A qualitative assessment on the acceptability of providing cash transfers and social health insurance for tuberculosis-affected families in Ho Chi Minh City, Vietnam.
To achieve the Sustainable Development Goal's targets of universal health coverage (UHC) and poverty reduction, interventions are required that strengthen and harmonize both UHC and social protection. Vietnam is committed to achieving financial protection and over 90% of the general population...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLOS Global Public Health |
| Online Access: | https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0002439&type=printable |
| _version_ | 1797376249396461568 |
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| author | Rachel Forse Thanh Thi Nguyen Thu Dam Luan Nguyen Quang Vo Andrew James Codlin Maxine Caws Ha Dang Thi Minh Lan Huu Nguyen Hoa Binh Nguyen Nhung Viet Nguyen Knut Lönnroth Kristi Sidney Annerstedt |
| author_facet | Rachel Forse Thanh Thi Nguyen Thu Dam Luan Nguyen Quang Vo Andrew James Codlin Maxine Caws Ha Dang Thi Minh Lan Huu Nguyen Hoa Binh Nguyen Nhung Viet Nguyen Knut Lönnroth Kristi Sidney Annerstedt |
| author_sort | Rachel Forse |
| collection | DOAJ |
| description | To achieve the Sustainable Development Goal's targets of universal health coverage (UHC) and poverty reduction, interventions are required that strengthen and harmonize both UHC and social protection. Vietnam is committed to achieving financial protection and over 90% of the general population has enrolled in its social health insurance (SHI) scheme. However, an estimated 63% of tuberculosis (TB)-affected households in Vietnam still face catastrophic costs and little is known about the optimal strategies to mitigate the costs of TB care for vulnerable families. This study assessed the acceptability of a social protection package containing cash transfers and SHI using individual interviews (n = 19) and focus group discussions (n = 3 groups). Interviews were analyzed through framework analysis. The study's main finding indicated that both conditional and unconditional cash transfers paired with SHI were acceptable, across six dimensions of acceptability. Cash transfers were considered beneficial for mitigating out-of-pocket expenditure, increasing TB treatment adherence, and improving mental health and general well-being, but the value provided was inadequate to fully alleviate the economic burden of the illness. The conditionality of the cash transfers was not viewed by participants as inappropriate, but it increased the workload of the TB program, which brought into question the feasibility of scale-up. SHI was viewed as a necessity by almost all participants, but people with TB questioned the quality of care received when utilizing it for auxiliary TB services. Access to multiple sources of social protection was deemed necessary to fully offset the costs of TB care. Additional research is needed to assess the impact of cash transfer interventions on health and economic outcomes in order to create an enabling policy environment for scale-up. |
| first_indexed | 2024-03-08T19:35:54Z |
| format | Article |
| id | doaj.art-efb3a362e23341b58b8476b172a6486a |
| institution | Directory Open Access Journal |
| issn | 2767-3375 |
| language | English |
| last_indexed | 2024-03-08T19:35:54Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj.art-efb3a362e23341b58b8476b172a6486a2023-12-26T05:55:39ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752023-01-01312e000243910.1371/journal.pgph.0002439A qualitative assessment on the acceptability of providing cash transfers and social health insurance for tuberculosis-affected families in Ho Chi Minh City, Vietnam.Rachel ForseThanh Thi NguyenThu DamLuan Nguyen Quang VoAndrew James CodlinMaxine CawsHa Dang Thi MinhLan Huu NguyenHoa Binh NguyenNhung Viet NguyenKnut LönnrothKristi Sidney AnnerstedtTo achieve the Sustainable Development Goal's targets of universal health coverage (UHC) and poverty reduction, interventions are required that strengthen and harmonize both UHC and social protection. Vietnam is committed to achieving financial protection and over 90% of the general population has enrolled in its social health insurance (SHI) scheme. However, an estimated 63% of tuberculosis (TB)-affected households in Vietnam still face catastrophic costs and little is known about the optimal strategies to mitigate the costs of TB care for vulnerable families. This study assessed the acceptability of a social protection package containing cash transfers and SHI using individual interviews (n = 19) and focus group discussions (n = 3 groups). Interviews were analyzed through framework analysis. The study's main finding indicated that both conditional and unconditional cash transfers paired with SHI were acceptable, across six dimensions of acceptability. Cash transfers were considered beneficial for mitigating out-of-pocket expenditure, increasing TB treatment adherence, and improving mental health and general well-being, but the value provided was inadequate to fully alleviate the economic burden of the illness. The conditionality of the cash transfers was not viewed by participants as inappropriate, but it increased the workload of the TB program, which brought into question the feasibility of scale-up. SHI was viewed as a necessity by almost all participants, but people with TB questioned the quality of care received when utilizing it for auxiliary TB services. Access to multiple sources of social protection was deemed necessary to fully offset the costs of TB care. Additional research is needed to assess the impact of cash transfer interventions on health and economic outcomes in order to create an enabling policy environment for scale-up.https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0002439&type=printable |
| spellingShingle | Rachel Forse Thanh Thi Nguyen Thu Dam Luan Nguyen Quang Vo Andrew James Codlin Maxine Caws Ha Dang Thi Minh Lan Huu Nguyen Hoa Binh Nguyen Nhung Viet Nguyen Knut Lönnroth Kristi Sidney Annerstedt A qualitative assessment on the acceptability of providing cash transfers and social health insurance for tuberculosis-affected families in Ho Chi Minh City, Vietnam. PLOS Global Public Health |
| title | A qualitative assessment on the acceptability of providing cash transfers and social health insurance for tuberculosis-affected families in Ho Chi Minh City, Vietnam. |
| title_full | A qualitative assessment on the acceptability of providing cash transfers and social health insurance for tuberculosis-affected families in Ho Chi Minh City, Vietnam. |
| title_fullStr | A qualitative assessment on the acceptability of providing cash transfers and social health insurance for tuberculosis-affected families in Ho Chi Minh City, Vietnam. |
| title_full_unstemmed | A qualitative assessment on the acceptability of providing cash transfers and social health insurance for tuberculosis-affected families in Ho Chi Minh City, Vietnam. |
| title_short | A qualitative assessment on the acceptability of providing cash transfers and social health insurance for tuberculosis-affected families in Ho Chi Minh City, Vietnam. |
| title_sort | qualitative assessment on the acceptability of providing cash transfers and social health insurance for tuberculosis affected families in ho chi minh city vietnam |
| url | https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0002439&type=printable |
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