The effects of placing an operational research fellow within the Viet Nam National Tuberculosis Programme

Hoa, Nguyen Binh; Nhung, Nguyen Viet; Kumar, Ajay M. V.; Harries, A. D.

doi:10.5588/pha.16.0044

Cited by 4 publications

(6 citation statements)

References 7 publications

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“…Operational research needs to be firmly embedded within the NTP, as this enables programs to carry out local research that contributes to knowledge, tools, interventions, and strategies that can enhance the quality and coverage of service delivery and help inform better policy and practice 103 , 104 . The placement of operational research fellows within the central unit of NTPs greatly facilitates the implementation and value of this work 105 , 106 . NTPs must also form partnerships with academia to facilitate the conduct of meaningful clinical or cluster randomized trials, as demonstrated by the recent household contact assessment in Vietnam 86 .…”

Section: Empower and Strengthen The Central Unit Of The National Tb Pmentioning

confidence: 99%

What can National TB Control Programmes in low- and middle-income countries do to end tuberculosis by 2030?

et al. 2018

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The international community has committed to ending the tuberculosis (TB) epidemic by 2030. This will require multi-sectoral action with a focus on accelerating socio-economic development, developing and implementing new tools, and expanding health insurance coverage. Within this broad framework, National TB Programmes (NTPs) are accountable for delivering diagnostic, treatment, and preventive services. There are large gaps in the delivery of these services, and the aim of this article is to review the crucial activities and interventions that NTPs must implement in order to meet global targets and milestones that will end the TB epidemic. The key deliverables are the following: turn End TB targets and milestones into national measurable indicators to make it easier to track progress; optimize the prompt and accurate diagnosis of all types of TB; provide rapid, complete, and effective treatment to all those diagnosed with TB; implement and monitor effective infection control practices; diagnose and treat drug-resistant TB, associated HIV infection, and diabetes mellitus; design and implement active case finding strategies for high-risk groups and link them to the treatment of latent TB infection; engage with the private-for-profit sector; and empower the Central Unit of the NTP particularly in relation to data-driven supportive supervision, operational research, and sustained financing. The glaring gaps in the delivery of TB services must be remedied, and some of these gaps will require new paradigms and ways of working which include patient-centered and higher-quality services. There must also be fast-track ways of incorporating new diagnostic, treatment, and prevention tools into program activities so as to rapidly reduce TB incidence and mortality and meet the goal of ending TB by 2030.

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Section: Empower and Strengthen The Central Unit Of The National Tb Pmentioning

confidence: 99%

What can National TB Control Programmes in low- and middle-income countries do to end tuberculosis by 2030?

et al. 2018

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“…( 24 ) Furthermore, in 2015, the Ministry of Health formed the Viet Nam Integrated Centre for TB and Lung Disease Research (VICTORY) under the management of the National Lung Hospital and National Tuberculosis Programme, to lead in implementing and coordinating research on TB and other lung diseases and to establish a research network. ( 12 , 25 ) This has fostered collaboration on TB research within and outside the country and also led to institutionalized research within programmes to ensure that research outputs inform policy and practice and improve programme performance. ( 25 , 26 )…”

Section: Discussionmentioning

confidence: 99%

Intensified research on tuberculosis in the Western Pacific Region: a bibliometric analysis, 2000–2019

Morishita

Yamanaka

Islam

2020

WPSAR

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“Intensified TB research and innovation” is one of the three pillars of the End TB Strategy. To assess achievements and gaps in tuberculosis (TB) research productivity in countries and areas of the Western Pacific Region quantitatively, a bibliometric analysis was carried out by examining trends in the numbers of publications on TB indexed in PubMed between 2000 and 2019 and by comparing them with trends in publications on other selected major infectious diseases for the same period. The number of publications on TB in the Region increased by 3.2 times during the period, from 534 in 2000–2004 to 1714 in 2015–2019, as compared with 2.9 times each for HIV, hepatitis and malaria. The number increased by 46% in 2005–2009, 79% in 2010–2014 and 23% in 2015–2019, as compared with each previous 5-year period. The average annual growth rate between 2000 and 2018 was 8.8%. China accounted for 34.8% of the total number of publications on TB in the Region. Increases in TB research were observed in most countries and areas in the Region, particularly in those with a high TB burden. The number of publications on TB remained low, however, in the Lao People’s Democratic Republic, Mongolia and Pacific island countries. Countries are encouraged to implement the set of actions proposed in the Global Strategy for TB Research and Innovation to accelerate progress towards ending TB.

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“…Embedding operational research within the NTP is the best way to ensure that local and relevant research is implemented according to the country’s needs and priorities [66]. Malawi, Benin, Vietnam and more recently Pakistan and India are good examples of how this has worked in practice [9,10,11,12,67]. There are some key steps that need to be addressed if such an initiative is to be successful, and these are shown in Table 5.…”

Section: Embedding Operational Research Within the Ntpmentioning

confidence: 99%

“…The next most important step is to appoint a skilled operational research officer to lead and coordinate the research endeavour. As described earlier, the appointment of one operational research officer within the NTP in Benin and Vietnam was successful in generating national, good quality, relevant research [10,11], but building a critical mass of two or more research officers within an institution can help to foster an institutional culture of research and result in significant scale up of research projects and publications [71].…”

Section: Embedding Operational Research Within the Ntpmentioning

confidence: 99%

“…It can be defined as research into interventions, strategies, and tools or new knowledge to enhance the quality, coverage and effectiveness of disease control programmes, health services or health systems in which the research is conducted [7]. In 2011, WHO published its “Priorities in Operational Research to improve Tuberculosis care and control” to serve as a guiding framework for NTPs [8], and there are several examples from Africa and Asia of how operational research conducted within TB control programmes can lead to improved programmatic performance with increases in case finding and successful treatment outcomes [9,10,11,12]. Specific examples of operational research that led to national policy change include: (i) HIV testing and cotrimoxazole preventive therapy in Malawi which was associated with significantly reduced country-wide mortality in HIV-infected TB patients [13]; (ii) HIV testing in patients with presumptive TB in India which led to national implementation of testing and the potential for earlier referral for antiretroviral therapy in this group of patients [14,15]; and (iii) screening of TB patients for diabetes mellitus in India which led to widespread implementation of screening for diabetes in certain regions of the country [16].…”

Section: Introductionmentioning

confidence: 99%

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How Can Operational Research Help to Eliminate Tuberculosis in the Asia Pacific Region?

et al. 2019

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Broad multi-sectoral action is required to end the tuberculosis (TB) epidemic by 2030 and this includes National TB Programmes (NTPs) fully delivering on quality-assured diagnostic, treatment and preventive services. Large implementation gaps currently exist in the delivery of these services, which can be addressed and closed through the discipline of operational research. This paper outlines the TB disease burden and disease-control programme implementation gaps in the Asia-Pacific region; discusses the key priority areas in diagnosis, treatment and prevention where operational research can be used to make a difference; and finally provides guidance about how best to embed operational research within a TB programme setting. Achieving internationally agreed milestones and targets for case finding and treatment requires the NTP to be streamlined and efficient in the delivery of its services, and operational research provides the necessary evidence-based knowledge and support to allow this to happen.

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The effects of placing an operational research fellow within the Viet Nam National Tuberculosis Programme

Cited by 4 publications

References 7 publications

What can National TB Control Programmes in low- and middle-income countries do to end tuberculosis by 2030?

What can National TB Control Programmes in low- and middle-income countries do to end tuberculosis by 2030?

Intensified research on tuberculosis in the Western Pacific Region: a bibliometric analysis, 2000–2019

How Can Operational Research Help to Eliminate Tuberculosis in the Asia Pacific Region?

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