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Cited by 120Tuberculosis Research and EpidemiologyPoverty, Education, and Child WelfareHIV, TB, and STIs Epidemiology

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

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Rocha, C., Montoya, R., Zevallos, K., Curatola, A., Ynga, W., Franco, J., Fernandez, F., Becerra, N. +11 more·2011·The International Journal of Tuberculosis and Lung Disease
DOI 10.5588/ijtld.10.0447PMC PMC3160483
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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. KEYWORDS: tuberculosis; control; microcredit; poverty;social determinants.

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  • Four out of six observational studies used a validated measurement tool to measure mental health outcomes.

    “Out of six studies, four studies used a validated measurement tool to measure mental health outcomes.25–28”

    From Pharmacological or non-pharmacological interventions for treatment of common mental disorders associated with Tuberculosis: A systematic review (2021) · cites this paper as [25]

    The Methods (Baseline studies; page unavailable) say quantitative studies used questionnaires and measured depression. Our copy does not establish that the depression measure was validated, and this single paper cannot substantiate the count of four out of six studies. (LLM, conf=0.80)

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  1. [1]Hanson C Tuberculosis, poverty and inequity: a review of the literature and discussion of issues 2002 World Bank Washington DC, USA

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Authors
Rocha, C., Montoya, R., Zevallos, K., Curatola, A., Ynga, W., Franco, J., Fernandez, F., Becerra, N., Sabaduche, M., Tovar, M. A., Ramos, E., Tapley, A., Allen, N. R., Onifade, D. A., Acosta, C. D., Maritz, M., Concha, D. F., Schumacher, S. G., & Evans, C. A.
Affiliations
  • Universidad Peruana Cayetano Heredia (PE)
  • Prisma (PE)
  • IFHAD: Innovation For Health And Development, London, UK; Asociación Benéfica Prisma, Lima, Peru
  • Johns Hopkins University (US)
ORCID
Venue
The International Journal of Tuberculosis and Lung Disease
Publisher
International Union Against Tuberculosis and Lung Disease
Published
2011-06-01
Volume
15
Issue
6
Pages
50-57
ISSN
1027-3719 (ISSN-L)
DOI
10.5588/ijtld.10.0447
PMC
PMC3160483
OpenAlex
W1991275886
Cited by
120
References
29
Citations by year
2026: 2 · 2025: 5 · 2024: 2 · 2023: 8 · 2022: 9 · 2021: 11 · 2020: 5 · 2019: 12 · 2018: 9 · 2017: 7 · 2016: 14 · 2015: 11 · 2014: 13 · 2013: 5 · 2012: 4
FWCI
5.42
Type
journal article
Language
en
Open access
Locations
  • The International Journal of Tuberculosis and Lung Disease (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Wellcome Trust (057434)
  • Government of the United Kingdom
  • Sir Halley Stewart Trust
  • Department for International Development
Topics
  • Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
  • Social Sciences › Safety Research › Poverty, Education, and Child Welfare
  • Social Sciences › General Social Sciences › HIV, TB, and STIs Epidemiology
Keywords
tuberculosis control, socioeconomic interventions, poverty, informal settlements, TB stigma, depression, psychosocial support, community mobilization, tuberculosis screening, TB treatment completion, HIV testing, prophylaxis, microcredit, microenterprises, vocational education, Lima
MeSH terms
Communicable Disease Control, Developing Countries, Financial Management, Health Promotion, Health Services Accessibility, Humans, Income, Health Knowledge, Attitudes, Practice, Nutritional Status, Patient Acceptance of Health Care, Patient Education as Topic, Peru, Poverty Areas, Risk Factors, Social Support, Socioeconomic Factors, Time Factors, Tuberculosis, Vocational Education, Program Evaluation, Health Behavior, Health Care Costs, Risk Assessment, Community Networks, Small Business

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