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Title: Expenditure On Cancer Diagnosis And Treatment And Impact On Household Economy : A study in Aizawl district, Mizoram
Authors: C Remsangpuii
Keywords: School of Health Systems Studies
Gowri, V.
Cancer - Household Economy
Issue Date: 2019
Abstract: Cancer is a non-communicable diseases which affected many people globally and India. It is a diseases where the cell multiplied in different sites of the body and can metastasite ( travel ) to other parts of body. The rising rate of Cancer had led to increasing in spending on health care in India. The diseases require different modes of treatment which are usually very expensive and require repeated treatment and needs follow up often. The increasing epidemic of different types of cancer in Mizoram state had resulted in a huge spending for treatment for the patient family. The financial effect can vary from financial status of family, place of treatment, the type of treatment as well as the staging of diseases. Aizawl district have the highest rate of different types of cancer among different state of India and other district of Mizoram state have also high incidence rate for different sites. This study tries to determine the expenditure of diagnosis and treatment of four commonest type of cancer which are Lung cancer, Esophagus cancer, Stomach cancer and Cervix cancer in Aizawl district of Mizoram. It also tries to determine the financial burden on the family economy and the different coping mechanism used by the family to cover the expenses. From the study it has been observed that there is only 3 places where patient can get treatment inside the state which all are located in Aizawl. A large number of patients used to go outside the state for treatment. There is a huge difference in expenditure between the patient taking treatment in the state and outside the state. Direct cost is found to be more among patients taking treatment from Aizawl whereas indirect cost is found to be more among patient taking treatment from outside the state as they have to pay for food, lodging and transportation. Catastrophic expenditure for 10% of non – food consumption is seen for every patient who is currently taking treatment. Most of the family had paid through OOP and savings for the expenses. To reduce the burden on the affected family there should be a reduction on the cost of chemotherapy in Aizawl, insurance claim should be processed more quicker, tobacco consumption should be reduced as most of the common cancer is related with tobacco consumtion. Government can consider Public – Private Partnership for efficient treatment places.
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