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Effect of specific and sensitive interventions for the social protection of people affected by tuberculosis

2025-12Artigo científico Acesso aberto
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dc.contributor.authorFerreira, Melisane Regina Lima
dc.contributor.authorGil, Jesús David Cortés
dc.contributor.authorAndrade, Rubia Laine de Paula
dc.contributor.authorSoares, Débora de Almeida
dc.contributor.authorMonroe, Aline Aparecida
dc.contributor.authorFronteira, Inês
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.pblSpringer Verlag
dc.date.accessioned2026-01-14T15:54:30Z
dc.date.available2026-01-14T15:54:30Z
dc.date.issued2025-12
dc.descriptionPublisher Copyright: © The Author(s) 2025.
dc.description.abstractBackground: Tuberculosis (TB)-specific interventions directly benefit people affected by the disease and their families, as they are integrated into existing TB treatment programs. Conversely, TB-sensitive interventions form part of a broader social protection framework aimed at the general population. We conducted a meta-analysis of specific and sensitive interventions of social protection of people affected by TB during treatment. Methods: Studies that used Odds Ratio (OR) and/or Relative Risk (RR) were included. The magnitude of effects was categorized by population and intervention. Heterogeneity was assessed using I2 statistics, and analyses were conducted in Stata version 15.0. A network funnel plot was employed to check for publication bias. The methodological quality of studies was evaluated following The Joanna Briggs Institute recommendations. Results: Thirteen articles were included, covering 82,602 participants. Interventions primarily involved conditional cash transfers for people affected by TB. The results demonstrated that both TB-specific and TB-sensitive interventions had positive effects on treatment success, with an effect estimate of 2.16 (95% CI: 1.52–3.08) for specific interventions and 1.15 (95% CI: 1.07–1.23) for sensitive interventions. Conclusions: The findings of this meta-analysis contribute to understand the positive impacts of social interventions during TB treatment. These results have important implications for the management of health and social services. They underscore the need to integrate such interventions into TB control programs and to influence public policies in settings where the disease remains a major health issue, intertwined with cycles of poverty and social exclusion.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1291112
dc.identifier.doi10.1186/s13690-025-01659-4
dc.identifier.issn0778-7367
dc.identifier.otherPURE: 148708057
dc.identifier.otherPURE UUID: 8f4ca104-7c96-4473-9522-dbd5915dcf08
dc.identifier.otherScopus: 105018693562
dc.identifier.otherPubMed: 41084064
dc.identifier.otherPubMedCentral: PMC12519751
dc.identifier.otherWOS: 001592789700002
dc.identifier.otherORCID: /0000-0003-1406-4585/work/201293198
dc.identifier.otherORCID: /0000-0002-0069-5362/work/215967913
dc.identifier.urihttp://hdl.handle.net/10362/199045
dc.identifier.urlhttps://www.scopus.com/pages/publications/105018693562
dc.language.isoeng
dc.peerreviewedyes
dc.subjectHealth policy
dc.subjectHuman rights
dc.subjectPublic policy
dc.subjectSocial determinants of health
dc.subjectSocial welfare
dc.subjectTuberculosis
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.subjectSDG 1 - No Poverty
dc.subjectSDG 10 - Reduced Inequalities
dc.titleEffect of specific and sensitive interventions for the social protection of people affected by tuberculosisen
dc.title.subtitlea meta-analysisen
dc.typejournal article
degois.publication.issue1
degois.publication.titleArchives of Public Health
degois.publication.volume83
dspace.entity.typePublication
rcaap.rightsopenAccess

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