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Developing Feasible, Locally Appropriate Socioeconomic Support for TB-Affected Households in Nepal

Tuberculosis (TB), the leading single infectious diseases killer globally, is driven by poverty. Conversely, having TB worsens impoverishment. During TB illness, lost income and out-of-pocket costs can become “catastrophic”, leading patients to abandon treatment, develop drug-resistance, and die. WH...

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Autores principales: Rai, Bhola, Dixit, Kritika, Prasad Aryal, Tara, Mishra, Gokul, Teixeira de Siqueira-Filha, Noemia, Paudel, Puskar Raj, Levy, Jens W., van Rest, Job, Gurung, Suman Chandra, Dhital, Raghu, Lönnroth, Knut, Squire, S Bertel, Caws, Maxine, Wingfield, Tom
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7345977/
https://www.ncbi.nlm.nih.gov/pubmed/32532101
http://dx.doi.org/10.3390/tropicalmed5020098
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author Rai, Bhola
Dixit, Kritika
Prasad Aryal, Tara
Mishra, Gokul
Teixeira de Siqueira-Filha, Noemia
Paudel, Puskar Raj
Levy, Jens W.
van Rest, Job
Gurung, Suman Chandra
Dhital, Raghu
Lönnroth, Knut
Squire, S Bertel
Caws, Maxine
Wingfield, Tom
author_facet Rai, Bhola
Dixit, Kritika
Prasad Aryal, Tara
Mishra, Gokul
Teixeira de Siqueira-Filha, Noemia
Paudel, Puskar Raj
Levy, Jens W.
van Rest, Job
Gurung, Suman Chandra
Dhital, Raghu
Lönnroth, Knut
Squire, S Bertel
Caws, Maxine
Wingfield, Tom
author_sort Rai, Bhola
collection PubMed
description Tuberculosis (TB), the leading single infectious diseases killer globally, is driven by poverty. Conversely, having TB worsens impoverishment. During TB illness, lost income and out-of-pocket costs can become “catastrophic”, leading patients to abandon treatment, develop drug-resistance, and die. WHO’s 2015 End TB Strategy recommends eliminating catastrophic costs and providing socioeconomic support for TB-affected people. However, there is negligible evidence to guide the design and implementation of such socioeconomic support, especially in low-income, TB-endemic countries. A national, multi-sectoral workshop was held in Kathmandu, Nepal, on the 11th and 12th September 2019, to develop a shortlist of feasible, locally appropriate socioeconomic support interventions for TB-affected households in Nepal, a low-income country with significant TB burden. The workshop brought together key stakeholders in Nepal including from the Ministry of Health and Population, Department of Health Services, Provincial Health Directorate, Health Offices, National TB Program (NTP); and TB/Leprosy Officers, healthcare workers, community health volunteers, TB-affected people, and external development partners (EDP). During the workshop, participants reviewed current Nepal NTP data and strategy, discussed the preliminary results of a mixed-methods study of the socioeconomic determinants and consequences of TB in Nepal, described existing and potential socioeconomic interventions for TB-affected households in Nepal, and selected the most promising interventions for future randomized controlled trial evaluations in Nepal. This report describes the activities, outcomes, and recommendations from the workshop.
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spelling pubmed-73459772020-07-14 Developing Feasible, Locally Appropriate Socioeconomic Support for TB-Affected Households in Nepal Rai, Bhola Dixit, Kritika Prasad Aryal, Tara Mishra, Gokul Teixeira de Siqueira-Filha, Noemia Paudel, Puskar Raj Levy, Jens W. van Rest, Job Gurung, Suman Chandra Dhital, Raghu Lönnroth, Knut Squire, S Bertel Caws, Maxine Wingfield, Tom Trop Med Infect Dis Meeting Report Tuberculosis (TB), the leading single infectious diseases killer globally, is driven by poverty. Conversely, having TB worsens impoverishment. During TB illness, lost income and out-of-pocket costs can become “catastrophic”, leading patients to abandon treatment, develop drug-resistance, and die. WHO’s 2015 End TB Strategy recommends eliminating catastrophic costs and providing socioeconomic support for TB-affected people. However, there is negligible evidence to guide the design and implementation of such socioeconomic support, especially in low-income, TB-endemic countries. A national, multi-sectoral workshop was held in Kathmandu, Nepal, on the 11th and 12th September 2019, to develop a shortlist of feasible, locally appropriate socioeconomic support interventions for TB-affected households in Nepal, a low-income country with significant TB burden. The workshop brought together key stakeholders in Nepal including from the Ministry of Health and Population, Department of Health Services, Provincial Health Directorate, Health Offices, National TB Program (NTP); and TB/Leprosy Officers, healthcare workers, community health volunteers, TB-affected people, and external development partners (EDP). During the workshop, participants reviewed current Nepal NTP data and strategy, discussed the preliminary results of a mixed-methods study of the socioeconomic determinants and consequences of TB in Nepal, described existing and potential socioeconomic interventions for TB-affected households in Nepal, and selected the most promising interventions for future randomized controlled trial evaluations in Nepal. This report describes the activities, outcomes, and recommendations from the workshop. MDPI 2020-06-10 /pmc/articles/PMC7345977/ /pubmed/32532101 http://dx.doi.org/10.3390/tropicalmed5020098 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Meeting Report
Rai, Bhola
Dixit, Kritika
Prasad Aryal, Tara
Mishra, Gokul
Teixeira de Siqueira-Filha, Noemia
Paudel, Puskar Raj
Levy, Jens W.
van Rest, Job
Gurung, Suman Chandra
Dhital, Raghu
Lönnroth, Knut
Squire, S Bertel
Caws, Maxine
Wingfield, Tom
Developing Feasible, Locally Appropriate Socioeconomic Support for TB-Affected Households in Nepal
title Developing Feasible, Locally Appropriate Socioeconomic Support for TB-Affected Households in Nepal
title_full Developing Feasible, Locally Appropriate Socioeconomic Support for TB-Affected Households in Nepal
title_fullStr Developing Feasible, Locally Appropriate Socioeconomic Support for TB-Affected Households in Nepal
title_full_unstemmed Developing Feasible, Locally Appropriate Socioeconomic Support for TB-Affected Households in Nepal
title_short Developing Feasible, Locally Appropriate Socioeconomic Support for TB-Affected Households in Nepal
title_sort developing feasible, locally appropriate socioeconomic support for tb-affected households in nepal
topic Meeting Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7345977/
https://www.ncbi.nlm.nih.gov/pubmed/32532101
http://dx.doi.org/10.3390/tropicalmed5020098
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