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Introduction

Tuberculosis (TB) remains a major global health challenge, particularly in resource-limited settings where social and environmental determinants play a significant role in the spread and impact of the disease. Understanding these determinants is crucial for developing effective strategies to control and prevent TB in these settings. This thesis aims to investigate the social and environmental determinants of tuberculosis in resource-limited settings, with a focus on identifying the key factors contributing to the high burden of TB in these populations.

Chapter 1: Introduction
1.1 Introduction
1.2 Background of study
1.3 Problem Statement
1.4 Objective of study
1.5 Limitation of study
1.6 Scope of study
1.7 Significance of study
1.8 Structure of the Thesis
1.9 Definition of terms

Chapter 2: Literature Review
2.1 Global burden of tuberculosis
2.2 Social determinants of tuberculosis
2.3 Environmental determinants of tuberculosis
2.4 TB control strategies in resource-limited settings
2.5 Impact of poverty on TB incidence
2.6 Access to healthcare services
2.7 Migration and TB transmission
2.8 Drug resistance in TB
2.9 Gender disparities in TB
2.10 Health education and TB prevention

Chapter 3: Research Methodology
3.1 Study design
3.2 Data collection methods
3.3 Sampling techniques
3.4 Data analysis
3.5 Ethical considerations
3.6 Variables and measurements
3.7 Study population
3.8 Statistical analysis

Chapter 4: Discussion of Findings
4.1 Social determinants of TB
4.2 Environmental determinants of TB
4.3 Impact of poverty on TB incidence
4.4 Access to healthcare services
4.5 Migration and TB transmission
4.6 Drug resistance in TB
4.7 Gender disparities in TB
4.8 Health education and TB prevention

Chapter 5: Conclusion and Summary
5.1 Summary of findings
5.2 Implications for practice
5.3 Recommendations for future research
5.4 Conclusion

Thesis Overview:

The burden of tuberculosis (TB) remains a significant public health challenge, particularly in resource-limited settings where social and environmental determinants play a critical role in the spread and impact of the disease. This thesis aims to investigate the key social and environmental determinants of TB in resource-limited settings to provide insights into the factors contributing to the high burden of TB in these populations. Through a comprehensive literature review, the study will examine the global burden of TB, social determinants such as poverty and access to healthcare services, environmental determinants including overcrowding and air pollution, and the impact of migration on TB transmission.

The research methodology chapter will detail the study design, data collection methods, sampling techniques, and statistical analysis to be used in the investigation. Ethical considerations will also be addressed to ensure the protection of study participants. The discussion of findings chapter will present the results of the study, focusing on the identified social and environmental determinants of TB in resource-limited settings. The conclusions drawn from the study will be summarized in the final chapter, with implications for practice and recommendations for future research.

By shedding light on the social and environmental determinants of TB in resource-limited settings, this thesis aims to contribute to the development of targeted strategies for TB control and prevention in these vulnerable populations.

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