Effects of financial incentives for treatment supporters on tuberculosis treatment outcomes in Swaziland: a pragmatic interventional study

作     者：Merav Kliner Mamvura Canaan Sifiso Zwide Ndwwe Fred Busulwa William Welfare Marty Richardson John Walley John Wright 

作者机构：The Clinic GroupMatsapha Health CarePO Box 1075MatsaphaManziniSwaziland Family Life Association of SwazilandPO Box 1051ManziniSwaziland Good Shepherd HospitalPO Box 2SitekiSwaziland Manchester Academic Health Science CentreUniversity of ManchesterOxford RdManchester M139PLUK Cochrane Infectious Diseases GroupLiverpool School of Tropical MedicinePembroke PlaceLiverpoolMerseyside L35QAUK Nuffield Centre for International Health and DevelopmentUniversity of Leeds101 Clarendon RoadLeeds LS29LJUK Bradford Institute for Health ResearchBradford Royal InfirmaryDuckworth LaneBradford BD96RJUK Mersey DeanerySummers RoadLiverpoolMerseyside L34BLUK 

出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)

年 卷 期：2015年第4卷第1期

页      面：227-233页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：The Global Fund to Fight AIDS Tuberculosis and Malaria COMDIS HSD Department for International Development(UK)provided funding for this study 

主　　题：Tuberculosis Treatment success Swaziland Africa 

摘      要：Background:Swaziland has the highest national incidence of tuberculosis(TB)in the world,with treatment success rates well below the 85%international *** support as part of comprehensive TB services is a core component of the Stop TB *** study investigated the effects of financial incentives for treatment supporters on TB treatment outcomes in ***:This was a controlled study that compared treatment outcomes for patients with a treatment supporter who received or did not receive a financial ***:The intervention group had a higher chance of treatment success as compared with the control group:73%(95%confidence intervals[CIs]66–80%)versus 60%(95%CIs 57–64%),respectively,p=*** improvement remained significant when treatment success rates were adjusted for differences in baseline characteristics,with the effect of incentivised treatment supporters on treatment outcomes having an odds ratio(OR)of *** was also a significant improvement in the death rate in the intervention group,as compared with the control group(10.6 versus 23.5%,p=0.001).Conclusion:Incentives provided to TB treatment supporters appear to significantly improve TB treatment *** treatment support may be appropriate as an effective addition to support and supervision measures(199 words).