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The economic effects of supporting tuberculosis-affected households in Peru

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dc.contributor.author Wingfield, Tom
dc.contributor.author Tovar, Marco A.
dc.contributor.author Huff, Doug
dc.contributor.author Boccia, Delia
dc.contributor.author Montoya, Rosario
dc.contributor.author Ramos, Eric
dc.contributor.author Lewis, James J.
dc.contributor.author Gilman, Robert Hugh
dc.contributor.author Evans, Carlton Anthony William
dc.date.accessioned 2019-02-06T14:48:08Z
dc.date.available 2019-02-06T14:48:08Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/5178
dc.description.abstract The 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. en_US
dc.language.iso eng
dc.publisher European Respiratory Society
dc.relation.ispartofseries European Respiratory Journal
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Health Care Costs en_US
dc.subject Adolescent en_US
dc.subject Adult en_US
dc.subject Child en_US
dc.subject Communicable Disease Control en_US
dc.subject Family Characteristics en_US
dc.subject Female en_US
dc.subject Health Policy en_US
dc.subject Humans en_US
dc.subject Income en_US
dc.subject Male en_US
dc.subject Mass Screening en_US
dc.subject Middle Aged en_US
dc.subject Models, Economic en_US
dc.subject Peru en_US
dc.subject Poverty en_US
dc.subject Public Health en_US
dc.subject Social Support en_US
dc.subject Socioeconomic Factors en_US
dc.subject Tuberculosis/diagnosis/economics/therapy en_US
dc.subject Young Adult en_US
dc.title The economic effects of supporting tuberculosis-affected households in Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1183/13993003.00066-2016
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.07
dc.relation.issn 1399-3003


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