Dixit, Kritika, Rai, Bhola 
ORCID: 0000-0002-7421-4891, Prasad Aryal, Tara, Mishra, Gokul, Teixeira de Siqueira-Filha, Noemia, Raj Paudel, Puskar, Levy, Jens W ORCID: 0000-0002-5676-2990, van Rest, Job, Chandra Gurung, Suman, Dhital, Raghu et al (show 6 more authors)
(2020)
Research protocol for a mixed-methods study to characterise and address the socioeconomic impact of accessing TB diagnosis and care in Nepal.
Wellcome Open Research, 5.
p. 19.
Abstract
<ns4:p><ns4:bold>Background: </ns4:bold>WHO’s 2015 End TB Strategy advocates social and economic (socioeconomic) support for TB-affected households to improve TB control. However, evidence concerning socioeconomic support for TB-affected households remains limited, especially in low-income countries.</ns4:p><ns4:p> </ns4:p><ns4:p> <ns4:bold>Protocol: </ns4:bold>This mixed-methods study in Nepal will: evaluate the socioeconomic impact of accessing TB diagnosis and care (Project 1); and create a shortlist of feasible, locally-appropriate interventions to mitigate this impact (Project 2). The study will be conducted in the Chitwan, Mahottari, Makawanpur, and Dhanusha districts of Nepal, which have frequent TB and poverty.</ns4:p><ns4:p> </ns4:p><ns4:p> The study population will include: approximately 200 people with TB (Cases) starting TB treatment with Nepal’s National TB Program and 100 randomly-selected people without TB (Controls) in the same sites (Project 1); and approximately 40 key in-country stakeholders from Nepal including people with TB, community leaders, and TB healthcare professionals (Project 2).</ns4:p><ns4:p> </ns4:p><ns4:p> During Project 1, visits will be made to people with TB’s households during months 3 and 6 of TB treatment, and a single visit made to Control households. During visits, participants will be asked about: TB-related costs (if receiving treatment), food insecurity, stigma; TB-related knowledge; household poverty level; social capital; and quality of life.</ns4:p><ns4:p> </ns4:p><ns4:p> During Project 2, stakeholders will be invited to participate in: a survey and focus group discussion (FGD) to characterise socioeconomic impact, barriers and facilitators to accessing and engaging with TB care in Nepal; and a one-day workshop to review FGD findings and suggest interventions to mitigate the barriers identified.</ns4:p><ns4:p> </ns4:p><ns4:p> <ns4:bold>Ethics and dissemination: </ns4:bold>The study has received ethical approval. Results will be disseminated through scientific meetings, open access publications, and a national workshop in Nepal. </ns4:p><ns4:p> </ns4:p><ns4:p> <ns4:bold>Conclusions: </ns4:bold>This research will strengthen understanding of the socioeconomic impact of TB in Nepal and generate a shortlist of feasible and locally-appropriate socioeconomic interventions for TB-affected households for trial evaluation.</ns4:p>
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Infectious Diseases, Behavioral and Social Science, Tuberculosis, Clinical Research, Rare Diseases, Prevention, 8.1 Organisation and delivery of services, 7.1 Individual care needs, 7 Management of diseases and conditions, 8 Health and social care services research, Infection, 3 Good Health and Well Being, 2 Zero Hunger |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 10 Jun 2021 08:29 |
| Last Modified: | 14 Apr 2024 02:04 |
| DOI: | 10.12688/wellcomeopenres.15677.1 |
| Open Access URL: | http://doi.org/10.12688/wellcomeopenres.15677.1 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3125829 |
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