Abstract

One-third of the world’s burden of tuberculosis (TB), or about 4.9 million prevalent cases, is found in the World Health Organization (WHO) South-East Asia Region (http://www.who.int/about/regions/searo).The disease, which is most common among people in their productive years,1 has a huge economic impact. For instance, in 2006, TB caused India to lose an estimated 23.7 billion United States dollars.2 In a region where one-fourth of the world’s poorest live,3 TB can lead to catastrophic out-of-pocket expenditure4 and cause patients to lose an average of 3 to 4 months’ wages due to illness-related absence from work.5

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