Universidad Peruana Cayetano Heredia

The Innovative Socio-economic Interventions Against Tuberculosis (ISIAT) project: An operational assessment

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dc.contributor.author Rocha, C.
dc.contributor.author Montoya, R.
dc.contributor.author Zevallos, K.
dc.contributor.author Curatola, A.
dc.contributor.author Ynga, W.
dc.contributor.author Franco, J.
dc.contributor.author Fernandez, F.
dc.contributor.author Becerra, N.
dc.contributor.author Sabaduche, M.
dc.contributor.author Tovar, M.A.
dc.contributor.author Ramos, E.
dc.contributor.author Tapley, A.
dc.contributor.author Allen, N.R.
dc.contributor.author Onifade, D.A.
dc.contributor.author Acosta, C.D.
dc.contributor.author Maritz, M.
dc.contributor.author Concha, D.F.
dc.contributor.author Schumacher, S.G.
dc.contributor.author Evans, Carlton Anthony William
dc.date.accessioned 2022-01-18T19:35:51Z
dc.date.available 2022-01-18T19:35:51Z
dc.date.issued 2011
dc.identifier.uri https://hdl.handle.net/20.500.12866/11220
dc.description.abstract Tuberculosis (TB) affected households in impoverished shantytowns, Lima, Peru. OBJECTIVE: To evaluate socio-economic interventions for strengthening TB control by improving uptake of TB care and prevention services. DESIGN: Barriers to TB control were characterised by interviews with TB-affected families. To reduce these barriers, a multidisciplinary team offered integrated community and household socio-economic interventions aiming to: 1) enhance uptake of TB care by education, community mobilisation and psychosocial support; and 2) reduce poverty through food and cash transfers, microcredit, microenterprise and vocational training. An interim analysis was performed after the socio-economic interventions had been provided for 2078 people in 311 households of newly diagnosed TB patients for up to 34 months. RESULTS: Poverty (46% earned <US$1 per day), depression (40%), stigmatisation (77%), and perceived isolation (39%) were common among TB patients (all P < 0.05 vs. non-patients). The project had 100% recruitment, and involved 97% of TB-affected households in regular visits, 71% in community groups, 78% in psychosocial support and 77% in poverty-reduction interventions. The socio-economic interventions were associated with increases in household contact TB screening (from 82% to 96%); successful TB treatment completion (from 91% to 97%); patient human immunodeficiency virus testing (from 31% to 97%); and completion of preventive therapy (from 27% to 87%; all P < 0.0001). CONCLUSIONS: Socio-economic interventions can strengthen TB control activities. en_US
dc.language.iso eng
dc.publisher International Union Against Tuberculosis and Lung Disease
dc.relation.ispartofseries International Journal of Tuberculosis and Lung Disease
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Humans en_US
dc.subject Peru en_US
dc.subject Risk Assessment en_US
dc.subject Risk Factors en_US
dc.subject major clinical study en_US
dc.subject priority journal en_US
dc.subject Communicable Disease Control en_US
dc.subject intervention study en_US
dc.subject Socioeconomic Factors en_US
dc.subject depression en_US
dc.subject Community Networks en_US
dc.subject Health Knowledge, Attitudes, Practice en_US
dc.subject Poverty en_US
dc.subject Health Behavior en_US
dc.subject Social Support en_US
dc.subject social aspect en_US
dc.subject Income en_US
dc.subject Time Factors en_US
dc.subject Tuberculosis en_US
dc.subject household en_US
dc.subject Nutritional Status en_US
dc.subject outcome assessment en_US
dc.subject multidrug resistant tuberculosis en_US
dc.subject social status en_US
dc.subject Developing Countries en_US
dc.subject vocational education en_US
dc.subject laboratory diagnosis en_US
dc.subject health care financing en_US
dc.subject patient care en_US
dc.subject Health Services Accessibility en_US
dc.subject Program Evaluation en_US
dc.subject psychosocial care en_US
dc.subject Patient Acceptance of Health Care en_US
dc.subject Health Promotion en_US
dc.subject extensively drug resistant tuberculosis en_US
dc.subject screening en_US
dc.subject stigma en_US
dc.subject Patient Education as Topic en_US
dc.subject Control en_US
dc.subject Financial Management en_US
dc.subject Health Care Costs en_US
dc.subject health insurance en_US
dc.subject Microcredit en_US
dc.subject Poverty Areas en_US
dc.subject Small Business en_US
dc.subject Social determinants en_US
dc.subject tuberculosis control en_US
dc.subject Vocational Education en_US
dc.title The Innovative Socio-economic Interventions Against Tuberculosis (ISIAT) project: An operational assessment en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.5588/ijtld.10.0447
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.07
dc.relation.issn 1815-7920


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