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Barriers and facilitators to accessing tuberculosis care in Nepal: a qualitative study to inform the design of a socioeconomic support intervention.

Kritika DixitOlivia BiermannBhola RaiTara Prasad AryalGokul MishraNoemia Teixeira de Siqueira-FilhaPuskar Raj PaudelRam Narayan PanditManoj Kumar SahGovinda MajhiJens LevyJob van RestSuman Chandra GurungRaghu DhitalKnut LönnrothS Bertel SquireMaxine CawsKristi SidneyTom Wingfield
Published in: BMJ open (2021)
These results suggest that support interventions that integrate TB education, psychosocial counselling and expand on existing cash transfer schemes would be locally appropriate and could address the socioeconomic barriers to accessing and engaging with TB services faced by TB-affected households in Nepal. The findings have been used to inform the design of a socioeconomic support intervention for TB-affected households. The acceptability, feasibility and impact of this intervention on TB-related costs, stigma and TB treatment outcomes, is now being evaluated in a pilot implementation study in Nepal.
Keyphrases
  • mycobacterium tuberculosis
  • healthcare
  • randomized controlled trial
  • mental health
  • primary care
  • quality improvement
  • tertiary care
  • emergency department
  • physical activity
  • hiv aids
  • social support