Mumbai cityscape with informal settlements in the foreground and skyscrapers behind

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打破结核病贫困周期

结核病（TB）是传染病的主要全球死亡原因。它与贫困和营养不良密切相关，并通过降低一个人的工作和照顾家人的能力来嵌入贫困。

结核病的有效治疗通常涉及6个月的药物治疗。如果一个人不按照指示或早点停止服药，不仅不太可能避免结核病，而且有风险，他们的感染会变得耐药且难以治疗。然后，这为他们的社区和卫生系统造成了额外的疾病负担。因此，支持结核病患者完成治疗至关重要。

TheSt-ATT studyincludes assessment of catastrophic household expenditure (spending at least 40% of household income on medical expenses), malnutrition, food security and impact on work and education in its observation of people receiving treatment for TB in the Philippines.

TheAscot研究is comparing standard care only with standard care plus a cash transfer as economic support, social support in the form of home visits and TB clubs, and a combination of both, in people with TB in Nepal.

同样，预防TB研究compares standard care to standard care plus socioeconomic support (peer mentor visits, TB clubs and cash transfers to cover TB-related expenses) in Peru.

Improving access to healthcare and nutrition

People facing poverty can feel forced to work when ill or risk their health in order to make ends meet. ThePOWER study正在调查在喀麦隆出售或交换性行为的年轻妇女是否会改善健康，福祉和社会经济稳定。

TheSWIE studyoffers women in India an individual or family insurance product provided by a self-employed women’s trade union that pays out for income lost when hospitalized. This study will add to the evidence base on whether national health coverage in lower-income countries should include compensation for lost income, as well as for medical expenses.

Previous research suggests that the cost of travel is a significant barrier to accessing healthcare. TheCASH study确定了有资格进行选修手术并且住在距Capital Conakry 5至48小时之间的五个位置的几内亚患者，他们将提供手术。手术，药物和手术后护理免费提供。参与者被随机接收一袋食品和商品，手术前2-4天的非条件现金转移，或者以付款方式进行手术前筛查。

According to the non-peer-reviewed结果,那些received the non-conditional advance payment were significantly less likely to arrive for their appointment, compared with the other two arms, which showed similar no-show rates. The researchers were somewhat surprised, as the hypothesis was that advance cash transfers would decrease no-shows. However, this result might reflect that the recipients of the advance cash might have decided to spend it on other needs that they felt were more urgent than their surgery.

在A中观察到类似的效果studythat investigated a Housing First intervention for homeless families in Brno, Czech Republic. Theinitial results已经表明，尽管有96％的家庭在1年后仍留在市政住房中，而住房成本低于对照组，但他们的财务稳定性并没有得到显着改善，尽管该家庭没有足够的钱来喂养的场合数量在城市居住的团体中，儿童减少了。同样，这可能表明，仅缓解一个要素不足以使人们摆脱贫困，因为他们仍然面临在哪里花费有限的资源的艰难决定。

Enhancing employment via healthcare

Higher-income countries generally enable access to healthcare to all; however, levels of inequality are high and poor health or disability and unemployment can form a vicious cycle.

People with difficulties consistent with a personality disorder are more likely than the general population to experience stress at work and unemployment. In a UK-basedstudy,Dialectical Behavioural Therapy Skills for Employment (DBT-SE), which includes training in managing emotions associated with securing and retaining a job, is being compared with Mental Health Employment Services (MHES), which provides vocational support only. The primary outcome measure of this study is the number of paid hours worked by the participants in 1 year.

ThePRESAJE study招募了18-25岁的非熟练人士，他们没有从事工作，教育或培训（NEET），他们访问了宣教区域（在法国提供有关就业和培训的建议）。参与者被随机获得社会工作者的支持，以优化健康覆盖范围或优化的健康覆盖范围，以及针对社会和预防医学的医学咨询。

The结果表明那些接受咨询的人参加培训课程的可能性更大，对妇女，不稳定的住所和受过较低教育水平的妇女的影响最大。

The role of research in eradicating poverty

Interventions aimed at reducing poverty should be tested to avoid wasting resources on those that are ineffective. However, it is difficult to reduce complex and individual situations to a ‘condition’ that might benefit from a single ‘intervention’ as is common in clinical studies.

People don’t necessarily behave as predicted, particularly when they are considering competing needs, and funders must consider how to avoid disempowering people when providing resources.

一起构建

IDEP在2021年的主题是“共同建立前进：结束持续的贫困，尊重所有人和我们的星球”。这涉及分解歧视，并使最受贫困影响的人们能够参与决策。

查出about achievements to #EndPoverty around the world and the effects of the COVID-19 pandemic. You can also find out more about theUN’s Sustainable Development Goals, of which ending poverty is the first goal (SDG1), and what’s going on at金博宝网站支持实现这些目标。