Framework of behavioral indicators evaluating TB health promotion outcomes: a modified Delphi study of TB policymakers and health workers

Li, Ying; Ehiri, John E.; Hu, Daiyu; Oren, Eyal; Cao, Jia

doi:10.1186/s40249-015-0087-4

Cited by 12 publications

(9 citation statements)

References 27 publications

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“…Addressing these issues would require long term infrastructural development. However interim solutions such as recruiting community volunteers or community workers to organise transport and the provision of support funds that facilitate transport could be explored [ 21 ]. Similar issues occur for other diseases such as HIV/AIDS, the management of accidents and emergencies and complicated deliveries.…”

Section: Resultsmentioning

confidence: 99%

Patients direct costs to undergo TB diagnosis

et al. 2016

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BackgroundA major impediment to the treatment of TB is a diagnostic process that requires multiple visits. Descriptions of patient costs associated with diagnosis use different protocols and are not comparable.MethodsWe aimed to describe the direct costs incurred by adults attending TB diagnostic centres in four countries and factors associated with expenditure for diagnosis. Surveys of 2225 adults attending smear-microscopy centres in Nigeria, Nepal, Ethiopia and Yemen. Adults >18 years with cough >2 weeks were enrolled prospectively. Direct costs were quantified using structured questionnaires. Patients with costs >75th quartile were considered to have high expenditure (cases) and compared with patients with costs <75th quartile to identify factors associated with high expenditure.ResultsThe most significant expenses were due to clinic fees and transport. Most participants attended the centres with companions. High expenditure was associated with attending with company, residing in rural areas/other towns and illiteracy.ConclusionsThe costs incurred by patients are substantial and share common patterns across countries. Removing user fees, transparent charging policies and reimbursing clinic expenses would reduce the poverty-inducing effects of direct diagnostic costs. In locations with limited resources, support could be prioritised for those most at risk of high expenditure; those who are illiterate, attend the service with company and rural residents.Electronic supplementary materialThe online version of this article (doi:10.1186/s40249-016-0117-x) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Patients direct costs to undergo TB diagnosis

et al. 2016

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“…In the process of establishing the indicators framework, this method could synthesize the theory and practical experience of experts from different professional backgrounds to make comprehensive judgement and evaluation [10][11][12][13]. This study was based on the existing research theories and methods [14][15][16][17][18]. Firstly, the initial indicators framework was established based on literature review, which had a good theoretical basis.…”

Section: Discussionmentioning

confidence: 99%

How to establishing an indicators framework for evaluating the performances in primary TB control institutions under the new TB control model? Based on a Delphi study conducted in Guangxi, China

Wei

et al. 2022

BMC Public Health

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Background In China, the new TB control model of trinity form had been implemented in all parts, and the comprehensively evaluation to the performances in primary TB control institutions were closely related to the working capacity and quality of TB service, but there was still no an unified evaluation indicators framework in practice and few relevant studies. The purpose of this study was to establish an indicators framework for comprehensively evaluating the performances in primary TB control institutions under the new TB control model of trinity form in Guangxi, China. Methods The Delphi method was used to establish an indicators framework for comprehensively evaluating the performances in primary TB control institutions under the new TB control model of trinity form, and the analytic hierarchy process(AHP) was used to determine the weights of all levels of indicators, from September 2021 to December 2021 in Guangxi, China. Results A total of 14 experts who had at least 10 years working experience and engaged in TB prevention and control and public health management from health committee, CDC, TB designated hospitals and university of Guangxi were consulted in two rounds. The average age of the experts were (43.3 ± 7.549) years old, and the effective recovery rate of the questionnaire was 100.0%. The average value of authority coefficient of experts (Cr) in the two rounds of consultation was above 0.800. The Kendall’s harmony coefficient (W) of experts’ opinions on the first-level indicators, the second-level indicators and the third-level indicators were 0.786, 0.201 and 0.169, respectively, which were statistically significant (P < 0.05). Finally, an indicators framework was established, which included 2 first-level indicators, 10 second-level indicators and 37 third-level indicators. The results of analytic hierarchy process (AHP) showed that the consistency test of all levels of indicators were CI < 0.10, which indicating that the weight of each indicator was acceptable. Conclusion The indicators framework established in this study was in line with the reality, had reasonable weights, and could provide a scientific evaluation tool for comprehensively evaluating the performances in primary TB control institutions under the new TB control model of trinity form in Guangxi, China.

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“…Last, TB health promotion and education are intended to influence behavioural change, and encourage the public to take appropriate measures to prevent TB infection and improve their adherence to treatment. 16 It is best to combine core knowledge assessment with evaluation of behavioural change using behaviour indicators 38 to assess the impact of TB health promotion and education.…”

Section: Discussionmentioning

confidence: 99%

Is tuberculosis health education reaching the public in China? A cross-sectional survey in Guizhou Province

Chen

Yang

et al. 2016

BMJ Open

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BackgroundKnowledge about tuberculosis (TB) is important for TB control, and China's national TB control guidelines emphasise TB health promotion. A 2010 national TB epidemiology survey showed that the general public had limited knowledge and awareness of TB.ObjectiveTo assess the level of TB knowledge after 5 years of TB health promotion in Guizhou Province, one of the regions with the highest TB burden in China.Design and settingA community-based, cross-sectional survey of 10 237 residents of Guizhou Province from June to August 2015. Multiple logistic regression models were used to examine factors associated with core TB knowledge and TB health education among respondents.ResultsOverall, residents of Guizhou Province had inadequate knowledge of TB. The overall awareness of TB was 41.5%. Less than 30% of respondents were familiar with China's policy of free treatment for TB or knew that the disease could be cured. Factors associated with core TB knowledge included gender, age, ethnicity, education, occupation, region, and having received TB health education. Women, older adults, people employed in non-government institutions, and those living in counties with low TB burdens had little access to TB health education, whereas people with higher education levels had greater access. Respondents' sources of TB knowledge did not necessarily match their preferred channels for delivery of TB health education.ConclusionsOur findings indicate that TB health education should be further strengthened in China and other countries with a high TB burden. TB health education programmes require further formative and implementation research in order to improve programme effectiveness.

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Framework of behavioral indicators evaluating TB health promotion outcomes: a modified Delphi study of TB policymakers and health workers

Cited by 12 publications

References 27 publications

Patients direct costs to undergo TB diagnosis

Patients direct costs to undergo TB diagnosis

How to establishing an indicators framework for evaluating the performances in primary TB control institutions under the new TB control model? Based on a Delphi study conducted in Guangxi, China

Is tuberculosis health education reaching the public in China? A cross-sectional survey in Guizhou Province

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