TB prevalence among patients with diabetes in Bangladesh

Ma, Rong; Islam, Nazar Ul; Afroze, Farzana; Habib, Md. Ahsan; Efa, Syeda Sumaiya; Hossain, Mohammad Delwar; Islam, Mdu; Sheth, Pranav; Waris-Ul-Islam, M

doi:10.5588/ijtld.21.0412

Cited by 3 publications

(2 citation statements)

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“…Several studies conducted in India demonstrated that screening for TB among DM patients was feasible in India, where the DM epidemic continues to rise [ 46 , 58 ]. Similarly, a study conducted in Bangladesh indicated that TB screening among DM patients was also feasible [ 59 ]. It aligns with a pilot project study of TB-DM screening among patients visiting clinics in China, showing it was also feasible.…”

Section: Discussionmentioning

confidence: 99%

Acceptability and feasibility of tuberculosis-diabetes mellitus screening implementation in private primary care clinics in Yogyakarta, Indonesia: a qualitative study

Prakoso,

Istiono,

Mahendradhata

et al. 2023

BMC Public Health

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Background The relationship between Tuberculosis (TB) and Diabetes Mellitus (DM) is intricate and intertwined, posing significant global health challenges. In addition, the increasing prevalence of DM worldwide raises concerns regarding the potential resurgence of tuberculosis. The implementation of tuberculosis prevention strategies is of the utmost importance, especially in countries like Indonesia that encounter a dual burden of TB and DM. The significance of TB screening in private primary care settings for patients with diabetes cannot be overstated. Implementing TB screening protocols in private primary care settings can assist in identifying diabetic patients with tuberculosis. Therefore, this study aims to explore the acceptability and feasibility of tuberculosis-diabetes mellitus screening implementation in private primary care clinics. Methods We conducted implementation research with an exploratory qualitative design. Fifteen healthcare professionals from five private primary health care clinics in Yogyakarta, Indonesia, participated in five focus groups. The discussions were audio recorded, transcribed verbatim, and thematically analyzed. As part of the feasibility assessment, surveys were conducted in each clinic. We conducted a thematic analysis in accordance with the theoretical framework of acceptability and the feasibility assessment. Results We identified that most private primary care clinics deemed the implementation of TB screening in DM patients acceptable and practicable. We revealed that the majority of diabetes patients enthusiastically accepted TB-DM screening services. In addition, we found that the healthcare professionals at the clinic are aware of the nature of the intervention and demonstrates a positive attitude despite a subtle burden. The stigma associated with COVID-19 has emerged as a new implementation barrier, joining TB stigma, lack of resources, and regulatory issues. We identify concealed and tiered screening as a potential method for enhancing the implementation of TB-DM screening. Conclusions The implementation of TB screening in DM patients in private primary care clinics had the potential to be acceptable and feasible. To achieve a successful implementation, consideration should be given to supporting factors, hindering factors, and strategies to improve TB screening in DM patients.

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Section: Discussionmentioning

confidence: 99%

Acceptability and feasibility of tuberculosis-diabetes mellitus screening implementation in private primary care clinics in Yogyakarta, Indonesia: a qualitative study

Prakoso,

Istiono,

Mahendradhata

et al. 2023

BMC Public Health

View full text Add to dashboard Cite

show abstract

“…Presence of additional risk factors should be considered in prioritizing patients for routine chest X-ray screening. In Bangladesh, for example, female patients and those with undernutrition were found to be at higher risk of developing TB [30] . The higher TB rate in our study is in line with the general global trend that TB burden is higher among males [31] , but the Bangladesh finding of a higher TB rate among female patients with diabetes is in sharp contrast to ours.…”

Section: Discussionmentioning

confidence: 99%