General model for the social determination of health for tuberculosis
Abstract
Introduction: Progress towards the tuberculosis elimination in Cuba depends on social justice for the people affected and their families, neighborhood by neighborhood, health area by health area and municipality by municipality. To enhance the dimensions of its social determination, a local elimination model based on its general approach will be necessary.
Objective: To describe a general model with a systemic approach to Social determination in health, applied to tuberculosis.
Methods: A qualitative study based on a documentary review of articles on social determination was carried out, with the design of an explanatory model, simple for its understanding, with structural, intermediate and individual components to be adapted to the topic of tuberculosis.
Results: The proposed model has as input the political will, dependent on the established power that determines public policies, interacting with the intermediate dimensions as central aspects and with the individual dimensions of a sociodemographic, sociocultural and socioeconomic nature. These, in turn, feedback and once again influence the political will and Public policies, closing the systemic cycle. In addition, interactive control of the system is included.
Conclusions: In addition to the models proposed in the national literature reviewed, abounding in its systemic approach contributes to facilitate the understanding of the monitoring of the Social determination in health in tuberculosis by the personnel in charge of providing sustainability of control towards elimination.
DeCS: TUBERCULOSIS/prevention & control; SOCIAL DETERMINATION OF HEALTH; MODELS, BIOPSYCHOSOCIAL; HEALTH INEQUALITY MONITORING; HEALTH STRATEGIES.
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22 julio 2025