{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T08:39:10Z","timestamp":1789634350256,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,2,20]],"date-time":"2017-02-20T00:00:00Z","timestamp":1487548800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006691","name":"Harvard Medical School","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006691","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001680","name":"Charles H. Hood Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001680","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>For a cohort of patients with tuberculosis in Carabayllo, Peru, we describe the prevalence of medical comorbidities and socio\u2010economic needs, the efforts required by a comprehensive support programme (\u2018<jats:styled-content style=\"fixed-case\">TB<\/jats:styled-content> Cero\u2019) to address them and the success of this programme in linking patients to care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients diagnosed with tuberculosis in Carabayllo underwent evaluations for <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>, diabetes, mental health and unmet basic needs. For patients initiating treatment during 14 September, 2015\u201315 May, 2016, we abstracted data from evaluation forms and a support request system. We calculated the prevalence of medical comorbidities and the need for socio\u2010economic support at the time of tuberculosis diagnosis, as well as the proportion of patients successfully linked to care or support.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 192 patients, 83 (43%) had at least one medical comorbidity other than tuberculosis. These included eight (4%) patients with <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>, 12 (6%) with diabetes and 62 (32%) deemed at risk for a mental health condition. Of patients who required follow\u2010up for a comorbidity, 100% initiated antiretroviral therapy, 71% attended endocrinology consultations and 66% attended psychology consultations. Of 126 (65%) patients who completed the socio\u2010economic evaluation, 58 (46%) reported already receiving food baskets from the municipality, and 79 (63%) were given additional support, most commonly food vouchers and assistance in accessing health care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Carabayllo tuberculosis patients face many challenges in addition to tuberculosis. A collaborative, comprehensive treatment support programme can achieve high rates of linkage to care for these needs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.12844","type":"journal-article","created":{"date-parts":[[2017,1,24]],"date-time":"2017-01-24T16:08:03Z","timestamp":1485274083000},"page":"505-511","source":"Crossref","is-referenced-by-count":10,"title":["Addressing tuberculosis patients\u2019 medical and socio\u2010economic needs: a comprehensive programmatic approach"],"prefix":"10.1111","volume":"22","author":[{"given":"Carmen C.","family":"Contreras","sequence":"first","affiliation":[{"name":"Socios En Salud Sucursal Peru Lima Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana K.","family":"Millones","sequence":"additional","affiliation":[{"name":"Socios En Salud Sucursal Peru Lima Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janeth","family":"Santa Cruz","sequence":"additional","affiliation":[{"name":"Socios En Salud Sucursal Peru Lima Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margot","family":"Aguilar","sequence":"additional","affiliation":[{"name":"Socios En Salud Sucursal Peru Lima Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Clendenes","sequence":"additional","affiliation":[{"name":"Ministry of Health Lima Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Toranzo","sequence":"additional","affiliation":[{"name":"Ministry of Health Lima Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karim","family":"Llaro","sequence":"additional","affiliation":[{"name":"Socios En Salud Sucursal Peru Lima Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonid","family":"Lecca","sequence":"additional","affiliation":[{"name":"Socios En Salud Sucursal Peru Lima Per\u00fa"},{"name":"Department of Global Health and Social Medicine Harvard Medical School Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mercedes C.","family":"Becerra","sequence":"additional","affiliation":[{"name":"Department of Global Health and Social Medicine Harvard Medical School Boston MA USA"},{"name":"Division of Global Health Equity Brigham and Women's Hospital Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney M.","family":"Yuen","sequence":"additional","affiliation":[{"name":"Department of Global Health and Social Medicine Harvard Medical School Boston MA USA"},{"name":"Division of Global Health Equity Brigham and Women's Hospital Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,2,20]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"World Health Organization.Global tuberculosis report 2016. World Health Organization 2016."},{"key":"e_1_2_6_3_1","unstructured":"Stop TB Partnership.The \u201cZero TB Initiative\u201d sparks new action to end TB 2016. Available from:http:\/\/www.stoptb.org\/news\/stories\/2016\/ns16_034.asp. 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