What matters most? A qualitative study exploring priorities for supportive interventions for people with tuberculosis in urban Viet Nam
Introduction The health and economic burden of tuberculosis (TB) in urban Viet Nam is high. Social protection and support interventions can improve treatment outcomes and reduce costs. However, evidence regarding optimal strategies in this context is lacking. This study aimed to increase understandi...
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-08-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/8/e076076.full |
| _version_ | 1797738247987658752 |
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| author | Lopa Basu Salla Atkins Knut Lönnroth Binh Hoa Nguyen Viet Nhung Nguyen Kristi Sidney Annerstedt Rachel Forse Jacob Creswell Isabel Smith Nguyen Thi Thanh Amera Khan Luan Nguyen Quang Vo Nga Thi Thuy Nguyen Andrew Codlin Lan Nguyen Thi Hoang Yen Phan Han Nguyen Minh Pham Huy |
| author_facet | Lopa Basu Salla Atkins Knut Lönnroth Binh Hoa Nguyen Viet Nhung Nguyen Kristi Sidney Annerstedt Rachel Forse Jacob Creswell Isabel Smith Nguyen Thi Thanh Amera Khan Luan Nguyen Quang Vo Nga Thi Thuy Nguyen Andrew Codlin Lan Nguyen Thi Hoang Yen Phan Han Nguyen Minh Pham Huy |
| author_sort | Lopa Basu |
| collection | DOAJ |
| description | Introduction The health and economic burden of tuberculosis (TB) in urban Viet Nam is high. Social protection and support interventions can improve treatment outcomes and reduce costs. However, evidence regarding optimal strategies in this context is lacking. This study aimed to increase understanding of what people with TB and healthcare providers (HCPs) perceive as important to improve TB treatment outcomes and reduce costs.Methods We conducted qualitative focus group discussions (seven groups, n=30) and key informant interviews (n=4) with people with drug-susceptible and multidrug-resistant TB and HCPs in Ha Noi and Ho Chi Minh City. Topic guides covered perspectives on and prioritisation of different forms of social protection and support. Data were analysed using reflexive thematic analysis and interpreted using a Framework for Transformative Social Protection.Results We identified three themes and seven subthemes. The first theme, ‘Existing financial safety nets are essential, but could go further to support people affected by TB’, highlights that support to meet the medical costs of TB treatment and flexible cash transfers are a priority for people with TB and HCPs. The second, ‘It is important to promote “physical and spiritual health” during TB treatment’, demonstrates that extended psychosocial and nutritional support would encourage people with TB during their treatment. The third, ‘Accessibility and acceptability are critical in designing social support interventions for people with TB’, shows the importance of ensuring that support is accessible and proportional to the needs of people with TB and their families.Conclusions Accessible interventions that incorporate financial risk protection, nutritional and psychosocial support matter most to people with TB and HCPs in urban Viet Nam to improve their treatment outcomes and reduce catastrophic costs. This study can inform the design of stronger person-centred interventions to advance progress towards the goals of the WHO’s End TB Strategy. |
| first_indexed | 2024-03-12T13:41:05Z |
| format | Article |
| id | doaj.art-4d1883f82d60496cb91b92d915ed6433 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-12T13:41:05Z |
| publishDate | 2023-08-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-4d1883f82d60496cb91b92d915ed64332023-08-23T17:30:07ZengBMJ Publishing GroupBMJ Open2044-60552023-08-0113810.1136/bmjopen-2023-076076What matters most? A qualitative study exploring priorities for supportive interventions for people with tuberculosis in urban Viet NamLopa Basu0Salla Atkins1Knut Lönnroth2Binh Hoa Nguyen3Viet Nhung Nguyen4Kristi Sidney Annerstedt5Rachel Forse6Jacob Creswell7Isabel Smith8Nguyen Thi Thanh9Amera Khan10Luan Nguyen Quang Vo11Nga Thi Thuy Nguyen12Andrew Codlin13Lan Nguyen14Thi Hoang Yen Phan15Han Nguyen16Minh Pham Huy17USAID Vietnam, Ha Noi, Viet NamFaculty of Social Sciences, Tampere University, Tampere, FinlandDepartment of Global Public Health, WHO Collaborating Centre on Tuberculosis and Social Medicine, Karolinska Institute, Stockholm, SwedenThe National Lung Hospital, Hanoi, Vietnam7 The National Lung Hospital, Hanoi, VietnamDepartment of Global Public Health, Karolinska Institutet, Stockholm, SwedenTB Programs, Friends for International TB Relief, Ho Chi Minh City, Viet NamStop TB Partnership, Geneva, Switzerlandlead in clinical audit and improvementUniversity of Medicine and Pharmacy at Ho Chi Minh city, Ho Chi Minh City, Viet NamStop TB Partnership, Geneva, Switzerland1 Friends for International TB Relief, Ha Noi, Viet Nam1 Friends for International TB Relief, Ha Noi, Viet Nam1 Friends for International TB Relief, Ha Noi, Viet NamIRD VN, Ho Chi Minh City, Viet NamCentre for Development of Community Health Initiatives, Ha Noi, Viet NamFriends for International TB Relief, Ha Noi, Viet NamUSAID Vietnam, Ha Noi, Viet NamIntroduction The health and economic burden of tuberculosis (TB) in urban Viet Nam is high. Social protection and support interventions can improve treatment outcomes and reduce costs. However, evidence regarding optimal strategies in this context is lacking. This study aimed to increase understanding of what people with TB and healthcare providers (HCPs) perceive as important to improve TB treatment outcomes and reduce costs.Methods We conducted qualitative focus group discussions (seven groups, n=30) and key informant interviews (n=4) with people with drug-susceptible and multidrug-resistant TB and HCPs in Ha Noi and Ho Chi Minh City. Topic guides covered perspectives on and prioritisation of different forms of social protection and support. Data were analysed using reflexive thematic analysis and interpreted using a Framework for Transformative Social Protection.Results We identified three themes and seven subthemes. The first theme, ‘Existing financial safety nets are essential, but could go further to support people affected by TB’, highlights that support to meet the medical costs of TB treatment and flexible cash transfers are a priority for people with TB and HCPs. The second, ‘It is important to promote “physical and spiritual health” during TB treatment’, demonstrates that extended psychosocial and nutritional support would encourage people with TB during their treatment. The third, ‘Accessibility and acceptability are critical in designing social support interventions for people with TB’, shows the importance of ensuring that support is accessible and proportional to the needs of people with TB and their families.Conclusions Accessible interventions that incorporate financial risk protection, nutritional and psychosocial support matter most to people with TB and HCPs in urban Viet Nam to improve their treatment outcomes and reduce catastrophic costs. This study can inform the design of stronger person-centred interventions to advance progress towards the goals of the WHO’s End TB Strategy.https://bmjopen.bmj.com/content/13/8/e076076.full |
| spellingShingle | Lopa Basu Salla Atkins Knut Lönnroth Binh Hoa Nguyen Viet Nhung Nguyen Kristi Sidney Annerstedt Rachel Forse Jacob Creswell Isabel Smith Nguyen Thi Thanh Amera Khan Luan Nguyen Quang Vo Nga Thi Thuy Nguyen Andrew Codlin Lan Nguyen Thi Hoang Yen Phan Han Nguyen Minh Pham Huy What matters most? A qualitative study exploring priorities for supportive interventions for people with tuberculosis in urban Viet Nam BMJ Open |
| title | What matters most? A qualitative study exploring priorities for supportive interventions for people with tuberculosis in urban Viet Nam |
| title_full | What matters most? A qualitative study exploring priorities for supportive interventions for people with tuberculosis in urban Viet Nam |
| title_fullStr | What matters most? A qualitative study exploring priorities for supportive interventions for people with tuberculosis in urban Viet Nam |
| title_full_unstemmed | What matters most? A qualitative study exploring priorities for supportive interventions for people with tuberculosis in urban Viet Nam |
| title_short | What matters most? A qualitative study exploring priorities for supportive interventions for people with tuberculosis in urban Viet Nam |
| title_sort | what matters most a qualitative study exploring priorities for supportive interventions for people with tuberculosis in urban viet nam |
| url | https://bmjopen.bmj.com/content/13/8/e076076.full |
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