Economic evaluation of implementing a decentralised Hepatitis B virus diagnostic intervention under National Viral Hepatitis Control Programme in Tamil Nadu, South India

Muniyandi, Malaisamy; Tyagi, Kirti; Singh, Malkeet; Prakash, Venkatesan; Karikalan, Nagarajan; Senthilkumar, S.; Karthikeyan, S.; Rajendran, K.; Rajsekar, Kavitha; Vivekanandan, Subramanian; Selvavinayagam, TS

doi:10.1111/tmi.13528

Cited by 2 publications

(1 citation statement)

References 20 publications

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“…There should be a well-established system for notification, confirmatory and auxiliary tests as well as treatment of rapid diagnostic test-positive patients. A decentralized approach could be adopted for better outcomes [ 30 ].…”

Section: Reviewmentioning

confidence: 99%

Viral Hepatitis as a Public Health Concern: A Narrative Review About the Current Scenario and the Way Forward

Bhadoria¹,

Khwairakpam²,

Grover³

et al. 2022

Cureus

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Viral hepatitis is one of the emerging public health problems, which urgently needs special attention. The disease has a varied presentation at the time of diagnosis, and it can progress from an accidental finding to life-threatening conditions like liver cirrhosis. It belongs to the rare group of diseases that can cause chronic inflammation inside the body, and it can have a delayed presentation. It contributes substantially to the global burden on healthcare. In terms of mortality, the burden due to viral hepatitis is similar to that of HIV and tuberculosis. It is among the major global public health challenges along with other communicable diseases, such as HIV, malaria, and tuberculosis; the major difference is that there are very limited preventive models in place for viral hepatitis, especially in developing countries like India. With limited resources for diagnosis and treatment, varied levels of presentation, and a rapidly increasing burden, it can become the next silent pandemic. In the current review, the authors aimed to compile the available global strategies for combating hepatitis, protocols available for disease surveillance, and the salient points from the national program for hepatitis control in India [National Viral Hepatitis Control Program (NVHCP)], and propose some recommendations. Ensuring a health facility equipped with a rapid diagnostic kit for screening, proper lab for the confirmation, robust Health Management Information System (HMIS) portal for the data management, and organizing regular workshops for physicians and lab technicians are some of the recommendations that we put forward.

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Section: Reviewmentioning

confidence: 99%

Viral Hepatitis as a Public Health Concern: A Narrative Review About the Current Scenario and the Way Forward

Bhadoria¹,

Khwairakpam²,

Grover³

et al. 2022

Cureus

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Peer support for people living with hepatitis B virus—A foundation for treatment expansion

Downs,

Kabagambe,

Williams

et al. 2024

Journal of Viral Hepatitis

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Chronic hepatitis B infection (CHB) affects 300 million people worldwide and is being targeted by the United Nations 2030 Sustainable Development Goals (SDGs) and the World Health Organisation (WHO), working towards elimination of hepatitis B virus (HBV) as a public health threat. In this piece, we explore the evidence and potential impact of peer support to enhance and promote interventions for people living with CHB. Peer support workers (PSWs) are those with lived experience of an infection, condition or situation who work to provide support for others, aiming to improve education, prevention, treatment and other clinical interventions and to reduce the physical, psychological and social impacts of disease. Peer support has been shown to be a valuable tool for improving health outcomes for people living with human immunodeficiency virus (HIV) and hepatitis C virus (HCV), but to date has not been widely available for communities affected by HBV. HBV disproportionately affects vulnerable and marginalised populations, who could benefit from PSWs to help them navigate complicated systems and provide advocacy, tackle stigma, improve education and representation, and optimise access to treatment and continuity of care. The scale up of peer support must provide structured and supportive career pathways for PSWs, account for social and cultural needs of different communities, adapt to differing healthcare systems and provide flexibility in approaches to care. Investment in peer support for people living with CHB could increase diagnosis, improve retention in care, and support design and roll out of interventions that can contribute to global elimination goals.

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Economic evaluation of implementing a decentralised Hepatitis B virus diagnostic intervention under National Viral Hepatitis Control Programme in Tamil Nadu, South India

Cited by 2 publications

References 20 publications

Viral Hepatitis as a Public Health Concern: A Narrative Review About the Current Scenario and the Way Forward

Viral Hepatitis as a Public Health Concern: A Narrative Review About the Current Scenario and the Way Forward

Peer support for people living with hepatitis B virus—A foundation for treatment expansion

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