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Int J Tuberc Lung Dis. 2011 Jun;15 Suppl 2:50-57. doi: 10.5588/ijtld.10.0447.

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

Author information

1
IFHAD: Innovation For Health And Development, London, UK; Asociación Benéfica Prisma, Lima, Peru; Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Peru.
2
IFHAD: Innovation For Health And Development, London, UK; Asociación Benéfica Prisma, Lima, Peru.
3
Asociación Benéfica Prisma, Lima, Peru; Microfinanzas Prisma, Lima, Peru.
4
Asociación Benéfica Prisma, Lima, Peru; Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Peru.
5
Asociación Benéfica Prisma, Lima, Peru.
6
IFHAD: Innovation For Health And Development, London, UK; Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Peru.
7
Microfinanzas Prisma, Lima, Peru.
8
IFHAD: Innovation For Health And Development, London, UK; Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Peru; Wellcome Centre for Clinical Tropical Medicine and Department of Infection & Immunity, Imperial College, London, UK; and Department of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.

Abstract

SETTING:

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.

PMID:
21740659
PMCID:
PMC3160483
DOI:
10.5588/ijtld.10.0447
[Indexed for MEDLINE]
Free PMC Article

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