Improving the quality of tuberculosis care in the post-pandemic world

Bigio, Jacob; Sassi, Angelina; Temesgen, Zelalem

doi:10.1016/j.jctube.2021.100212

Cited by 5 publications

(3 citation statements)

References 21 publications

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“…Digital connectivity tools can facilitate community-based testing, referrals, contact tracing, linkage to care and/or indicate the need for alternative clinical evaluation. 3 , 97 …”

Section: Overview Of Diagnostic Technologies and Tests By Specimen Typementioning

confidence: 99%

Reimagining the status quo: How close are we to rapid sputum-free tuberculosis diagnostics for all?

et al. 2022

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“…Digital connectivity tools can facilitate community-based testing, referrals, contact tracing, linkage to care and/or indicate the need for alternative clinical evaluation. 3 , 97 …”

Section: Overview Of Diagnostic Technologies and Tests By Specimen Typementioning

confidence: 99%

Reimagining the status quo: How close are we to rapid sputum-free tuberculosis diagnostics for all?

et al. 2022

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“…This revealed the need for a resilient South African health system that can continue functioning despite new public health challenges. 13 , 14…”

Section: Introductionmentioning

confidence: 99%

“…This revealed the need for a resilient South African health system that can continue functioning despite new public health challenges. 13,14 The community-based services provided by community health worker (CHW) teams, also called ward-based primary health care outreach teams (WBPHCOTs), provide screening services for a number of diseases. 15 Active surveillance for TB is one of the services provided by these teams.…”

Section: Introductionmentioning

confidence: 99%

Implementing active surveillance for TB: A descriptive survey of healthcare workers in the Eastern Cape, South Africa

Ajudua,

Mash

2024

African Journal of Primary Health Care & Family Medicine

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Background: South Africa is a tuberculosis (TB) high-burden country. In the Eastern Cape (EC), community health worker (CHW) teams implement active surveillance for TB to curb spread in disadvantaged communities. However, achieving the goals of the End-TB strategy require coordinated efforts that implement policy and strengthen health systems.Aim: This survey described views of healthcare workers (HCWs) in primary care facilities on factors that influence implementation of active surveillance for TB.Setting: This survey was conducted across two districts, among healthcare workers working in TB rooms at primary health facilities.Method: A cross-sectional survey of HCW in the EC.Results: The survey included 37 clinics in the OR Tambo Health District (ORTHD) and 44 clinics in the Nelson Mandela Bay Health District (NMBHD). Routine screening at primary care facilities (88.2%) and contact tracing initiatives (80.8%) were the common modes of TB screening. Tuberculosis screening services in the community were only provided by CHWs in 67.3% of instances. Although CHWs were adequately trained and motivated; the lack of transport, limited availability of outreach team leaders (OTLs) and poor security limited implementation of TB screening services in the community. Comparison between both districts revealed TB screening was limited by lack of transport in the rural district and poor security in the urban context. Community engagement provided a platform for improving acceptability.Conclusion: Community-based TB screening was limited. Inadequate coordination of services between stakeholders in the community has limited reach. Further research should describe that coordinating resource allocation and community empowerment could improve the implementation of active surveillance for TB.Contribution: This study highlights the views of TB room HCWs who believe the opportunity for community-level TB screening is improved with effective leadership and community engagement for acceptability of these services.

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Measuring tuberculosis patient perceived quality of care in public and public–private mix settings in India: an instrument development and validation study

et al. 2022

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BackgroundAt present, there are no validated quantitative scales available to measure patient-centred quality of care in health facilities providing services for tuberculosis (TB) patients in India and low-income and middle-income countries.MethodsInitial themes and items reflective of TB patient’s perceived quality of care were developed using qualitative interviews. Content adequacy of the items were ascertained through Content validity Index (CVI) and content validity ratio (CVR). Pilot testing of the questionnaire for assessing validity and reliability was undertaken among 714 patients with TB. Sampling adequacy and sphericity were tested by Kaiser-Meyer-Olkin and Bartlett’s test, respectively. Exploratory and confirmatory factor analysis was undertaken to test validity. Cronbach’s α and test–retest scores were used to test reliability.ResultsA 32-item tool measuring patient-perceived quality of TB distributed across five domains was developed initially based on a CVI and CVR cut-off score of 0.78 and cognitive interviews with patients with TB. Bartlett’s test results showed a strong significance f (χ2=3756 and p<0.001) and Kaiser-Meyer-Olkin was measured to be 0.698 highlighting data adequacy and correlation between the variables. Exploratory factor analysis with varimax rotation extracted 4 factors related to 14 items with Eigen values >1 which accounted for 60.9% of the total variance of items. Correlation (z-value >1.96) between items and factors was highly significant and Cronbach’s α was acceptable for the global scale (0.76) for the four factors. Intraclass correlation coefficient and the test retest scores for four factors were (<0.001) significant.ConclusionWe validated a measurement tool for patient-perceived quality of care for TB (PPQCTB) which measured the patient’s satisfaction with healthcare provider and services. PPQCTB tool could enrich quality of care evaluation frameworks for TB health services in India.

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Improving the quality of tuberculosis care in the post-pandemic world

Cited by 5 publications

References 21 publications

Reimagining the status quo: How close are we to rapid sputum-free tuberculosis diagnostics for all?

Reimagining the status quo: How close are we to rapid sputum-free tuberculosis diagnostics for all?

Implementing active surveillance for TB: A descriptive survey of healthcare workers in the Eastern Cape, South Africa

Measuring tuberculosis patient perceived quality of care in public and public–private mix settings in India: an instrument development and validation study

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