Table 2

Direct and indirect costs (in USD) from the onset of symptoms until confirmation/exclusion of TB among patients with confirmed and presumptive TB.

CostsAll n=200Confirmed n=100Presumptive n=100P value
Average number of visits (range)1.2 (1–5)1.3 (1–5)1.1 (1–3)
Median, (IQR)Median, (IQR)Median, (IQR)
Direct costs
 Diagnostic costs7.0 (2.3–8.8)7.0 (5.8–9.2)5.3 (1.4–7.0)<0.001
 Medication costs2.8 (1.4–8.0)2.8 (1.4–9.2)2.8 (1.4–7.4)0.873
 Food costs2.3 (1.4–4.2)3.2 (1.8–5.3)1.8 (1.0–2.5)<0.001
 Transport costs3.2 (1.8–5.5)3.2 (1.4–5.5)3.7 (1.8–6.00)0.154
 Informal payments2.3 (1.4–4.2)2.8 (2.3–7.4)2.1 (1.0–2.8)<0.001
 Other direct costs4.6 (2.3–9.7)4.6 (2.3–9.5)4.4 (2.3–9.7)0.567
Subtotal direct costs24.7 (16.1–42.4)27.4 (18.7–48.4)19.8 (13.8–33.9)0.02
Indirect costs (median, [IQR])
 Coping costs11.3 (4.6–23.1)11.5 (4.61–20.98)9.2 (4.6–27.7)0.765
 Income reduction15.7 (3.7–36.9)23.1 (6.9–55.4)9.2 (1.4–25.4)0.001
 Decreased production9.2 (1.4–23.06)10.0 (3.2–26.3)9.2 (0–16.8)0.137
 Less paid labour4.61 (0–12.0)5.07 (0–15.22)4.61 (0–9.2)0.467
 Other indirect costs8.5 (1.8–19.4)11.8 (1.4–23.1)6.5 (2.3–13.8)0.056
Subtotal indirect costs60.0 (25.1–141.1)66.9 (35.1–149.9)46.8 (20.1–115.3)0.006
Total costs83.0 (46.4–173.9)99.2 (64.3–190.0)67.11 (37.1–161.0)0.003
  • P values provided by Wilcoxon rank sum test.

  • IQR, Interquartile range, TB, tuberculosis; USD, United States Dollar (1 USD=2168 Tanzania shillings, exchange rates as of August 2016).