“…A Malaysia study revealed that the average distance to the nearest public health care facility was approximately double that of the wealthiest quintile. 9 The strength of this study is that it was conducted in a state with a low GDP per capita and preponderance of BT hospitals that are representative of the population. It can be used to help ministries assess the effectiveness of their social health initiatives and the impact of the local infrastructure on patients with TDT, thereby reducing their OOP.…”