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What matters most? A qualitative study exploring priorities for supportive interventions for people with tuberculosis in urban Viet Nam.
Smith, Isabel; Forse, Rachel; Sidney Annerstedt, Kristi; Thanh, Nguyen Thi; Nguyen, Lan; Phan, Thi Hoang Yen; Nguyen, Han; Codlin, Andrew; Vo, Luan Nguyen Quang; Nguyen, Nga Thi Thuy; Khan, Amera; Creswell, Jacob; Pham Huy, Minh; Basu, Lopa; Lönnroth, Knut; Nguyen, Binh Hoa; Nguyen, Viet Nhung; Atkins, Salla.
Afiliación
  • Smith I; Department of Global Public Health Sciences, WHO Collaborating Centre for Social Medicine and Tuberculosis, Karolinska Institutet, Stockholm, Sweden.
  • Forse R; Department of Global Public Health Sciences, WHO Collaborating Centre for Social Medicine and Tuberculosis, Karolinska Institutet, Stockholm, Sweden rachel.forse@tbhelp.org.
  • Sidney Annerstedt K; Friends for International TB Relief, Ha Noi, Viet Nam.
  • Thanh NT; Department of Global Public Health Sciences, WHO Collaborating Centre for Social Medicine and Tuberculosis, Karolinska Institutet, Stockholm, Sweden.
  • Nguyen L; Centre for Development of Community Health Initiatives, Ha Noi, Viet Nam.
  • Phan THY; IRD VN, Ho Chi Minh City, Viet Nam.
  • Nguyen H; Centre for Development of Community Health Initiatives, Ha Noi, Viet Nam.
  • Codlin A; Friends for International TB Relief, Ha Noi, Viet Nam.
  • Vo LNQ; Department of Global Public Health Sciences, WHO Collaborating Centre for Social Medicine and Tuberculosis, Karolinska Institutet, Stockholm, Sweden.
  • Nguyen NTT; Friends for International TB Relief, Ha Noi, Viet Nam.
  • Khan A; Department of Global Public Health Sciences, WHO Collaborating Centre for Social Medicine and Tuberculosis, Karolinska Institutet, Stockholm, Sweden.
  • Creswell J; Friends for International TB Relief, Ha Noi, Viet Nam.
  • Pham Huy M; Friends for International TB Relief, Ha Noi, Viet Nam.
  • Basu L; Stop TB Partnership, Geneva, Switzerland.
  • Lönnroth K; Stop TB Partnership, Geneva, Switzerland.
  • Nguyen BH; USAID Vietnam, Ha Noi, Viet Nam.
  • Nguyen VN; USAID Vietnam, Ha Noi, Viet Nam.
  • Atkins S; Department of Global Public Health Sciences, WHO Collaborating Centre for Social Medicine and Tuberculosis, Karolinska Institutet, Stockholm, Sweden.
BMJ Open ; 13(8): e076076, 2023 08 23.
Article en En | MEDLINE | ID: mdl-37612116
ABSTRACT

INTRODUCTION:

The health and economic burden of tuberculosis (TB) in urban Viet Nam is high. Social protection and support interventions can improve treatment outcomes and reduce costs. However, evidence regarding optimal strategies in this context is lacking. This study aimed to increase understanding of what people with TB and healthcare providers (HCPs) perceive as important to improve TB treatment outcomes and reduce costs.

METHODS:

We conducted qualitative focus group discussions (seven groups, n=30) and key informant interviews (n=4) with people with drug-susceptible and multidrug-resistant TB and HCPs in Ha Noi and Ho Chi Minh City. Topic guides covered perspectives on and prioritisation of different forms of social protection and support. Data were analysed using reflexive thematic analysis and interpreted using a Framework for Transformative Social Protection.

RESULTS:

We identified three themes and seven subthemes. The first theme, 'Existing financial safety nets are essential, but could go further to support people affected by TB', highlights that support to meet the medical costs of TB treatment and flexible cash transfers are a priority for people with TB and HCPs. The second, 'It is important to promote "physical and spiritual health" during TB treatment', demonstrates that extended psychosocial and nutritional support would encourage people with TB during their treatment. The third, 'Accessibility and acceptability are critical in designing social support interventions for people with TB', shows the importance of ensuring that support is accessible and proportional to the needs of people with TB and their families.

CONCLUSIONS:

Accessible interventions that incorporate financial risk protection, nutritional and psychosocial support matter most to people with TB and HCPs in urban Viet Nam to improve their treatment outcomes and reduce catastrophic costs. This study can inform the design of stronger person-centred interventions to advance progress towards the goals of the WHO's End TB Strategy.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Tuberculosis / Tuberculosis Resistente a Múltiples Medicamentos Tipo de estudio: Qualitative_research Límite: Humans País/Región como asunto: Asia Idioma: En Año: 2023 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Tuberculosis / Tuberculosis Resistente a Múltiples Medicamentos Tipo de estudio: Qualitative_research Límite: Humans País/Región como asunto: Asia Idioma: En Año: 2023 Tipo del documento: Article