Table 1.
Elements of a person-centred, equity-oriented approach to ending tuberculosis
Person-centred | Equity-oriented | Example | |
---|---|---|---|
Data collection | Engage affected communities to understand sources of individual and community vulnerability to tuberculosis | Identify communities most affected by existing disparities | Identification of communities experiencing high tuberculosis burden due to the effect of food insecurity25 |
Design | Multifaceted, scalable approaches address the multiple barriers faced by individual people | Disparity-matched approaches address the specific vulnerabilities caused by key disparities | Preventive therapy facilitated by streamlining the flow of clinic visits and providing nutritional supplements26 |
Implementation | Interventions enable patients to complete the full cascades of diagnosis, treatment, and prevention | Interventions target underlying mechanisms by which disparities increase vulnerability to tuberculosis | Implementation of treatment for tuberculosis infection with context-specific supporting interventions27 |
Sustainability | Efforts keep people connected to care and build trust in communities | Efforts address upstream determinants so vulnerabilities do not rebound | Efforts to build trust and reduce stigma associated with tuberculosis infection in identified communities28 |