Social determinants of tuberculosis: context, framework and the way forward to ending TB in India.

We examined the role of social determinants in two key pathways - the pathway of TB causation and its outcomes, and the care cascade for patients with TB, and its consequences. We reviewed the most important social determinants of TB including poverty, membership of certain castes and indigenous population, undernutrition and poor access to healthcare, especially in rural areas. EXPERT OPINION: We suggest that TB elimination will require an optimal mix of enhanced biomedical and social interventions. TB elimination strategy in India needs a pro-poor model of patient -centred care inclusive of nutritional, psycho-social and financial support, universal health coverage and social protection; and convergence with multi-sectoral efforts to address poverty, under-nutrition, unsafe housing and indoor pollution. PMID: 33016808 [PubMed - as supplied by publisher]
Source: Expert Review of Respiratory Medicine - Category: Respiratory Medicine Tags: Expert Rev Respir Med Source Type: research