Health system costs are likely to increase in initial phases of decentralizing services, but they are then expected to reduce over time. Initial investment costs may include costs related to infrastructure enhancement and capacity-building of health care providers and community engagement (See web annex 4). Recurring costs may include salaries, incentives, administrative costs, expanded information systems costs, and supervision and mentoring costs. Costs for patients and their families (e.g. for transport) may decrease.
Table 6.2 summarizes aspects to consider when planning for the provision of decentralized, familycentred, integrated TB services. These services are in addition to (and do not replace) centralized or specialized TB services.