Barriers and facilitators to effective tuberculosis infection control practices in Madang Province, PNG - a qualitative study

Abstract

The study found evidence that health system factors do impact on the capacity to implement TBIC. Further, factors beyond TBIC such as sociocultural factors have an important influence on the way TBIC is implemented. The results of this study are useful for clinicians, health administrators and policymakers to improve the interventions and application of TBIC procedures at the rural health facilities in PNG. The study is limited to health services in Madang Province, and therefore the findings cannot automatically be generalised to other district hospitals and health centres in other parts of PNG. However, the WHO TBIC is a standardised policy and the results of the findings may be useful for other health facilities that manage TB patients in PNG and for future health systems researchers to help improve the generalisability of the findings. Further research is needed to explore health workers' experiences of conditions, actions and everyday practical issues affecting the application of TBIC measures in the rural health facilities of PNG.

Infection prevention and control research priorities: what do we need to combat healthcare-associated infections and antimicrobial resistance? Results of a narrative literature review and survey analysis

“…Over the past few years, socio-economic and behavioural sciences have greatly contributed to the fight against HCAI by identifying barriers and facilitators for the implementation of IPC measures. Commonly mentioned barriers include a lack of training/knowledge or awareness [ 18 , 19 ], and a lack of institutional resources, especially in low- and middle-income countries (LMIC) [ 19 , 20 ]. On the contrary, close relationships between healthcare workers [ 21 ], positive leadership and role modelling are often seen as facilitating factors [ 22 , 23 ].…”

Innovative Strategies for Developing Tuberculosis Implementation Research in Sudan

“…The conceptual framework's inner settings (health services) and outer settings (the nancial and sociopolitical environment of local health services) were combined to obtain the highest level of the program perfection (36). This novel framework highlighted the morbidity, disability and heightened mortality that persist after successful treatment completion, in order to appreciate the importance of TB preventive therapy in the overall context of ending the MDR-TB epidemic and ensuring healthy lives (37). The Medical intervention combination (laboratory investigations, patient's assessment, drug delivery and vaccination) all together trigged an immediate quick response to tuberculosis emerging by implementing new strategies based on acceptability of a functional public network composed of specialist, stakeholders, community leaders who have been informed and connected via different means of media including social media(Table-1)this was previously stated by (38,39).…”

Evidence on access to healthcare information by women of reproductive age in low- and middle-income countries: Scoping review

“…A total of 48 articles were excluded after full article screening. Reasons for their exclusion were as follows: Fourteen studies did not focus on healthcare information [17][18][19][20][21][22][23][24][25][26][27][28][29][30]. One study did not focus on the age range of 14 to 49 years old [31].…”