Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Primary Health Care Research and Innovation Center, Indonesian Medical Education and Research Institute, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Int J Health Policy Manag. 2023;12:7658. doi: 10.34172/ijhpm.2022.7658. Epub 2022 Nov 23.
Achieving the targets of eliminating tuberculosis (TB) requires a combination of biomedical, epidemiological, and social approaches. Having hitted by the coronavirus disease 2019 (COVID-19) pandemic which diminishes the financial capacity of TB-affected households, the importance of delivering socioeconomic support to TB-affected household emerges. However, the evidence of TB-related socioeconomic support is still scarce, and some questions are left unanswered. A sequential explanatory mixed-methods study by Dave and Rupani shows that the direct benefit transfer (DBT), a form of cash transfer, to TB-affected households improves TB treatment outcomes in India despite the challenges. Some critical issues remain to be discussed: trading-off between the amount of cash and its sustainability, choosing the most appropriate support packages, detecting, and reaching the target population, and arranging the most effective delivery strategy. Knowledge gap remains to be answered, and a global research agenda and political commitment are critical to encourage more evidence in delivering socioeconomic support for TB control.
实现消除结核病(TB)的目标需要结合生物医学、流行病学和社会方法。由于 2019 年冠状病毒病(COVID-19)大流行削弱了受结核病影响家庭的财务能力,向受结核病影响家庭提供社会经济支持显得尤为重要。然而,与结核病相关的社会经济支持的证据仍然很少,一些问题仍未得到解答。Dave 和 Rupani 进行的一项顺序解释性混合方法研究表明,尽管存在挑战,但向受结核病影响的家庭提供直接效益转移(DBT)形式的现金转移,可改善印度的结核病治疗结果。一些关键问题仍有待讨论:现金数额和可持续性之间的权衡、选择最合适的支持方案、发现和覆盖目标人群,以及安排最有效的交付策略。知识差距仍然存在待解答,全球研究议程和政治承诺对于鼓励提供更多证据以控制结核病的社会经济支持至关重要。