Patient Perspectives and Willingness to Accept Incentives for Tuberculosis Diagnostic Evaluation in Uganda

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dc.contributor.authorKadota, Jillian L.
dc.contributor.authorNabwire, Sarah
dc.contributor.authorNalugwa, Talemwa
dc.contributor.authorWhite, Justin S.
dc.contributor.authorCattamanchi, Adithya
dc.contributor.authorKatamba, Achilles
dc.contributor.authorShete, Priya B.
dc.date.accessioned2023-01-18T18:51:44Z
dc.date.available2023-01-18T18:51:44Z
dc.date.issued2021
dc.description.abstractWe assessed attitudes and perceptions and willingness to accept (WTA) varying incentive structures for completing tuberculosis (TB) diagnostic evaluation among patients in Uganda. Methods:We surveyed 177 adult patients undergoing TB evaluation at 10 health centers between September 2018 and March 2019. We collected household sociodemographic information and assessed attitudes and perceptions of incentives. We surveyed patients regarding their willingness to complete TB diagnostic evaluation in exchange for incentives ranging in value from 500 Ugandan shillings (USh) to 25 000USh (~$0.15-$6.75). We compared associations between WTA and patient characteristics using ordered logistic regression. Results: Participant willingness to return to the health center to complete TB diagnostic evaluation increased proportionally with incentive amount. The median participant accepted between 2000 and 5000 USh. Cash (52%) and transportation vouchers (34%) were the most popular incentive types. Half of respondents preferred unconditional incentives; for a multiday evaluation, 84% preferred conditioning incentive receipt upon returning to the health center. In multivariate models, we found the pairwise difference between the third and lowest income quartile (aOR = 2.38, 95% CI: 1.20-4.69; P = .01), younger age, and difficulty returning to the health center to be significantly associated with WTA higher incentive thresholds. Conclusions: In Uganda, incentives such as cash transfers or transportation vouchers are an acceptable intervention for facilitating adherence to TB diagnostic evaluation. Household income is associated with preferred incentive structure and amount, especially for those at the cusp of the poverty threshold who are more likely to prefer unconditional and higher valued incentives. Targeted and context-specific socioeconomic supports for at-risk patients are needed to optimize outcomes.en_US
dc.identifier.citationKadota, J. L., Nabwire, S., Nalugwa, T., White, J. S., Cattamanchi, A., Katamba, A., & Shete, P. B. (2021). Patient perspectives and willingness to accept incentives for tuberculosis diagnostic evaluation in Uganda. Value in Health Regional Issues, 25, 48-56.en_US
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S221210992100008X
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/7060
dc.language.isoenen_US
dc.publisherValue in Health Regional Issuesen_US
dc.subjectTuberculosisen_US
dc.subjectIncentivesen_US
dc.subjectSocial protectionen_US
dc.subjectWillingness to accepten_US
dc.titlePatient Perspectives and Willingness to Accept Incentives for Tuberculosis Diagnostic Evaluation in Ugandaen_US
dc.typeArticleen_US
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