Abstract:
Addressing the social and structural determinants of tuberculosis (TB) through social protection programs is a central feature of global public health policy and disease elimination strategies. However, how best to implement such programs remains unknown. India\'s direct benefit transfer (DBT) program is the largest cash transfer program in the world dedicated to supporting individuals affected by TB. Despite several studies aimed at evaluating the impact of DBT, many questions remain about its implementation, mechanisms of action, and effectiveness. Dave and Rupani\'s mixed-methods evaluation of this program previously published in this journal offers valuable insights into the strengths and limitations of the DBT program in improving TB treatment outcomes. Their results also provide an opportunity for demonstrating how systematically collected data may be further analyzed and presented using implementation science, a field of study using methods to promote the systematic uptake of evidence-based interventions to support sustainable program scale-up.
摘要:
通过社会保护计划解决结核病(TB)的社会和结构决定因素是全球公共卫生政策和疾病消除战略的中心特征。然而,如何最好地实现这些程序仍然是未知的。印度的直接利益转移(DBT)计划是世界上最大的现金转移计划,致力于支持受结核病影响的个人。尽管有几项研究旨在评估DBT的影响,它的实施仍然存在许多问题,行动机制,和有效性。Dave和Rupani先前在本杂志上发表的对该计划的混合方法评估为DBT计划在改善结核病治疗结果方面的优势和局限性提供了宝贵的见解。他们的结果也提供了一个机会,展示如何使用实施科学进一步分析和呈现系统收集的数据。一个研究领域,使用方法来促进循证干预措施的系统吸收,以支持可持续的计划扩大。