not well known.</sec><sec><title>METHODS</title>We estimated the costs of providing integrated DM outpatient services within TB services from the health system perspective. Resources for outpatient DM services were valued
using the bottom-up approach for capital goods, staff time and consumables. Resource quantities were obtained by interviewing 60 healthcare professionals in 11 health facilities in the Philippines.</sec><sec><title>RESULTS</title>The mean cost per service ranged
from USD0.53 for DM risk assessment to USD23.72 for oral glucose tolerance test. The cost per case detected for different algorithms varied from USD17.43 to USD80.81. The monthly cost per patient was estimated at USD8.95 to USD12.36.</sec><sec><title>CONCLUSION</title>Our
study provides the first estimates of costs for providing integrated DM outpatient services and TB care in a low- and middle-income country. The costs of DM detection in TB patients suggests that it may be useful to further investigate the cost-effectiveness and affordability of service delivery.</sec>