Association between spending on social protection and tuberculosis burden: a global analysis

摘要: Summary Background The End TB Strategy places great emphasis on increasing social protection and poverty alleviation programmes. However, the role of controlling tuberculosis has not been examined fully. We analysed association between spending prevalence, incidence, mortality globally. Methods used publicly available data from WHO's Global Tuberculosis Programme for burden in terms yearly per 100 000 people, International Labour Organization (ILO), expressed as percentage national gross domestic product (GDP) spent programmes (excluding health). Data ILO were 146 countries covering years 2000 2012. descriptive assessments to examine levels each country, then these inform our fully adjusted multivariate regression models. Our models controlled economic output, adult HIV health expenditure, population density, foreign-born residents, strength treatment programme, also incorporated a country-level fixed effect adjust clustering datapoints within countries. Findings Overall, inversely associated with mortality. For country 0% their GDP protection, moving 1% was change −18·33 people (95% CI −32·10 −4·60; p=0·009) −8·16 (−16·00 −0·27; p=0·043) −5·48 (−9·34 −1·62; p=0·006) This mitigated at higher spending, lost significance when more than 11% spent. Interpretation findings suggest that investments could contribute reduced burden, especially are investing small proportion this area. further research is needed support ecological associations. Funding National Institutes Health Center Advancing Translational Science (University California, Los Angeles [CA, USA] Clinical Institute)