Community-based strategies for tuberculosis control in migrant communities: how to integrate determinants of vulnerability into decision-making

Abstract

Tuberculosis (TB) remains a major public health challenge, particularly among migrant populations, who face increased vulnerability due to social and structural determinants of health. In Catalonia, Spain, the Model of Community and Public Action (MACIP) programme was launched in 2023 to improve TB prevention and care through culturally adapted, community-based interventions delivered by community health workers (CHWs). This study aims to describe the vulnerability determinants among migrants diagnosed with TB and enrolled in the MACIP programme, and to present the community-based strategies implemented. The analysis was informed by a conceptual framework based on the social determinants of health, aimed at supporting people-centred, equity-oriented TB control and informing decision-making.