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Factors influencing health care workers’ implementation of tuberculosis contact tracing in Kweneng, Botswana

INTRODUCTION: TB contact tracing rates remain low in high burden settings and reasons for this are not well known. We describe factors that influence health care workers' (HCW) implementation of TB contact tracing (CT) in a high TB burden district of Botswana. METHODS: Data were collected using...

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Autores principales: Tlale, Lebapotswe, Frasso, Rosemary, Kgosiesele, Onalenna, Selemogo, Mpho, Mothei, Quirk, Habte, Dereje, Steenhoff, Andrew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5075480/
https://www.ncbi.nlm.nih.gov/pubmed/27800084
http://dx.doi.org/10.11604/pamj.2016.24.229.7004
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author Tlale, Lebapotswe
Frasso, Rosemary
Kgosiesele, Onalenna
Selemogo, Mpho
Mothei, Quirk
Habte, Dereje
Steenhoff, Andrew
author_facet Tlale, Lebapotswe
Frasso, Rosemary
Kgosiesele, Onalenna
Selemogo, Mpho
Mothei, Quirk
Habte, Dereje
Steenhoff, Andrew
author_sort Tlale, Lebapotswe
collection PubMed
description INTRODUCTION: TB contact tracing rates remain low in high burden settings and reasons for this are not well known. We describe factors that influence health care workers' (HCW) implementation of TB contact tracing (CT) in a high TB burden district of Botswana. METHODS: Data were collected using questionnaires and in-depth interviews in 31 of the 52 health facilities in Kweneng East Health District. Responses were summarized using summary statistics and comparisons between HCW groups were done using parametric or non-parametric tests as per normality of the data distribution. RESULTS: One hundred and four HCWs completed questionnaires. Factors that influenced HCW TB contact tracing were their knowledge, attitudes and practices as well as personal factors including decreased motivation and lack of commitment. Patient factors included living further away from the clinic, unknown residential address and high rates of migration and mobility. Administrative factors included staff shortages, lack of transport, poor reporting of TB cases and poor medical infrastructure e.g. suboptimal laboratory services. A national HCW strike and a restructuring of the health system emerged as additional factors during in-depth interviews of TB coordinators. CONCLUSION: Multiple factors lead to poor TB contact tracing in this district. Interventions to increase TB contact tracing will be informed by these findings.
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spelling pubmed-50754802016-10-31 Factors influencing health care workers’ implementation of tuberculosis contact tracing in Kweneng, Botswana Tlale, Lebapotswe Frasso, Rosemary Kgosiesele, Onalenna Selemogo, Mpho Mothei, Quirk Habte, Dereje Steenhoff, Andrew Pan Afr Med J Research INTRODUCTION: TB contact tracing rates remain low in high burden settings and reasons for this are not well known. We describe factors that influence health care workers' (HCW) implementation of TB contact tracing (CT) in a high TB burden district of Botswana. METHODS: Data were collected using questionnaires and in-depth interviews in 31 of the 52 health facilities in Kweneng East Health District. Responses were summarized using summary statistics and comparisons between HCW groups were done using parametric or non-parametric tests as per normality of the data distribution. RESULTS: One hundred and four HCWs completed questionnaires. Factors that influenced HCW TB contact tracing were their knowledge, attitudes and practices as well as personal factors including decreased motivation and lack of commitment. Patient factors included living further away from the clinic, unknown residential address and high rates of migration and mobility. Administrative factors included staff shortages, lack of transport, poor reporting of TB cases and poor medical infrastructure e.g. suboptimal laboratory services. A national HCW strike and a restructuring of the health system emerged as additional factors during in-depth interviews of TB coordinators. CONCLUSION: Multiple factors lead to poor TB contact tracing in this district. Interventions to increase TB contact tracing will be informed by these findings. The African Field Epidemiology Network 2016-07-13 /pmc/articles/PMC5075480/ /pubmed/27800084 http://dx.doi.org/10.11604/pamj.2016.24.229.7004 Text en © Lebapotswe Tlale et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Tlale, Lebapotswe
Frasso, Rosemary
Kgosiesele, Onalenna
Selemogo, Mpho
Mothei, Quirk
Habte, Dereje
Steenhoff, Andrew
Factors influencing health care workers’ implementation of tuberculosis contact tracing in Kweneng, Botswana
title Factors influencing health care workers’ implementation of tuberculosis contact tracing in Kweneng, Botswana
title_full Factors influencing health care workers’ implementation of tuberculosis contact tracing in Kweneng, Botswana
title_fullStr Factors influencing health care workers’ implementation of tuberculosis contact tracing in Kweneng, Botswana
title_full_unstemmed Factors influencing health care workers’ implementation of tuberculosis contact tracing in Kweneng, Botswana
title_short Factors influencing health care workers’ implementation of tuberculosis contact tracing in Kweneng, Botswana
title_sort factors influencing health care workers’ implementation of tuberculosis contact tracing in kweneng, botswana
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5075480/
https://www.ncbi.nlm.nih.gov/pubmed/27800084
http://dx.doi.org/10.11604/pamj.2016.24.229.7004
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