Out of pocket expenditure on tuberculosis in India: Do households face hardship financing?

摘要: Abstract Background In 2017, India accounted for 27 percent of the global burden on tuberculosis, and highest among top 30 countries with high TB burden. Despite expansion DOTS programme many households in incur expenditure towards treatment. Most studies have focused measuring catastrophic health TB. Catastrophic its impoverishment effects are difficult to calculate may misrepresent economic hardship. Methods This paper uses hardship financing, i.e. when a household sells assets or borrows money interest pay healthcare expenditure, as an indicator family it spends treatment using NSSO 71st Round 2014 data. Results Using national representative sample, estimated that 26.7% hospitalized cases 3.5% patients utilising outpatient care experience financing due country. 25.9% general population had sell used borrowings hospitalization expenses. Education head household, income, type facility used, number days were found be significant factors influencing financing. Conclusion Our study highlights even free 21.3% exposed suggesting need re-look at subsidy coverage tuberculosis The also suggests use alternative spending method index effectiveness control