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Facilitators and Barriers to Implementation of a Childhood Tuberculosis Control Program in Bangladesh: A Mixed-Methods Study from BRAC Urban DOTS Centres in Dhaka

The case detection rate of childhood tuberculosis in Bangladesh is 4%, far below the World Health Organization predicted rate of 10–15% for a country with a high burden of tuberculosis. A concurrent triangulation mixed-methods study was carried out in eight urban DOTS (Directly Observed Treatment, S...

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Autores principales: Pantha, Sandesh, Aguinaldo, Ma. Jennylyn, Hasan-ul-Bari, S. M., Chowdhury, Sayantan, Dendup, Ugyen, Gupta, Rajat Das, Sutradhar, Ipsita, Bari, Rahamatul, Sarker, Malabika
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9149828/
https://www.ncbi.nlm.nih.gov/pubmed/35645362
http://dx.doi.org/10.3390/nursrep12020036
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author Pantha, Sandesh
Aguinaldo, Ma. Jennylyn
Hasan-ul-Bari, S. M.
Chowdhury, Sayantan
Dendup, Ugyen
Gupta, Rajat Das
Sutradhar, Ipsita
Bari, Rahamatul
Sarker, Malabika
author_facet Pantha, Sandesh
Aguinaldo, Ma. Jennylyn
Hasan-ul-Bari, S. M.
Chowdhury, Sayantan
Dendup, Ugyen
Gupta, Rajat Das
Sutradhar, Ipsita
Bari, Rahamatul
Sarker, Malabika
author_sort Pantha, Sandesh
collection PubMed
description The case detection rate of childhood tuberculosis in Bangladesh is 4%, far below the World Health Organization predicted rate of 10–15% for a country with a high burden of tuberculosis. A concurrent triangulation mixed-methods study was carried out in eight urban DOTS (Directly Observed Treatment, Short-course) centres to investigate the factors contributing to the diagnosis and treatment of childhood tuberculosis. Front-line health care workers (Shasthya Shebika) (n = 111) were surveyed to understand knowledge, attitude, and practice (KAP) of the diagnosis and treatment of childhood tuberculosis. In-depth interviews were conducted with field workers (n = 32) and mothers of TB cases (n = 4). Stakeholders involved in implementing the tuberculosis program (n = 9) participated in the key informant interviews. Knowledge of Shasthya Shebika was associated with the components addressed during refresher training (p = 0.02). Government stewardship, presence of specific guidelines, knowledge and capacity building of front-line health workers were identified as the key facilitators. Frequent turnover of key managerial positions in the government, stigma, delays in seeking care, lack of diagnostic facilities, and poor engagement of private practitioners were identified as major constraints. It was identified that the government should focus on improving diagnostic capacities, conduct research on childhood tuberculosis, and produce awareness materials.
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spelling pubmed-91498282022-05-31 Facilitators and Barriers to Implementation of a Childhood Tuberculosis Control Program in Bangladesh: A Mixed-Methods Study from BRAC Urban DOTS Centres in Dhaka Pantha, Sandesh Aguinaldo, Ma. Jennylyn Hasan-ul-Bari, S. M. Chowdhury, Sayantan Dendup, Ugyen Gupta, Rajat Das Sutradhar, Ipsita Bari, Rahamatul Sarker, Malabika Nurs Rep Article The case detection rate of childhood tuberculosis in Bangladesh is 4%, far below the World Health Organization predicted rate of 10–15% for a country with a high burden of tuberculosis. A concurrent triangulation mixed-methods study was carried out in eight urban DOTS (Directly Observed Treatment, Short-course) centres to investigate the factors contributing to the diagnosis and treatment of childhood tuberculosis. Front-line health care workers (Shasthya Shebika) (n = 111) were surveyed to understand knowledge, attitude, and practice (KAP) of the diagnosis and treatment of childhood tuberculosis. In-depth interviews were conducted with field workers (n = 32) and mothers of TB cases (n = 4). Stakeholders involved in implementing the tuberculosis program (n = 9) participated in the key informant interviews. Knowledge of Shasthya Shebika was associated with the components addressed during refresher training (p = 0.02). Government stewardship, presence of specific guidelines, knowledge and capacity building of front-line health workers were identified as the key facilitators. Frequent turnover of key managerial positions in the government, stigma, delays in seeking care, lack of diagnostic facilities, and poor engagement of private practitioners were identified as major constraints. It was identified that the government should focus on improving diagnostic capacities, conduct research on childhood tuberculosis, and produce awareness materials. MDPI 2022-05-10 /pmc/articles/PMC9149828/ /pubmed/35645362 http://dx.doi.org/10.3390/nursrep12020036 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pantha, Sandesh
Aguinaldo, Ma. Jennylyn
Hasan-ul-Bari, S. M.
Chowdhury, Sayantan
Dendup, Ugyen
Gupta, Rajat Das
Sutradhar, Ipsita
Bari, Rahamatul
Sarker, Malabika
Facilitators and Barriers to Implementation of a Childhood Tuberculosis Control Program in Bangladesh: A Mixed-Methods Study from BRAC Urban DOTS Centres in Dhaka
title Facilitators and Barriers to Implementation of a Childhood Tuberculosis Control Program in Bangladesh: A Mixed-Methods Study from BRAC Urban DOTS Centres in Dhaka
title_full Facilitators and Barriers to Implementation of a Childhood Tuberculosis Control Program in Bangladesh: A Mixed-Methods Study from BRAC Urban DOTS Centres in Dhaka
title_fullStr Facilitators and Barriers to Implementation of a Childhood Tuberculosis Control Program in Bangladesh: A Mixed-Methods Study from BRAC Urban DOTS Centres in Dhaka
title_full_unstemmed Facilitators and Barriers to Implementation of a Childhood Tuberculosis Control Program in Bangladesh: A Mixed-Methods Study from BRAC Urban DOTS Centres in Dhaka
title_short Facilitators and Barriers to Implementation of a Childhood Tuberculosis Control Program in Bangladesh: A Mixed-Methods Study from BRAC Urban DOTS Centres in Dhaka
title_sort facilitators and barriers to implementation of a childhood tuberculosis control program in bangladesh: a mixed-methods study from brac urban dots centres in dhaka
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9149828/
https://www.ncbi.nlm.nih.gov/pubmed/35645362
http://dx.doi.org/10.3390/nursrep12020036
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