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

Rai, Bhola, Dixit, Kritika, Aryal, Tara Prasad, Mishra, Gokul, Teixeira de Siqueira Filha, Noemia, Puskar, Raj Paudel, Levy, Jens W., van Rest, Job, Gurung, Suman Chandra, Raghu, Dhital, Knut, Lönnroth, Squire, Bertie ORCID: https://orcid.org/0000-0001-7173-9038, Caws, Maxine ORCID: https://orcid.org/0000-0002-9109-350X and Wingfield, Tom ORCID: https://orcid.org/0000-0001-8433-6887 (2020) 'Developing Feasible, Locally Appropriate Socioeconomic Support for TB-Affected Households in Nepal'. Tropical Medicine and Infectious Disease, Vol 5, Issue 2, p. 98.

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Abstract

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

Item Type:	Article
Subjects:	W General Medicine. Health Professions > W 74 Medical economics. Health care costs QS Anatomy > QS 4 General works. Classify here works on regional anatomy WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries WA Public Health > Health Administration and Organization > WA 546 Local Health Administration. Community Health Services WF Respiratory System > Tuberculosis > WF 200 Tuberculosis (General)
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI):	https://doi.org/10.3390/tropicalmed5020098
Depositing User:	Claire McIntyre
Date Deposited:	22 Jun 2020 10:22
Last Modified:	22 Jun 2020 10:22
URI:	https://archive.lstmed.ac.uk/id/eprint/14785

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