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Developing a socio-economic measure to monitor access to tuberculosis services in urban Lilongwe, Malawi

Simwaka, B. N., Benson, T., Salaniponi, F. M. L., Theobald, Sally ORCID: https://orcid.org/0000-0002-9053-211X, Squire, Bertie ORCID: https://orcid.org/0000-0001-7173-9038 and Kemp, J. (2007) 'Developing a socio-economic measure to monitor access to tuberculosis services in urban Lilongwe, Malawi'. International Journal of Tuberculosis and Lung Disease, Vol 11, Issue 1, pp. 65-71.

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Abstract

OBJECTIVES: To develop locally appropriate measures of poverty for the National Tuberculosis Programme (NTP), Malawi, and to assess access to tuberculosis (TB) services by different socio-economic groups by establishing a socio-economic profile of current TB patients
DESIGN: A quantitative proxy measure of poverty was developed through regression analysis of data from the 1998 national Malawi Integrated Household Survey. A qualitative assessment of poverty was conducted in poor and non-poor settlements in urban Lilongwe to identify key indicators of socio-economic status. Both quantitative and qualitative indicators were used to assess the socioeconomic status of 179 TB patients who participated in a cross-sectional survey.
FINDINGS: The proxy measure of poverty and the qualitative indicators demonstrated similar ability to measure the poverty status of patients. The poverty head count among patients using the quantitative and qualitative indicators were 78% and 70%, respectively. Geograpbical analysis showed that 60% were from non-poor areas and only 15% (26/139) were from squatter settlements.
CONCLUSION: This study established a strategy for monitoring access to TB services using a proxy measure of poverty and qualitative indicators. This is a vital first step in developing an evidence base for pro-poor equitable TB services.

Item Type: Article
Uncontrolled Keywords: access tuberculosis, socio-economic proxy measure poverty india
Subjects: WA Public Health > WA 30 Socioeconomic factors in public health (General)
WF Respiratory System > Tuberculosis > WF 205.1 General coverage
Faculty: Department: Groups (2002 - 2012) > Clinical Group
Groups (2002 - 2012) > International Health Group
Related URLs:
Depositing User: q Moody
Date Deposited: 22 Sep 2010 10:56
Last Modified: 06 Feb 2018 13:01
URI: http://archive.lstmed.ac.uk/id/eprint/1277

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