Evidence map›Paper›PMID 37652592›Full record

ArticleBMJ open2023

Perspectives of healthcare and social support sector policymakers on potential solutions to mitigate financial impact among people with TB in Mozambique: a qualitative study.

Pedroso Nhassengo, Clara Yoshino, Américo Zandamela, Verónica De Carmo, Bo Burström, Celso Khosa, Tom Wingfield, Knut Lönnroth, Salla Atkins

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 4 countries.

Pedroso NhassengoWHO Collaborating Centre in Tuberculosis and Social Medicine, Department of Global Public Health, Karolinska Institute, Stockholm, Sweden pedroso.nhassengo@ins.gov.mz.ORCID 0000-0002-2519-1419
Clara YoshinoWHO Collaborating Centre in Tuberculosis and Social Medicine, Department of Global Public Health, Karolinska Institute, Stockholm, Sweden.
Américo ZandamelaInstituto Nacional de Saúde, Marracuene, Mozambique.ORCID 0000-0003-0698-6686
Verónica De CarmoInstituto Nacional de Saúde, Marracuene, Mozambique.
Bo BurströmWHO Collaborating Centre in Tuberculosis and Social Medicine, Department of Global Public Health, Karolinska Institute, Stockholm, Sweden.
Celso KhosaInstituto Nacional de Saúde, Marracuene, Mozambique.
Tom WingfieldWHO Collaborating Centre in Tuberculosis and Social Medicine, Department of Global Public Health, Karolinska Institute, Stockholm, Sweden.
Knut LönnrothWHO Collaborating Centre in Tuberculosis and Social Medicine, Department of Global Public Health, Karolinska Institute, Stockholm, Sweden.
Salla AtkinsWHO Collaborating Centre in Tuberculosis and Social Medicine, Department of Global Public Health, Karolinska Institute, Stockholm, Sweden.
Karolinska Institutet · SEInstituto Nacional de Saúde · MZLiverpool School of Tropical Medicine · GBTampere University · FI

Funding

Medical Research Council MR/V004832/1Medical Research Council MR/Y503216/1Wellcome TrustWellcome Trust 209075/Z/17/Z
6 · The paper itself

Abstract

objectivePeople with tuberculosis (TB) and their households face severe socioeconomic consequences, which will only be mitigated by intersectoral collaboration, especially between the health and social sectors. Evidence suggests that key factors for successful collaboration include shared goals, trust, commitment, resource allocation, efficient processes and effective communication and motivation among collaborating parties. This study aimed to understand healthcare and social support sector policymakers' perspectives on potential solutions to mitigate financial impact among people with TB and their households in Mozambique.

designQualitative study with primary data collection through one-to-one in-depth interviews.

settingGaza and Inhambane provinces, Mozambique.

participantsPolicymakers in the health and social support sector.

resultsA total of 27 participants were purposefully sampled. Participants were asked about their perspectives on TB-related financial impact and potential solutions to mitigate such impact. Participants reported that people with TB are not explicitly included in existing social support policies because TB per se is not part of the eligibility criteria. People with TB and underweight or HIV were enrolled in social support schemes providing food or cash. Two themes were generated from the analysis: (1) Policymakers suggested several mitigation solutions, including food and monetary support, but perceived that their implementation would be limited by lack of resources; and (2) lack of shared views or processes related to intersectoral collaboration between health and social support sector hinders design and implementation of social support for people with TB.

conclusionDespite health and social sector policymakers reporting a willingness for intersectoral collaboration to mitigate TB-related financial impact, current approaches were perceived to be unilateral. Collaboration between health and social support sectors should focus on improving existing social support programmes.

Indexed as

Health FacilitiesTuberculosisDelivery of Health CareHumansMozambiqueSocial SupportPublic healthQUALITATIVE RESEARCHTuberculosis

Identifiers

PMID37652592
PMCPMC10476108
OpenAlexW4386334069

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.