社会保护作为结核病患者的一项权利:范围审查和概念框架。

IF 8.1 1区 医学 Infectious Diseases of Poverty Pub Date : 2023-11-22 DOI:10.1186/s40249-023-01157-1
Melisane Regina Lima Ferreira, Rafaele Oliveira Bonfim, Pedro Augusto Bossonario, Venisse Paschoalin Maurin, Ana Beatriz Marques Valença, Paula Daniella de Abreu, Rubia Laine de Paula Andrade, Inês Fronteira, Aline Aparecida Monroe
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引用次数: 0

摘要

背景:结核病是一种受社会决定因素强烈影响的传染病,与贫困和社会排斥循环密切相关。在此背景下,为受疾病影响的人提供社会保护是减少不平等和加强包容和社会正义的有力手段。这项研究旨在确定和综合各项战略和措施,以确保社会保护作为结核病患者的一项权利。方法:这是一项范围综述,于2023年2月在六个数据库中进行了检索。我们纳入了2015年以来的出版物,阐明了旨在保障结核病患者在健康、营养、就业、收入、住房、社会援助和社会保障方面的权利的社会保护战略和措施。这些策略可以在任何给定的环境中通过政策、计划和/或政府协议来实施。对从文章中提取的数据进行了描述性分析,并根据社会保护的各个方面对调查结果进行了叙述性综合。此外,我们制定了一个概念性框架,说明了与本次审查中确定的社会保护的每个方面相关的措施和战略的组织和操作方面。结果:共检索到文献9317篇,其中纳入文献63篇。该研究的结果强调了有关结核病患者社会保护的措施和战略。这些措施和战略围绕着获得适当营养和营养、收入、住房和健康保险的权利,以及包括社会援助和社会福利在内的扩大权利。据报告,确保这些权利有助于改善结核病患者的营养状况和生活质量,同时降低灾难性费用,扩大获得保健干预措施和服务的机会,并促进结核病治疗的坚持,从而提高结核病治愈率。结论:我们的研究结果确定了社会保护措施是结核病患者的一项权利,并有可能通过结核病控制规划和政府实体之间的合作来指导循证社会和卫生政策的发展。
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Social protection as a right of people affected by tuberculosis: a scoping review and conceptual framework.

Background: Tuberculosis is an infectious disease strongly influenced by social determinants closely associated with cycles of poverty and social exclusion. Within this context, providing social protection for people affected by the disease constitutes a powerful instrument for reducing inequalities and enhancing inclusion and social justice. This study aimed to identify and synthesize strategies and measures aimed at ensuring social protection as a right of people affected by tuberculosis.

Methods: This is a scoping review, with searches conducted in six databases in February 2023. We included publications from 2015 onwards that elucidate strategies and measures of social protection aimed at safeguarding the rights to health, nutrition, employment, income, housing, social assistance, and social security for people affected by tuberculosis. These strategies could be implemented through policies, programs, and/or governmental agreements in any given context. The data extracted from the articles underwent descriptive analysis and a narrative synthesis of findings based on the dimensions of social protection. Additionally, we developed a conceptual framework illustrating the organizational and operational aspects of measures and strategies related to each dimension of social protection identified in this review.

Results: A total of 9317 publications were retrieved from the databases, of which sixty-three publications were included. The study's results highlighted measures and strategies concerning the social protection of people affected by tuberculosis. These measures and strategies revolved around the rights to proper nutrition and nourishment, income, housing, and health insurance, as well as expanded rights encompassing social assistance and social welfare. It was reported that ensuring these rights contributes to improving nutritional status and the quality of life for individuals with tuberculosis, along with reducing catastrophic costs, expanding access to healthcare interventions and services, and fostering TB treatment adherence, thereby leading to higher rates of TB cure.

Conclusions: Our findings identify social protection measures as a right for people affected by tuberculosis and have the potential to guide the development of evidence-based social and health policies through collaboration between tuberculosis control programs and governmental entities.

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来源期刊
Infectious Diseases of Poverty
Infectious Diseases of Poverty INFECTIOUS DISEASES-
自引率
1.20%
发文量
368
期刊介绍: Infectious Diseases of Poverty is an open access, peer-reviewed journal that focuses on addressing essential public health questions related to infectious diseases of poverty. The journal covers a wide range of topics including the biology of pathogens and vectors, diagnosis and detection, treatment and case management, epidemiology and modeling, zoonotic hosts and animal reservoirs, control strategies and implementation, new technologies and application. It also considers the transdisciplinary or multisectoral effects on health systems, ecohealth, environmental management, and innovative technology. The journal aims to identify and assess research and information gaps that hinder progress towards new interventions for public health problems in the developing world. Additionally, it provides a platform for discussing these issues to advance research and evidence building for improved public health interventions in poor settings.
期刊最新文献
Role of social innovations in health in the prevention and control of infectious diseases: a scoping review. Approaching onchocerciasis elimination in Equatorial Guinea: Near zero transmission and public health implication. Global burden associated with rare infectious diseases of poverty in 2021: findings from the Global Burden of Disease Study 2021. One-year impact of behavioural interventions on schistosomiasis-related knowledge, attitude and practices of primary schoolchildren in Pemba, Tanzania. Establishing a dominant early larval sex-selection strain in the Asian malaria vector Anopheles stephensi.
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