2. People-centred care for mental health conditions and substance use disorders in people affected by TB

TB disproportionately affects people living in poverty and other socially vulnerable populations, which amplifies their risk for mental health conditions. Providers of TB care can undertake various actions to influence both the impact of disease-specific triggers on poor mental health and social determinants of mental health. In particular, social support, including education and facilitating access to psychological and material support, is critical to mitigate the impact of poverty, TB, its treatment, and the related stigma and discrimination, on people’s mental health (28). For individuals experiencing significant financial strain and/or food insecurity (29), among other vulnerabilities, social protection interventions may mitigate stress and help prevent mental health conditions or substance use disorders (28). Effective interventions to prevent and mitigate TB stigma and discrimination at the community level can help people to understand and cope with the impact of the disease.

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