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Submitted: 01 November 2007 Modified: 17 January 2019
HERDIN Record #: PCHRD103107111014

Economic analysis of public-private mix DOTS in Manila, Philippines.

R Vianzon,
K Floyd ,
M N. Voniatis,
J Y. Lagahid,
F La Puebla,
J M. Olive,
J Fourier

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Public-Private Mix DOTS (PPMD) was adopted as national strategy (2003) to increase case detection, and harmonise Tuberculosis management. An economic analysis of PPMD was conducted to: (1) identify the average cost per treated patient under PPMD; (2) identify differences in costs among different type of PPMD Units (public, private, non-governmental organizations and health maintenance organizations); and (3) identify the socio-economic class of patients utilizing the PPMD units. Of 16 PPMD units in Metro Manila 8 were selected randomly. Data and information were collected from 90.1% of the patients enrolled for treatment and from the units' staff. Average cost per successfully treated case was US$ 382.87 for all units. Private units offered treatment for lower cost (average US$ 252.12) serving low-income populations and public the highest cost (average US$ 468.58). The median monthly family income was US$ 272.30 and 60.70 percent of the patients were out of work during treatment. Seventy percent indicated that they used PPMD because of the provision of free drugs. This study demonstrated that PPMD offered relatively low cost DOTS services, particularly by private PPMD units, that were accessed primarily by families with low income.


OBJECTIVES: An economic analysis of PPMD was conducted to:


(1) identify the average cost per treated patient under PPMD;

(2) identify differences in costs among different type of PPMD Units (public, private, non-governmental organizations and health maintenance organizations); and

(3) identify the socio-economic class of patients utilizing the PPMD units.

Publication Type
Proceedings
Publication Sub Type
Forum
Title
7th Health Research for Action National Forum
Date
September 28-29, 2006
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Abstract Print Format (Request Document)