Perspectives of healthcare and social support sector policymakers on potential solutions to mitigate financial impact among people with TB in Mozambique: a qualitative study.

Autor:	Nhassengo P; WHO Collaborating Centre in Tuberculosis and Social Medicine, Department of Global Public Health, Karolinska Institute, Stockholm, Sweden pedroso.nhassengo@ins.gov.mz.; Instituto Nacional de Saúde, Marracuene, Mozambique.; Health and Social Protection Action Research and Knowledge Sharing Network, Stockholm, Sweden., Yoshino C; WHO Collaborating Centre in Tuberculosis and Social Medicine, Department of Global Public Health, Karolinska Institute, Stockholm, Sweden.; Health and Social Protection Action Research and Knowledge Sharing Network, Stockholm, Sweden., Zandamela A; Instituto Nacional de Saúde, Marracuene, Mozambique., De Carmo V; Instituto Nacional de Saúde, Marracuene, Mozambique., Burström B; WHO Collaborating Centre in Tuberculosis and Social Medicine, Department of Global Public Health, Karolinska Institute, Stockholm, Sweden., Khosa C; Instituto Nacional de Saúde, Marracuene, Mozambique., Wingfield T; WHO Collaborating Centre in Tuberculosis and Social Medicine, Department of Global Public Health, Karolinska Institute, Stockholm, Sweden.; Health and Social Protection Action Research and Knowledge Sharing Network, Stockholm, Sweden.; Department of International Public Health and Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK., Lönnroth K; WHO Collaborating Centre in Tuberculosis and Social Medicine, Department of Global Public Health, Karolinska Institute, Stockholm, Sweden.; Health and Social Protection Action Research and Knowledge Sharing Network, Stockholm, Sweden., Atkins S; WHO Collaborating Centre in Tuberculosis and Social Medicine, Department of Global Public Health, Karolinska Institute, Stockholm, Sweden.; New Social Research and Faculty of Social Sciences, Tampere University, Tampere, Finland.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2023 Aug 31; Vol. 13 (8), pp. e073234. Date of Electronic Publication: 2023 Aug 31.
DOI:	10.1136/bmjopen-2023-073234
Abstrakt:	Objective: People with tuberculosis (TB) and their households face severe socioeconomic consequences, which will only be mitigated by intersectoral collaboration, especially between the health and social sectors. Evidence suggests that key factors for successful collaboration include shared goals, trust, commitment, resource allocation, efficient processes and effective communication and motivation among collaborating parties. This study aimed to understand healthcare and social support sector policymakers' perspectives on potential solutions to mitigate financial impact among people with TB and their households in Mozambique. Design: Qualitative study with primary data collection through one-to-one in-depth interviews. Setting: Gaza and Inhambane provinces, Mozambique. Participants: Policymakers in the health and social support sector. Results: A total of 27 participants were purposefully sampled. Participants were asked about their perspectives on TB-related financial impact and potential solutions to mitigate such impact. Participants reported that people with TB are not explicitly included in existing social support policies because TB per se is not part of the eligibility criteria. People with TB and underweight or HIV were enrolled in social support schemes providing food or cash. Two themes were generated from the analysis: (1) Policymakers suggested several mitigation solutions, including food and monetary support, but perceived that their implementation would be limited by lack of resources; and (2) lack of shared views or processes related to intersectoral collaboration between health and social support sector hinders design and implementation of social support for people with TB. Conclusion: Despite health and social sector policymakers reporting a willingness for intersectoral collaboration to mitigate TB-related financial impact, current approaches were perceived to be unilateral. Collaboration between health and social support sectors should focus on improving existing social support programmes. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu