Dien Ban

Tuberculosis (TB) continues to be a major public health and socioeconomic challenge worldwide, especially in low- and middle-income countries like Vietnam. This study evaluates a psycho-socioeconomic support intervention aimed at improving TB treatment outcomes and reducing the financial hardships faced by TB-affected households. The research uses a hybrid type II effectiveness-implementation randomized control trial design across 12 provinces in Vietnam, focusing on areas with lower TB treatment success rates. Participants will be randomly assigned to receive either standard care or an intervention consisting of cash transfers tied to attendance at peer-led TB Club support meetings. These clubs provide education about TB treatment, encourage adherence, offer social support, and help reduce stigma. Participants in the intervention group can receive up to three cash transfers totaling 3,000,000 VND, with payments made after attending specific TB Club sessions. Throughout the study, researchers will collect data on treatment success, health-related quality of life, stigma, anxiety, depression, and household-level financial impacts such as catastrophic costs and changes in livelihoods. The study will also assess implementation factors like participation, satisfaction, and quality. The main outcomes will be measured over periods ranging from six months to one year, with participants followed through the completion of TB treatment and beyond.