Clinic staff perceptions of tuberculosis treatment delivery in Bali

Watkins, Rochelle; Plant, Aileen J.

doi:10.1016/j.pec.2004.03.009

Cited by 4 publications

(3 citation statements)

References 18 publications

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“…We developed a Spanish-language crosssectional TB survey based on guidelines developed by the Ministry of Health, the Estrategia Sanitaria Nacional de Prevención y Control de la Tuberculosis (ESNPC), and previously published surveys of HCPs in developing countries [13][14][15]. The survey consisted of 14 multiple choice questions on TB knowledge, including diagnosis (3 questions), transmission (5 questions), and treatment (6 questions).…”

Section: Methodsmentioning

confidence: 99%

Knowledge and attitudes of tuberculosis management in San Juan de Lurigancho district of Lima, Peru

Kiefer

Shao

Carrasquillo

et al. 2009

J Infect Dev Ctries

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Background: Expansion of the health care workforce in Peru to combat tuberculosis (TB) includes both professional health care providers (HCPs) such as doctors and nurses, and non-professional HCPs such as community health workers (CHWs). We describe the knowledge and attitudes of these HCPs, and identify modifiable barriers to appropriate anti-tuberculosis treatment. Methodology: We surveyed HCPs practicing in 30 clinical settings (hospitals, community health centers, and health posts) in the San Juan de Lurigancho district of Eastern Lima, Peru. Multiple-choice questions were used to assess knowledge of TB. A five-item Likert scale was created to assess attitudes toward the community, patients, and clinics. Linear regression was used to identify predictors of mean knowledge score, and analysis of variance was used to test differences in HCP score. Results: Of the 73 HCPs surveyed, 15% were professionals (doctors or nurses). The remaining 85% were health technicians, community health workers (CHWs) or students. The mean knowledge score was 10.0 ± 1.9 (maximum 14) with professional HCPs scoring higher than other HCPs (11.7 ± 1.1 vs. 9.7 ± 1.9), p < .01). Knowledge gaps included identification of patients at high risk for TB, assessment of treatment outcomes, and consequences of treatment failure. The most commonly cited modifiable barriers were structural, including laboratory facilities and staffing of TB clinics, with 52.1% and 62.5% of HCPs, respectively, citing these as problematic. Conclusions: Efforts to improve knowledge of TB HCPs in Peru should focus on the specific gaps we have identified. Further research is needed to evaluate whether these knowledge gaps correlate with TB control.

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Section: Methodsmentioning

confidence: 99%

Knowledge and attitudes of tuberculosis management in San Juan de Lurigancho district of Lima, Peru

Kiefer

Shao

Carrasquillo

et al. 2009

J Infect Dev Ctries

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“…2003; Car & Partridge 2004; Tornee et al. 2005; Watkins & Plant 2005). The transcultural consultation confirmed the magnitude of the social stigma attached to TB in this community, and explained the resistance encountered to obtain names of contacts.…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis cluster in an immigrant community: case identification issues and a transcultural perspective

Tardin¹,

Dao

Ninet

et al. 2009

Tropical Med Int Health

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Summaryobjectives In a low incidence area for tuberculosis (TB), a computerized database identified an unusually high proportion of patients coming from one single country between 2004 and 2006. To determine whether they constituted a cluster, whether clustering was due to recent transmission, and to understand what undermined the efficacy of the contact tracing procedure, we conducted a retrospective study of all patients with TB from this country.methods Mycobacterium tuberculosis isolates of 15 TB cases originating from the same country over a 2½ year period were analysed by restriction fragment length polymorphism (RFLP) and ⁄ or Rep-PCR. To identify links between patients, we revisited the social worker's files, cross-matched contacts' databases, and performed internet searches. A cultural evaluation was conducted by an anthropologist and an expert physician, through patient and community key informant interviews and a literature review.results Genotyping confirmed that 11 of 15 patients had identical isolates. Additional data revealed an unsuspected complex network of social links between 9 of these 11 patients. The transcultural evaluation pointed out the major obstacles to efficient contact tracing, such as importance of social stigma related to TB, differences in communication style and health beliefs, and linguistic barriers.conclusion The combined finding of identical genotypes and important social links between patients confirmed the suspicion of a TB cluster due to recent transmission. The cultural evaluation helped to explain the difficulties encountered during the contact tracing procedure, and offered strategies to improve its efficacy despite the magnitude of the social stigma attached to TB in this community.

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“…Although several studies explore patients' perceptions of anti-TB treatment, only a few studies explore the perceptions of care providers (Watkins & Plant, 2005). The need to improve our knowledge and expertise related to anti-TB treatment by care providers has been reported in both low-and high-incidence settings (Moro et al, 2005;.…”

Section: Treatment Challengesmentioning

confidence: 99%

Tuberculosis among HIV-infected patients in Stockholm, Sweden, 1987–2010: Treatment outcomes and adverse reactions

Wannheden

Norrby

Berggren

et al. 2014

Scandinavian Journal of Infectious Diseases

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Introduction: HIV and tuberculosis (TB) coinfection, which is a major challenge for healthcare systems worldwide, requires effective strategies to support care providers in applying best clinical evidence in making treatment decisions about the care of individual patients. Clinical decision support (CDS) systems have the potential to facilitate the implementation of evidence-based guidelines in clinical practice. Aim: The aim of this thesis was to explore how a CDS system could be designed to support the adoption of evidence-based guidelines in the treatment of HIV-related TB.

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Clinic staff perceptions of tuberculosis treatment delivery in Bali

Cited by 4 publications

References 18 publications

Knowledge and attitudes of tuberculosis management in San Juan de Lurigancho district of Lima, Peru

Knowledge and attitudes of tuberculosis management in San Juan de Lurigancho district of Lima, Peru

Tuberculosis cluster in an immigrant community: case identification issues and a transcultural perspective

Tuberculosis among HIV-infected patients in Stockholm, Sweden, 1987–2010: Treatment outcomes and adverse reactions

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