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other·infectious disease, public health, epidemiology, nutrition, psychiatry·PMC10450053

What matters most? A qualitative study exploring priorities for supportive interventions for people with tuberculosis in urban Viet Nam

BMJ Open · 18 authors, 8 centres

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TL;DR

This qualitative study used focus group discussions and key informant interviews with people with TB and healthcare providers in Ha Noi and Ho Chi Minh City to explore priorities for supportive interventions. Participants identified financial safety nets, psychosocial and nutritional support, and accessible intervention design as the most important elements for improving TB treatment outcomes and reducing catastrophic costs.

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Seven focus groups (n=30) and four key informant interviews were conducted with people with drug-susceptible and multidrug-resistant TB and healthcare providers in Ha Noi and Ho Chi Minh City, Viet Nam. Topic guides covered perspectives on and prioritisation of different forms of social protection and support.

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other

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infectious disease

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ORIGINAL PAPER

PMC10450053

What matters most? A qualitative study exploring priorities for supportive interventions for people with tuberculosis in urban Viet Nam

BMJ Open

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ABSTRACT

Abstract Introduction The health and economic burden of tuberculosis (TB) in urban Viet Nam is high. Social protection and support interventions can improve treatment outcomes and reduce costs. However, evidence regarding optimal strategies in this context is lacking. This study aimed to increase understanding of what people with TB and healthcare providers (HCPs) perceive as important to improve TB treatment outcomes and reduce costs. Methods We conducted qualitative focus group discussions (seven groups, n=30) and key informant interviews (n=4) with people with drug-susceptible and multidrug-resistant TB and HCPs in Ha Noi and Ho Chi Minh City. Topic guides covered perspectives on and prioritisation of different forms of social protection and support. Data were analysed using reflexive thematic analysis and interpreted using a Framework for Transformative Social Protection. Results We identified three themes and seven subthemes. The first theme, ‘Existing financial safety nets are essential, but could go further to support people affected by TB’, highlights that support to meet the medical costs of TB treatment and flexible cash transfers are a priority for people with TB and HCPs. The second, ‘It is important to promote “physical and spiritual health” during TB treatment’, demonstrates that extended psychosocial and nutritional support would encourage people with TB during their treatment. The third, ‘Accessibility and acceptability are critical in designing social support interventions for people with TB’, shows the importance of ensuring that support is accessible and proportional to the needs of people with TB and their families. Conclusions Accessible interventions that incorporate financial risk protection, nutritional and psychosocial support matter most to people with TB and HCPs in urban Viet Nam to improve their treatment outcomes and reduce catastrophic costs. This study can inform the design of stronger person-centred interventions to advance progress towards the goals of the WHO’s End TB Strategy. Keywords: Tuberculosis, Health policy, Public health

CITATION EXPORT

Isabel Smith, Rachel Forse, Kristi Sidney Annerstedt et al.. What matters most? A qualitative study exploring priorities for supportive interventions for people with tuberculosis in urban Viet Nam. BMJ Open. (2023). https://doi.org/10.1136/bmjopen-2023-076076

AUTHORS

18 · 8 CENTRES

Isabel Smith, Rachel Forse, Kristi Sidney Annerstedt, Nguyen Thi Thanh, Lan Nguyen, Thi Hoang Yen Phan, Han Nguyen, Andrew Codlin, Luan Nguyen Quang Vo, Nga Thi Thuy Nguyen, Amera Khan, Jacob Creswell, Minh Pham Huy, Lopa Basu, Knut Lönnroth, Binh Hoa Nguyen, Viet Nhung Nguyen, Salla Atkins

1Department of Global Public Health Sciences, WHO Collaborating Centre for Social Medicine and Tuberculosis, Karolinska Institutet, Stockholm, Sweden
2Friends for International TB Relief, Ha Noi, Viet Nam
3Centre for Development of Community Health Initiatives, Ha Noi, Viet Nam
4IRD VN, Ho Chi Minh City, Viet Nam
5Stop TB Partnership, Geneva, Switzerland
6USAID Vietnam, Ha Noi, Viet Nam
7National TB Program, National Lung Hospital, Ha Noi, Viet Nam
8Faculty of Social Sciences, Tampere University, Tampere, Finland