Association between spending on social protection and tuberculosis burden: a global analysis

Siroka, Andrew; Ponce, Ninez A.; Lönnroth, Knut

doi:10.1016/s1473-3099(15)00401-6

Cited by 88 publications

(68 citation statements)

References 12 publications

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“…This key component has been identified as a way to improve the therapy in TB patients [36,37]. Moreover, a study showed that a higher percentage of the gross domestic product spent on social protection was inversely associated with tuberculosis prevalence, incidence, and mortality [38]. Since our patients had an important source of social support, this condition prevented a relapse.…”

Section: Resultsmentioning

confidence: 92%

Extensively Drug-Resistant Tuberculosis: Report and Literature Review on Two Cases Requiring Prolonged Treatment

Matos-Tocasca¹,

Cruz-Ku

Auccacusi

et al. 2016

Am J Case Rep

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Case seriesPatient: Female, 28 • Male, 20Final Diagnosis: Extensively drug-resistant tuberculosisSymptoms: Cough productive • dyspnea • hemoptysis • respiratory failure • weight lossMedication: —Clinical Procedure: —Specialty: PulmonologyObjective:Unusual clinical courseBackground:Extensively drug-resistant tuberculosis (XDR-TB) is a global problem due to the high morbidity and mortality it causes. Peru is one of the countries with the highest numbers of cases of XDR-TB, which increase every year.Case Report:We present the case of two siblings who developed XDR-TB, underwent surgery twice, and were in individualized treatment for more than 6 years. Finally they achieved remission of symptoms, despite not having standardized treatment schemes during their diagnosis period.Conclusions:Extensively drug-resistant tuberculosis can be cured with a treatment that involves both medical care and patient actions to achieve remission of the disease.

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Section: Resultsmentioning

confidence: 92%

Extensively Drug-Resistant Tuberculosis: Report and Literature Review on Two Cases Requiring Prolonged Treatment

Matos-Tocasca¹,

Cruz-Ku

Auccacusi

et al. 2016

Am J Case Rep

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“…In the native population, the general tendency is for absolute inequality between districts to be reduced, although the relative inequalities remain the same, especially between the richest and the poorest neighborhoods. In this context, social protection measures as well as health measures could be important in reducing incidence 20 . The effect neighborhood income level is an even greater determinant of TB incidence among foreign-born population.…”

Section: Discussionmentioning

confidence: 99%

Impact of socio-economic inequities on tuberculosis in a Southern European city: what is the effect of the recession?

Prats‐Uribe

Orcau

Millet

et al. 2019

int j tuberc lung dis

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Introduction: Economic crises affect the population's health, especially among the most deprived. The increase in health inequalities in this recession may have influenced the incidence of tuberculosis (TB). We analyzed the effect of socioeconomic inequities and the recession on the incidence of TB. Methods: We conducted a population-based incidence study of TB cases in Barcelona, Spain, who started treatment between 2003 and 2015. A multilevel interrupted time series analysis was done to analyze differences in incidence trends between the pre-recession (until 2008) and recession periods. Results: We observed differences in TB incidence according to deprivation and immigration status. TB incidence among most deprived neighborhoods was 2.72 times higher than least deprived. Compared to natives, incidence was 9 times higher among those born in Africa, and 6 times higher among those born in Asia and Oceania. The previous decreasing trend in incidence (4%) was accentuated during the recession (7%). Conclusions: The incidence of TB decreased during the recession, probably due to a reduction of new immigrants and the TB programme. However, incidence is highly unequal between districts with different levels of deprivation, and between foreign-born from different geographical regions. Social measures are important for reducing inequalities and TB incidence in Barcelona.

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“…They can contribute to successful TB outcomes through addressing biosocial and economic determinants, and through equitable access to health care [44]. Ecological and modelling studies suggest that countries that increase spending on social protection programmes have an associated decrease in tuberculosis incidence and prevalence, and a reduction in mortality [25], [45]. Recent models leveraging data from 192 countries to link the SDG targets to tuberculosis outcomes, suggest that expanding social protection schemes to all eligible populations could decrease tuberculosis incidence by 76% [25], underlining its immense contribution when used in tandem with proven biomedical interventions.…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis Elimination in Malaysia by 2035: Linkages and Implications to SDGs

Koh¹,

Kadir²,

Noordin³

et al. 2019

IJSSH

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Good health and wellbeing (SDG 3) is a fundamental human right for all. The main determinant for good health and wellbeing critically depends on equitable access to good health care (SDG 10) consisting of a combination of strong primary health care (PHC) oriented around community and efficacious public health services (PHS) based upon hospital and professional services. The world including Malaysia has achieved dramatic improvement in the delivery of health services due to advances in socio-economic development. Yet several diseases remain a daunting challenge to sustainable development goals (SDGs). A disease of the poor and the impoverished, tuberculosis (TB) is the leading infectious disease that kills more than a million people each year worldwide. Tuberculosis infection and disease progression are primarily driven by socio-economic and cultural factors such as poor living conditions, poor nutrition and misplaced cultural beliefs. Yet, management of TB has been mainly biomedical, without addressing the socio-economic and cultural drivers, since the 1940s. Given the status of ineffective management, TB will continue to pose a real threat to SDGs, especially among the poor and susceptible populations in many parts of the world, including Malaysia. This paper addresses global issues regarding TB management in the context of SDGs and suggests reorientation of health care towards PHC to accelerate achievement of SDG 3 and other broader SDGs. A detailed case study on Malaysian health care for TB is presented to review the needs for change in TB management strategy. The paper proposes policy and program modification necessary to achieve by 2035 the WHO End TB Strategy goals and UN SDGs. Index Terms-Tuberculosis in Malaysia, primary health care, UN-SDG, WHO End TB strategy.

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Association between spending on social protection and tuberculosis burden: a global analysis

Cited by 88 publications

References 12 publications

Extensively Drug-Resistant Tuberculosis: Report and Literature Review on Two Cases Requiring Prolonged Treatment

Extensively Drug-Resistant Tuberculosis: Report and Literature Review on Two Cases Requiring Prolonged Treatment

Impact of socio-economic inequities on tuberculosis in a Southern European city: what is the effect of the recession?

Tuberculosis Elimination in Malaysia by 2035: Linkages and Implications to SDGs

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