Tuberculosis control in a socially vulnerable area: a community intervention beyond DOT in a Brazilian &lt;I&gt;favela&lt;/I&gt;

Soares, Elizabeth; Vollmer, William M.; Cavalcante, Solange; Pacheco, Antônio Guilherme; Saraceni, Valéria; Silva, J. S.; Neves, Goreti; Golub, J. E.; Efron, A. R.; Durovni, Betina; Chaisson, Richard E.

doi:10.5588/ijtld.13.0152

Cited by 21 publications

(30 citation statements)

References 10 publications

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“…The other studies (n = 8) occurred in countries out of this category, but referred to as low-income: Malawi 21 Quasi-experimental designs (n = 11) accounted for most of the reviewed studies, followed by RCTs (n = 9) and observational studies (n = 5). Seventeen studies (among then eight RCTs) presented evidences on effects of non-financial interventions for TB patients (lay community health workers or social workers 19,28,31,32,33,34,35 , food assistance 23,27,28,30,36,37 , counselling 22 , "TB clubs" 20 , training programs 26 , social franchising 38 , socio-educational approaches 21 ).…”

Section: Resultsmentioning

confidence: 99%

“…In this meta-analysis, financial and non-financial interventions also were effective in protecting against default, leading to treatment success. The scope of social protection includes economic support, food security and nutrition 23,27,28,30,36,37 , psychological support and health education approaches 22,26 , social mobilization 35 and training of volunteers to act as patient's supporters 19,28,31,32,33,34 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of social protection on tuberculosis treatment outcomes in low or middle-income and in high-burden countries: systematic review and meta-analysis

et al. 2018

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effects of social protection on tuberculosis treatment outcomes in low or middle-income and in high-burden countries: systematic review and meta-analysis

et al. 2018

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“…From this perspective it is striking that at least sixteen studies provide no longitudinal data or descriptive indications of sustainability [37,45,46,48,49,52,54,55,58–61,63–65]. Soares et al note that drug and gang violence driven by external factors jeopardized sustainability of the favela program [57]. Agboatwalle et al claim that their program has become self-sustaining as a result of the integration of social (e.g.…”

Section: Synthesis Of Findingsmentioning

confidence: 99%

The Influence of Community Health Resources on Effectiveness and Sustainability of Community and Lay Health Worker Programs in Lower-Income Countries: A Systematic Review

Vries

Pool

2017

PLoS ONE

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BackgroundDespite the availability of practical knowledge and effective interventions required to reduce priority health problems in low-income countries, poor and vulnerable populations are often not reached. One possible solution to this problem is the use of Community or Lay Health Workers (CLHWs). So far, however, the development of sustainability in CLHW programs has failed and high attrition rates continue to pose a challenge. We propose that the roles and interests which support community health work should emerge directly from the way in which health is organized at community level. This review explores the evidence available to assess if increased levels of integration of community health resources in CLHW programs indeed lead to higher program effectiveness and sustainability.Methods and FindingsThis review includes peer-reviewed articles which meet three eligibility criteria: 1) specific focus on CLHWs or equivalent; 2) randomized, quasi-randomized, before/after methodology or substantial descriptive assessment; and 3) description of a community or peer intervention health program located in a low- or middle-income country. Literature searches using various article databases led to 2930 hits, of which 359 articles were classified. Of these, 32 articles were chosen for extensive review, complemented by analysis of the results of 15 other review studies. Analysis was conducted using an excel based data extraction form. Because results showed that no quantitative data was published, a descriptive synthesis was conducted. The review protocol was not proactively registered. Findings show minimal inclusion of even basic community level indicators, such as the degree to which the program is a community initiative, community input in the program or training, the background and history of CLHW recruits, and the role of the community in motivation and retention. Results show that of the 32 studies, only one includes one statistical measure of community integration. As a result of this lack of data we are unable to derive an evidence-based conclusion to our propositions. Instead, our results indicate a larger problem, namely the complete absence of indicators measuring community relationships with the programs studied. Studies pay attention only to gender and peer roles, along with limited demographic information about the recruits. The historicity of the health worker and the community s/he belongs to is absent in most studies reviewed. None of the studies discuss or test for the possibility that motivation emanates from the community. Only a few studies situate attrition and retention as an issue enabled by the community. The results were limited by a focus on low-income countries and English, peer-reviewed published articles only.ConclusionPublished, peer-reviewed studies evaluating the effectiveness and sustainability of CLHW interventions in health programs have not yet adequately tested for the potential of utilizing existing community health roles or social networks for the development of effective and sus...

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“…The use of CHAs in Brazil has contributed to improvements in health outcomes across maternal and child health, breastfeeding education and support, adherence to tuberculosis treatment, and decreased rates of unnecessary hospitalization . In the present study, CHAs were most likely to self‐report always verifying vaccination status.…”

Section: Discussionmentioning

confidence: 69%

“…In Brazil, estimates of the prevalence of HPV infection among asymptomatic women in vary by region (2.3%-32.7%). 3 The oncogenic viruses HPV type 16 and type 18 are the most frequently detected types, accounting for approximately 70% of all cervical cancers and a large proportion of all other HPV-related cancers in Brazil. 3 Cervical cancer is the fourth leading cause of cancer-related deaths among Brazilian women, responsible for more than 5000 deaths every year.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing HPV vaccine delivery by healthcare professionals at public health posts in São Paulo, Brazil

Figueroa-Downing

Baggio

Baker

et al. 2016

Intl J Gynecology & Obste

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Tuberculosis control in a socially vulnerable area: a community intervention beyond DOT in a Brazilian <I>favela</I>

Abstract: With proper planning and effective community involvement, a successful intervention can lead to high cure rates and may contribute to a decrease in TB notification rates.

Cited by 21 publications

References 10 publications

Effects of social protection on tuberculosis treatment outcomes in low or middle-income and in high-burden countries: systematic review and meta-analysis

Effects of social protection on tuberculosis treatment outcomes in low or middle-income and in high-burden countries: systematic review and meta-analysis

The Influence of Community Health Resources on Effectiveness and Sustainability of Community and Lay Health Worker Programs in Lower-Income Countries: A Systematic Review

Factors influencing HPV vaccine delivery by healthcare professionals at public health posts in São Paulo, Brazil

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