Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Sep 11;77(5):761-767.
doi: 10.1093/cid/ciad273.

Use of a Sustainable Livelihood Framework-Based Measure to Estimate Socioeconomic Impact of Tuberculosis on Households

Collins Timire  1   2   3 , Debora Pedrazzoli  4 , Delia Boccia  4 , Rein M G J Houben  4 , Rashida A Ferrand  1   3 , Virginia Bond  5   6 , Katharina Kranzer  1   3   7
Affiliations

Use of a Sustainable Livelihood Framework-Based Measure to Estimate Socioeconomic Impact of Tuberculosis on Households

Collins Timire et al. Clin Infect Dis. .

Abstract

Tuberculosis (TB) disproportionally affects impoverished members of society. The adverse socioeconomic impact of TB on households is mostly measured using money-centric approaches, which have been criticized as one-dimensional and risk either overestimating or underestimating the true socioeconomic impacts of TB. We propose the use of the sustainable livelihood framework, which includes 5 household capital assets (human, financial, physical, natural, and social) and conceptualizes that households employ accumulative strategies in times of plenty and coping (survival) strategies in response to shocks such as TB. The proposed measure ascertains to what extent the 5 capital assets are available to households affected by TB as well as the coping costs (reversible and nonreversible) that are incurred by households at different time points (intensive, continuation, and post-TB treatment phase). We assert that our approach is holistic and multidimensional and draws attention to multisectoral responses to mitigate the socioeconomic impact of TB on households.

Keywords: coping strategies; impoverishment; sustainable livelihood; tuberculosis; well-being.

PubMed Disclaimer

Conflict of interest statement

Potential conflicts of interest. K. K. reports grants or contracts from the European and Developing Countries Clinical Trials Partnership (ERASE-TB and VITALITY), the Wellcome Trust (impact of the typhoid conjugate vaccine), the Bill & Melinda Gates Foundation, and the China Center for Disease Control and Prevention (investigating COVID-19 vaccine effectiveness). All other authors report no potential conflicts. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.

Figures

Graphical Abstract
Graphical Abstract
Figure 1.
Figure 1.
The sustainable livelihood framework. Adapted from the Department for International Development (1999). Abbreviations: COVID-19, Coronavirus Disease 2019; F, financial capital; H, human capital; HIV, human immunodeficiency virus; N, natural capital; P, physical capital; S, social capital; TB, tuberculosis.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. University Research Co. LLC . Providing comprehensive patient-centred care: a conceptual framework for social support for TB patients.2014. Available at: https:// www.urc-chs.com/sites/default/files/ProvidingComprehensive Care.... Accessed 14 April 2018.
    1. Department for International Development . Sustainable livelihoods guidance sheets. 1999. Available at: https://www.livelihoodscentre.org. Accessed 12 June 2020.
    1. Potter J, White V. Patients want to live, not merely survive. Int J Tuberc Lung Dis 2019; 23:1–2. - PubMed
    1. Alkire S, Foster J, Seth S, Santos ME, Roche JM, Ballon P. Multidimensional poverty measurement and analysis. 1st ed. New York: Oxford University Press, 2015.
    1. Olsson L, Maggie O, Tschakert P, et al. . Livelihoods and poverty, eds. Climate change 2014: impacts, adaptation, and vulnerability part A: global and sectoral aspects contribution of Working Group II to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge, UK: Cambridge University Press, 2014:799.

Publication types