估计印度结核病患者潜在的社会支持需求
Susmita Chatterjee1,2, Guy Stallworthy3, Palash Das1
1Research, George Institute for Global Health, 308, Elegance Tower, Plot No 8, Jasola District Centre, New Delhi 110025, India.
Health policy and planning
|July 10, 2024
概括
印度 印度 印度
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 社会支持系统社会支持系统
背景情况:
- 结核病 (TB) 治疗给家庭带来了巨大的经济成本,往往导致贫困.
- 建议社会支持,但在全球范围内很少.
- 印度的Nikshay Poshan Yojana (NPY) 旨在为结核病患者提供营养支持.
研究的目的:
- 评估印度NPY金融激励措施对结核病患者灾难性成本的覆盖范围,时间和影响.
- 估计消除灾难性成本所需的社会支持.
- 为改善结核病患者经济福利的政策提供信息.
主要方法:
- 在印度四个州的16个地区采访了1482名成年药物易感结核病患者 (2019-2023年).
- 利用世卫组织推的方法来估计国家家庭结核病成本.
- 评估福利收益及其对减轻灾难性成本的影响.
主要成果:
- 只有31-54%的患者在治疗结束时获得了NPY益处.
- 34-60%的结核病患者面临灾难性成本.
- 只有2%的患者获得了NPY的好处,从而避免了灾难性成本.
- 6个月的1万卢比的福利可以将灾难性成本降低43%.
结论:
- 目前的NPY福利水平不足以防止灾难性成本.
- 需要大幅增加财政支持,可能需要采取有针对性的方法.
- 建议在注册后立即支付至少一半的修订福利,以获得最大的影响.
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