Poverty drives TB rates and TB intensifies poverty due to the catastrophic costs of being ill and seeking care. WHO has set targets to end catastrophic costs for people affected by TB through providing social and economic (socioeconomic) support to people with TB but progress to meet this has been slow globally.
With key stakeholders in Nepal, we designed locally-appropriate socioeconomic support packages for TB-affected households which we will now field-test in a small number of participants.
The Medical Research Council (MRC, UK) funded ASCOT project is a mixed-methods study that aims to field-test socioeconomic support packages for TB-affected households to refine implementation strategies for testing in Nepal. This project is expected to understand the feasibility and acceptability of the interventions so that the most promising intervention is selected for funding for a large-scale trial evaluation.
TB patients, Civil Society Organization representatives, community leaders, National TB Program manager and multidisciplinary staff, FCHVs, Social protection decision makers etc.