Addressing tuberculosis patients’ medical and socio‐economic needs: a comprehensive programmatic approach

Objective For a cohort of patients with tuberculosis in Carabayllo, Peru, we describe the prevalence of medical comorbidities and socio‐economic needs, the efforts required by a comprehensive support programme (‘TB Cero’) to address them and the success of this programme in linking patients to care....

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Veröffentlicht in:Tropical medicine & international health 2017-04, Vol.22 (4), p.505-511
Hauptverfasser: Contreras, Carmen C., Millones, Ana K., Santa Cruz, Janeth, Aguilar, Margot, Clendenes, Martin, Toranzo, Miguel, Llaro, Karim, Lecca, Leonid, Becerra, Mercedes C., Yuen, Courtney M.
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Sprache:eng
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Zusammenfassung:Objective For a cohort of patients with tuberculosis in Carabayllo, Peru, we describe the prevalence of medical comorbidities and socio‐economic needs, the efforts required by a comprehensive support programme (‘TB Cero’) to address them and the success of this programme in linking patients to care. Methods Patients diagnosed with tuberculosis in Carabayllo underwent evaluations for HIV, diabetes, mental health and unmet basic needs. For patients initiating treatment during 14 September, 2015–15 May, 2016, we ed data from evaluation forms and a support request system. We calculated the prevalence of medical comorbidities and the need for socio‐economic support at the time of tuberculosis diagnosis, as well as the proportion of patients successfully linked to care or support. Results Of 192 patients, 83 (43%) had at least one medical comorbidity other than tuberculosis. These included eight (4%) patients with HIV, 12 (6%) with diabetes and 62 (32%) deemed at risk for a mental health condition. Of patients who required follow‐up for a comorbidity, 100% initiated antiretroviral therapy, 71% attended endocrinology consultations and 66% attended psychology consultations. Of 126 (65%) patients who completed the socio‐economic evaluation, 58 (46%) reported already receiving food baskets from the municipality, and 79 (63%) were given additional support, most commonly food vouchers and assistance in accessing health care. Conclusion Carabayllo tuberculosis patients face many challenges in addition to tuberculosis. A collaborative, comprehensive treatment support programme can achieve high rates of linkage to care for these needs. Objectif Pour une cohorte de patients atteints de tuberculose (TB) à Carabayllo, au Pérou, nous décrivons la prévalence des comorbidités médicales et les besoins socioéconomiques, les efforts requis par un programme complet de soutien («TB Cero») pour y répondre et le succès de ce programme pour relier les patients aux soins. Méthodes Les patients diagnostiqués avec la TB à Carabayllo ont été évalués pour le VIH, le diabète, la santé mentale et les besoins de base non satisfaits. Pour les patients qui ont commencé le traitement au cours de la période du 14 septembre 2015 au 15 mai 2016, nous avons extrait les données des formulaires d’évaluation et un système de demande de soutien. Nous avons calculé la prévalence des comorbidités médicales et le besoin de soutien socioéconomique au moment du diagnostic de la TB, ainsi que la proportion de
ISSN:1360-2276
1365-3156
DOI:10.1111/tmi.12844