dc.date.accessioned2019-02-06T14:48:08Z
dc.date.available2019-02-06T14:48:08Z
dc.date.created2019-02-06T14:48:08Z
dc.date.issued2016
dc.identifierhttps://hdl.handle.net/20.500.12866/5178
dc.identifierhttps://doi.org/10.1183/13993003.00066-2016
dc.description.abstractThe End TB Strategy mandates that no tuberculosis (TB)-affected households face catastrophic costs due to TB. However, evidence is limited to evaluate socioeconomic support to achieve this change in policy and practice. The objective of the present study was to investigate the economic effects of a TB-specific socioeconomic intervention. The setting was 32 shantytown communities in Peru. The participants were from households of consecutive TB patients throughout TB treatment administered by the national TB programme. The intervention consisted of social support through household visits and community meetings, and economic support through cash transfers conditional upon TB screening in household contacts, adhering to TB treatment/chemoprophylaxis and engaging with social support. Data were collected to assess TB-affected household costs. Patient interviews were conducted at treatment initiation and then monthly for 6 months. From February 2014 to June 2015, 312 households were recruited, of which 135 were randomised to receive the intervention. Cash transfer total value averaged US$173 (3.5% of TB-affected households' average annual income) and mitigated 20% of households' TB-related costs. Households randomised to receive the intervention were less likely to incur catastrophic costs (30% (95% CI 22–38%) versus 42% (95% CI 34–51%)). The mitigation impact was higher among poorer households. The TB-specific socioeconomic intervention reduced catastrophic costs and was accessible to poorer households. Socioeconomic support and mitigating catastrophic costs are integral to the End TB strategy, and our findings inform implementation of these new policies.
dc.languageeng
dc.publisherEuropean Respiratory Society
dc.relationEuropean Respiratory Journal
dc.relation1399-3003
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectHealth Care Costs
dc.subjectAdolescent
dc.subjectAdult
dc.subjectChild
dc.subjectCommunicable Disease Control
dc.subjectFamily Characteristics
dc.subjectFemale
dc.subjectHealth Policy
dc.subjectHumans
dc.subjectIncome
dc.subjectMale
dc.subjectMass Screening
dc.subjectMiddle Aged
dc.subjectModels, Economic
dc.subjectPeru
dc.subjectPoverty
dc.subjectPublic Health
dc.subjectSocial Support
dc.subjectSocioeconomic Factors
dc.subjectTuberculosis/diagnosis/economics/therapy
dc.subjectYoung Adult
dc.titleThe economic effects of supporting tuberculosis-affected households in Peru
dc.typeinfo:eu-repo/semantics/article


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