STEPS – a patient centric and low-cost solution to ensure standards of TB care to patients reaching private sector in India

Table 5 Estimated Cost sheet for a private hospital diagnosing 100 TB patients in a year for implementing STEPS

Additional Expenses/ Business Loss to private hospital (USD)	Additional Returns to private hospitals (USD) per year^a
Telephone charges = (0.02 USD per call *1000 calls) = 20USD	18 TB patients, who were previously lost to follow up, return to hospital/spoke centre for average of 5 additional visits (3 USD consultation fee & 3.5 USD for follow up investigations and treatment of co-morbidity * 18 * 5 visits) = 585 USD
Loss due to forgone profit in TB Drugs = (2.5USD *100) =250
Loss due to forgone profit in Molecular tests for baseline Rifampicin testing (2USD*100) = 200 USD	Incentive for Providing Treatment Outcome (7 USD*60 additional outcome) = 420 USD
6000 Minutes of staff Nurse (12.5 working days) =103 USD	Incentive for TB Notification (7 USD*20 additional notification) = 140 USD
Total additional expense/business loss: 573 USD	Total Additional Returns: 1145 USD

^a Additional returns to hospitals through increased client load through referral of friends and relatives by loyal customers not calculated

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