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印度结核病患者 Nikshay Poshan Yojana“最后一英里”可达性保障的挑战与战略解决方案:对“直接效益转移是否能改善结核病患者的结局?-对印度现金转移政策进行审查的必要性混合方法研究”的评论

Challenges and Strategic Solutions to Guarantee Last Mile Reach for an Indian TB Patient's Nikshay Poshan Yojana; A Conditional Cash Transfer Scheme Comment on "Does Direct Benefit Transfer Improve Outcomes Among People With Tuberculosis? - A Mixed-Methods Study on the Need for a Review of the Cash Transfer Policy in India".

机构信息

Department of Public Health Science, Indian Institute of Public Health - Gandhinagar, Gujarat, India.

出版信息

Int J Health Policy Manag. 2023;12:7668. doi: 10.34172/ijhpm.2023.7668. Epub 2023 Apr 19.

DOI:10.34172/ijhpm.2023.7668
PMID:37579406
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10461863/
Abstract

India has put efforts into the prevention and control of tuberculosis (TB) for more than 50 years. Nikshay Poshan Yojna (NPY) is one of the schemes of conditional cash transfers (CCTs) by the Government of India. The CCT schemes mostly address the demand side constraints. Governments could use this in developing nations as a tool to divert financial resources toward societal development. In India, NPY is more directed toward providing monetary support for a nutritional diet and reducing the catastrophic expenditure of TB patients. Several studies highlighted challenges in implementing cash transfer schemes and provided different operational models. A country like India should address the challenges with defined strategies to ensure its last-mile reach. A present commentary discussing challenges and possible solutions that policy-makers can adapt and set up a support structure to ensure that supportive actions are implemented in response to patient and system side issues.

摘要

印度在结核病(TB)的预防和控制方面已经投入了 50 多年的努力。尼什亚·波山约纳(NPY)是印度政府实施的有条件现金转移支付(CCT)计划之一。这些 CCT 计划主要解决需求方面的限制。政府可以将其作为一种工具,将财政资源用于社会发展,在发展中国家使用。在印度,NPY 更侧重于为营养饮食提供财政支持,并减少结核病患者的灾难性支出。一些研究强调了实施现金转移支付计划所面临的挑战,并提供了不同的运营模式。印度这样的国家应该解决这些挑战,制定明确的战略,以确保最后一英里的覆盖范围。本文述评讨论了政策制定者可以采取的挑战和可能的解决方案,并建立一个支持结构,以确保针对患者和系统方面的问题实施支持性行动。

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本文引用的文献

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Conditional Cash Transfer Program and Leprosy Incidence: Analysis of 12.9 Million Families From the 100 Million Brazilian Cohort.条件性现金转移支付计划与麻风发病率:1 亿巴西队列中 1290 万个家庭的分析。
Am J Epidemiol. 2020 Dec 1;189(12):1547-1558. doi: 10.1093/aje/kwaa127.
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Evaluating a Conditional Cash Transfer Scheme in a Maternal Health Care Utilization Program Among Rural Pregnant Women in Mysore District, India.评估印度迈索尔地区农村孕妇孕产妇保健利用项目中的有条件现金转移计划。
Womens Health Rep (New Rochelle). 2020 Jun 10;1(1):159-166. doi: 10.1089/whr.2019.0021. eCollection 2020.
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Improving quality is necessary to building a TB-free world: Lancet Commission on Tuberculosis.提高质量是建立无结核病世界的必要条件:《柳叶刀》结核病委员会
J Clin Tuberc Other Mycobact Dis. 2020 Feb 27;19:100156. doi: 10.1016/j.jctube.2020.100156. eCollection 2020 May.
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Cash transfer scheme for people with tuberculosis treated by the National TB Programme in Western India: a mixed methods study.印度西部国家结核病规划所治疗的结核病患者现金转移计划:一项混合方法研究
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