Skip to main content
padlock icon - secure page this page is secure

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

Download Article:
 Download
(PDF 375.6 kb)
 
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 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.
No Reference information available - sign in for access.
No Supplementary Data.
No Article Media
No Metrics

Keywords: control; microcredit; poverty; social determinants; tuberculosis

Document Type: Regular Paper

Affiliations: 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

Publication date: June 1, 2011

More about this publication?
  • The International Journal of Tuberculosis and Lung Disease (IJTLD) is for clinical research and epidemiological studies on lung health, including articles on TB, TB-HIV and respiratory diseases such as COVID-19, asthma, COPD, child lung health and the hazards of tobacco and air pollution. Individuals and institutes can subscribe to the IJTLD online or in print – simply email us at [email protected] for details.

    The IJTLD is dedicated to understanding lung disease and to the dissemination of knowledge leading to better lung health. To allow us to share scientific research as rapidly as possible, the IJTLD is fast-tracking the publication of certain articles as preprints prior to their publication. Read fast-track articles.

  • Editorial Board
  • Information for Authors
  • Subscribe to this Title
  • International Journal of Tuberculosis and Lung Disease
  • Public Health Action
  • Ingenta Connect is not responsible for the content or availability of external websites
  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
X
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more