The World Health Organization (WHO) estimated that every year 100 million people get into poverty
and other 150 million suffer due to payment made for health service. (1) In low income nations
10% cases entail ruinous costs due to illnesses. (2) In the resource deprived conditions patients and
their families are driven to economic burden due to the illness. Studies found that tuberculosis (TB)
the disease that occurs disproportionally to the poor put household on risk of impoverishment. A
review of health care expenditures reported that total economic burden due catastrophic cost to the
household of patients is dominated by the indirect cost elements. (3) A household victimized from
the catastrophic payment has to sacrifices other basic needs (such as food, school fees) or sell off
assets or to bring upon debt in order to deal with the economic consequences of direct and indirect
cost of TB.