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Reduce Costs of Tuberculosis Healthcare Management

With a tuberculosis (TB) prevalence rate of 253/100,000 among its population or a country TB incidence rate of 87,000 cases annually Uganda has a high TB burden. Worse still, according to the Uganda national TB survey, a significant proportion of pulmonary TB (PTB) patients in Uganda are unaware that they are in fact afflicted with an airborne disease that is highly infectious and which they continue to spread. This is because thousands of suspected PTB patients in Uganda are not getting tested for they are not proactively seeking PTB diagnostic services.

Even when PTB patients are tested and are confirmed with PTB, it is reported that a large number of confirmed PTB patients in Uganda are not proactively seeking treatment services. Health experts (Bwambale 2018), for example, estimate that as high as 40 percent of Ugandans that were confirmed to be TB infected in 2016, an estimated 41,000 people, did not seek TB medical care services.

A major reason as to why suspected PTB patients and confirmed PTB patients are not proactively seeking diagnostic and treatment services is the costs involved. This is among the emerging findings of a comprehensive qualitative investigation into PTB healthcare management in Uganda that was conducted by CPAR Uganda Ltd.

This policy brief is a proposition to the Government of Uganda, through the Health Committee of the Parliament of Uganda, to apply the Buy Uganda Build Uganda (BUBU) policy to TB healthcare management services in order to bring down the costs.

The full policy brief (5-page PDF document, including cover page and reference page) is available for downloading here.

You may also find it interesting to read CPAR Uganda Ltd’s first policy brief in series of its policy briefs on TB, and which is titled: “End Tuberculosis Now! TB is a Burden, an Enormous Health Challenge to the People, the Public Health System, and Uganda’s Economy”

Photo Credit:  Mr. Alex B. Okello, Finance Committee Chair, CPAR Uganda Ltd during preparations for the High Level Policy Workshops on Tuberculosis that CPAR Uganda Ltd held in December 2017 in Gulu


Tuberculosis: Working to Empower the Nations’ Diagnostic Efforts (TWENDE)
Disclaimer: This is among the products of the TWENDE project that is part of the EDCTP2 programme supported by the European Union.  Whereas, the EDCTP Association and the European Union provided funding for the TWENDE Project, the views herein expressed are not necessarily those of the EDCTP Association or those of the European Union.



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