Addressing Tuberculosis in the Context of Malnutrition and HIV Coinfection

Semba, Richard D.; Darnton‐Hill, Ian; Pee, Saskia de

doi:10.1177/15648265100314s404

Cited by 79 publications

(73 citation statements)

References 112 publications

(115 reference statements)

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“…First, these transfers promote health-seeking behaviour enabling the individual to get a diagnosis and to adhere to treatment for the duration of the illness by reducing some of the financial barriers to diagnosis and treatment. Evidence shows that even in developed countries, food insecurity correlates with worse health outcomes for HIV [36] and TB [33,[37][38][39]. Patients who otherwise would not be likely to seek a diagnosis, would fail to pick up the test result or who would be likely to discontinue treatment prematurely due to the associated direct medical and non-medical costs are encouraged and enabled to pursue treatment because some of the expenses are covered or offset by the value of the transfer.…”

Section: Discussionmentioning

confidence: 99%

“…Reduced food expenditures, for example, often reduce the quality of diet for both the patient and household members. The reduced micronutrient intake may weaken their immune system and increase household members' risk of developing TB themselves [33]. For pregnant and lactating women and young children, it may affect birth and growth and development outcomes.…”

Section: Financing Methods and Coping Strategiesmentioning

confidence: 99%

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Is There a Need to Mitigate the Social and Financial Consequences of Tuberculosis at the Individual and Household Level?

et al. 2014

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This paper reviews evidence on social and economic costs of tuberculosis. Key socio-economic consequences include stigma, social isolation, increased outof-pocket expenditures for medical and non-medical costs and reduced income. Many of the financing methods that households use have long-term negative impacts and the poor are most vulnerable to these costs. Together, these negative consequences adversely affect TB control, in terms of delayed diagnosis, delayed initiation of treatment, suboptimal adherence and failure to complete treatment, as well as the coping and well being of the individual and household. There are two ways to reduce treatment costs for the patient; one can either reduce the direct and indirect costs of seeking a diagnosis and obtaining treatment and/or provide income transfers to offset some of those costs incurred. Social transfers in the form of food, cash or vouchers can mitigate the negative effects by enabling the individual to seek a diagnosis, protecting minimum food expenditures, reducing the need to accumulate debt and reduce productive assets and reducing the negative impacts on other household members, particularly young children and school-age children.

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Section: Discussionmentioning

confidence: 99%

Section: Financing Methods and Coping Strategiesmentioning

confidence: 99%

Is There a Need to Mitigate the Social and Financial Consequences of Tuberculosis at the Individual and Household Level?

et al. 2014

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“…The relationship between undernutrition and active tuberculosis infection is bidirectional. Having active tuberculosis leads to loss of weight, and being underweight is known risk factor for developing tuberculosis either through the reactivation of latent tuberculosis or the development of progressive primary disease upon infection [7].…”

Section: Introductionmentioning

confidence: 99%

“…This is because malnutrition weakens the immune system and thus the ability of the individual to fight infection like TB and their ability to control disease progression will be compromised [6]. Among the known risk factors for active tuberculosis (undernutrition, HIV infection, diabetes, cancer), undernutrition has the highest population attributable fraction of 27 % [7].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and associated factors of undernutrition among adult tuberculosis patients in some selected public health facilities of Addis Ababa, Ethiopia: a cross-sectional study

2016

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Back ground: The prevalence of undernutrition among adult tuberculosis patients is high in developing countries. However it has not been well explored in Ethiopian situation. Therefore the aim of this study was to determine the prevalence of undernutrition and its associated factors among adult TB patients in some selected public health facilities of Addis Ababa.Methods: An institution based cross-sectional study was conducted. The total sample size of the study was 360. The sample size was allocated to the selected health facilities proportional to their size and study subjects were consecutively enrolled to the study during the study period. Data were collected using a pretested structured questionnaire. The data were entered and cleaned by using EPI info version 3.6.1 and transferred to SPSS version 20 for analysis. Bivariate and multivariate logistic regression analyses were done to identify factors that are associated with undernutrition.Results: The prevalence of undernutrition was 39.7 % (23.6 % mild, 8.6 % moderate and 7.2 % severe undernutrition). Functional status of the patients (AOR = 2.57; 95 % CI = 1.42, 4.68) and dietary counselling (AOR = 1.79; 95 % CI = 1.03, 3.12) were factors independently associated with undernutrition among adult TB patients. Conclusion:The prevalence of undernutrition was found to be very high. Regular nutritional assessment and dietary counselling should be part of the routine care of adult TB patients.

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“…Studies show that malnutrition and food insecurity remain significant obstacles to treatment and improved outcomes for PLHIV (7)(8)(9) . Moreover, being malnourished at the start of ART can increase the risk of death up to six times (4) .…”

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confidence: 99%

Preferences for food and nutritional supplements among adult people living with HIV in Malawi

Rodas-Moya

Kodish²,

Manary³

et al. 2015

Public Health Nutr.

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Addressing Tuberculosis in the Context of Malnutrition and HIV Coinfection

Cited by 79 publications

References 112 publications

Is There a Need to Mitigate the Social and Financial Consequences of Tuberculosis at the Individual and Household Level?

Is There a Need to Mitigate the Social and Financial Consequences of Tuberculosis at the Individual and Household Level?

Prevalence and associated factors of undernutrition among adult tuberculosis patients in some selected public health facilities of Addis Ababa, Ethiopia: a cross-sectional study

Preferences for food and nutritional supplements among adult people living with HIV in Malawi

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