Author(s)

Júlia Malache António^1*, Isaías Benzana^2*, Isabelle Munyangaju^3,4#, Benedita José⁵, Dulce Osório⁴, Edy Nacarapa⁴, Claudia Mutaquiha⁵, Simeão Nhabinde⁶, Pereira Zindoga⁵

¹Universidade Católica de Moçambique, Beira, Moçambique.
²Centro de Estudos e Apoio Psicológico (CEAP), Universidade Eduardo Mondlane, Maputo, Moçambique.
³ISGlobal, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain.
⁴Tinpswalo Association, Vincentian Association to Fight AIDS and TB, Chokwe, Mozambique.
⁵Programa Nacional de Controlo da Tuberculose, Ministério da Saúde de Moçambique, Maputo, Mozambique.
⁶Faculdade de Economia, Universidade Eduardo Mondlane, Maputo, Moçambique.

Introduction: Socioeconomic and demographic conditions in a country can influence tuberculosis incidence and mortality, with nearly 95% of tuberculosis-related deaths occurring in poorer countries. Mozambique is among the 30 countries with the highest TB burden. Objective: The study aimed to estimate the average direct medical cost of treating drug-resistant tuberculosis in 19 health centers in Maputo City, Mozambique. Methods: A retrospective analysis of direct medical costs was conducted on patients aged 18 and older who completed 20-month drug-resistant tuberculosis treatment regimens in Maputo City in 2019. Results: This analysis covered 140 patients who completed a 20-month treatment regimen, with 64.3% (78) being male and 35.7% (62) female. Approximately 50% of the participants were aged between 29 and 47. The average direct medical cost of DRTB treatment was $4789.43, reaching up to $6568.00, with a standard deviation of $753.26, including clinical interventions and treatment. Conclusion: The direct medical costs for a basic treatment package for a patient with drug-resistant TB in Mozambique equal 36 minimum wages. Developing alternative and innovative funding mechanisms and identifying ways to mitigate costs through the use of generic medicines would be beneficial.

Antitubercular Agents, Multidrug-Resistant, Healthcare Costs, Tuberculosis, Mozambique

António, J.M., Benzana, I., Munyangaju, I., José, B., Osório, D., Nacarapa, E., Mutaquiha, C., Nhabinde, S. and Zindoga, P. (2024) An Analysis of the Accounting Costs Associated with 20-Month DR TB Regimens in Maputo City, Mozambique. Journal of Tuberculosis Research, 12, 73-90. doi: 10.4236/jtr.2024.122005.