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 Subject(s)
Communicable Disease Control/economics
, Developing Countries/economics
, Health Care Costs
, Socioeconomic Factors
, Tuberculosis/economics
, Tuberculosis/prevention & control
, Community Networks/economics
, Financial Management/economics
, Health Behavior
, Health Knowledge, Attitudes, Practice
, Health Promotion/economics
, Health Services Accessibility/economics
, Humans
, Income
, Nutritional Status
, Patient Acceptance of Health Care
, Patient Education as Topic/economics
, Peru
, Poverty Areas
, Program Evaluation
, Risk Assessment
, Risk Factors
, Small Business/economics
, Social Support
, Time Factors
, Tuberculosis/diagnosis
, Tuberculosis/drug therapy
, Tuberculosis/psychology
, Vocational Education