Tuberculosis is an infectious disease strongly influenced by social determinants closely associated with cycles of poverty and social exclusion. Within this context, providing social protection for people affected by the disease constitutes a powerful instrument for reducing inequalities and enhancing inclusion and social justice. This study aimed to identify and synthesize strategies and measures aimed at ensuring social protection as a right of people affected by tuberculosis. This is a scoping review, with searches conducted in six databases in February 2023. We included publications from 2015 onwards that elucidate strategies and measures of social protection aimed at safeguarding the rights to health, nutrition, employment, income, housing, social assistance, and social security for people affected by tuberculosis. These strategies could be implemented through policies, programs, and/or governmental agreements in any given context. The data extracted from the articles underwent descriptive analysis and a narrative synthesis of findings based on the dimensions of social protection. Additionally, we developed a conceptual framework illustrating the organizational and operational aspects of measures and strategies related to each dimension of social protection identified in this review. A total of 9317 publications were retrieved from the databases, of which sixty-three publications were included. The study’s results highlighted measures and strategies concerning the social protection of people affected by tuberculosis. These measures and strategies revolved around the rights to proper nutrition and nourishment, income, housing, and health insurance, as well as expanded rights encompassing social assistance and social welfare. It was reported that ensuring these rights contributes to improving nutritional status and the quality of life for individuals with tuberculosis, along with reducing catastrophic costs, expanding access to healthcare interventions and services, and fostering TB treatment adherence, thereby leading to higher rates of TB cure. Our findings identify social protection measures as a right for people affected by tuberculosis and have the potential to guide the development of evidence-based social and health policies through collaboration between tuberculosis control programs and governmental entities.

中文翻译：

---

社会保护作为结核病患者的一项权利：范围审查和概念框架

结核病是一种传染病，受到与贫困和社会排斥循环密切相关的社会决定因素的强烈影响。在此背景下，为受疾病影响的人提供社会保护是减少不平等、增强包容性和社会正义的有力工具。本研究旨在确定和综合旨在确保社会保护成为结核病患者一项权利的战略和措施。这是一项范围界定审查，于 2023 年 2 月在六个数据库中进行了检索。我们纳入了 2015 年以来的出版物，阐明了旨在保障健康、营养、就业、收入、住房、社会援助和社会保障权利的社会保护战略和措施。为结核病患者提供社会保障。这些战略可以通过任何特定背景下的政策、计划和/或政府协议来实施。从文章中提取的数据经过了描述性分析，并根据社会保护的维度对调查结果进行了叙述性综合。此外，我们还制定了一个概念框架，说明与本次审查中确定的社会保护各个方面相关的措施和战略的组织和运作方面。数据库共检索出版物9317篇，其中收录出版物63篇。该研究的结果强调了有关结核病患者社会保护的措施和战略。这些措施和战略围绕适当营养和营养、收入、住房和健康保险的权利，以及涵盖社会援助和社会福利的扩大权利。据报道，确保这些权利有助于改善结核病患者的营养状况和生活质量，同时降低灾难性费用，扩大获得医疗保健干预措施和服务的机会，并促进结核病治疗的依从性，从而提高结核病治愈率。我们的研究结果将社会保护措施确定为结核病患者的一项权利，并有可能通过结核病控制规划与政府实体之间的合作来指导制定基于证据的社会和卫生政策。