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Health service use and household expenditure during terminal illness due to AIDS in rural Tanzania by Juliana Ngalula; Mark Urassa; Gabriel Mwaluko; Raphael Isingo; J. Ties Boerma is a Medicine article available to read on EtoBox.

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## Summary Most knowledge about health seeking behaviour during terminal illness among people with HIV/AIDS in Africa is derived from health facility based studies. This study uses data from a longitudinal community study in a rural area in north‐west Tanzania, where interviews were conducted on health seeking behaviour and expenditure with relatives who lost an adult family member in recent months. HIV status and verbal autopsy were used to assess if service use differed by cause of death. During terminal illness, people with HIV/AIDS made extensive use of both traditional and modern health services, and more so than people who died from other causes. The main factor associated with this difference was the longer duration of illness. Expenses associated with HIV/AIDS terminal illness were higher than for other causes of death, largely because of the longer duration of illness. The direct medical costs were about 1.5 times higher than the funeral costs and the sum of the medical and funeral costs exceeded the estimated annual household income per capita in this population. In conclusion, the rapid increase in numbers of terminally ill adults as a result of HIV/AIDS is likely to lea

Who reads Health service use and household expenditure during terminal illness due to AIDS in rural Tanzania?

Author

Juliana Ngalula; Mark Urassa; Gabriel Mwaluko; Raphael Isingo; J. Ties Boerma

Publisher

John Wiley and Sons; Wiley (Blackwell Publishing); Blackwell Publishing Inc.; Wiley; ScienceOpen (ISSN 1360-2276)

Published

2002

Language

EN

Field

Medicine (Health Sciences)