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The Innovative Socio-economic Interventions Against Tuberculosis (ISIAT) project: an operational assessment
Open accessAbstract
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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Metadata
- 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)
- Venue
- The International Journal of Tuberculosis and Lung Disease
- Published
- 2011-06-01
- Volume
- 15
- Issue
- 6
- Pages
- 50-57
- ISSN
- 1027-3719 (ISSN-L)
- 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
- green
- www.ncbi.nlm.nih.gov
- 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 › Development › Poverty, Education, and Child Welfare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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