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Towards cash transfer interventions for tuberculosis prevention, care and control: key operational challenges and research priorities

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dc.contributor.author Boccia, Delia
dc.contributor.author Pedrazzoli, Debora
dc.contributor.author Wingfield, Tom
dc.contributor.author Jaramillo, Ernesto
dc.contributor.author Lonnroth, Knut
dc.contributor.author Lewis, James
dc.contributor.author Hargreaves, James
dc.contributor.author Evans, Carlton-A.
dc.date.accessioned 2019-02-06T14:51:17Z
dc.date.available 2019-02-06T14:51:17Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/5193
dc.description.abstract BACKGROUND: Cash transfer interventions are forms of social protection based on the provision of cash to vulnerable households with the aim of reduce risk, vulnerability, chronic poverty and improve human capital. Such interventions are already an integral part of the response to HIV/AIDS in some settings and have recently been identified as a core element of World Health Organization's End TB Strategy. However, limited impact evaluations and operational evidence are currently available to inform this policy transition. DISCUSSION: This paper aims to assist national tuberculosis (TB) programs with this new policy direction by providing them with an overview of concepts and definitions used in the social protection sector and by reviewing some of the most critical operational aspects associated with the implementation of cash transfer interventions. These include: 1) the various implementation models that can be used depending on the context and the public health goal of the intervention; 2) the main challenges associated with the use of conditionalities and how they influence the impact of cash transfer interventions on health-related outcomes; 3) the implication of targeting diseases-affected households and or individuals versus the general population; and 4) the financial sustainability of including health-related objectives within existing cash transfer programmes. We aimed to appraise these issues in the light of TB epidemiology, care and prevention. For our appraisal we draw extensively from the literature on cash transfers and build upon the lessons learnt so far from other health outcomes and mainly HIV/AIDS. CONCLUSIONS: The implementation of cash transfer interventions in the context of TB is still hampered by important knowledge gaps. Initial directions can be certainly derived from the literature on cash transfers schemes and other public health challenges such as HIV/AIDS. However, the development of a solid research agenda to address persisting unknowns on the impact of cash transfers on TB epidemiology and control is vital to inform and support the adoption of the post-2015 End TB strategy. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartof urn:issn:1471-2334
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Cash transfer en_US
dc.subject Co-financing en_US
dc.subject Conditionality en_US
dc.subject Family Characteristics en_US
dc.subject Financial Support en_US
dc.subject Health Policy en_US
dc.subject Implementation en_US
dc.subject Poverty en_US
dc.subject Social protection en_US
dc.subject Targeting en_US
dc.subject Tuberculosis en_US
dc.subject Vulnerable Populations en_US
dc.subject Antitubercular Agents/therapeutic use en_US
dc.subject Early Diagnosis en_US
dc.subject Early Medical Intervention en_US
dc.subject Humans en_US
dc.subject Public Health en_US
dc.subject Social Determinants of Health en_US
dc.subject Tuberculosis/diagnosis/drug therapy/prevention & control en_US
dc.subject World Health Organization en_US
dc.title Towards cash transfer interventions for tuberculosis prevention, care and control: key operational challenges and research priorities en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s12879-016-1529-8
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.08


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