Modeling and analysis of barriers in controlling TB: developing countries' perspective

Abstract

PurposeTuberculosis (TB) continues to c-exist with humans despite many TB control programs and elimination strategies. This depicts that some barriers are not allowing achieving the desired results. The current study aims to focus on identification and ranking of such barriers to facilitate TB control programs in developing countries.Design/methodology/approachIn the present study, 13 barriers that can influence success rate of TB elimination strategies have been recognized with an in-depth assessment of related literature and opinions of specialists from medical industry and academic world. The interpretive structural modeling (ISM) and decision-making trial and evaluation laboratory (DEMATEL) techniques have been employed for the ranking of barriers.FindingsBased on driving power of barriers, the study coined that underinvestment is a major barrier followed by poor implementation of government policies and programs, poverty and poor primary health care infrastructure.Research limitations/implicationsThe findings may guide healthcare service providers and researchers in analyzing the barriers and understanding the necessity of further advancements to decrease the count of already existing and incident cases.Practical implicationsPolicy- and decision-makers may utilize the information on dependence and driving power of barriers for better planning and effective execution of TB control strategies.Originality/valueAlthough a lot of literature is available on different barriers that are affecting success of TB strategies, the current study analyzes all the key barriers collectively for the prioritization of barriers.

Modelling the factors in the adoption of artificial intelligence in Indian management institutes

“…According to Tzeng et al (2007), it aids in the resolution of complicated problems including dependence criteria. It can also be used to investigate the causal relationships between the identified factors in a structurally created model for the issue (Singh and Acharya, 2014; Singh et al , 2019; Chen, 2016; Jain and Ajmera, 2021a; Jain and Ajmera, 2021b; Mittal et al , 2021).…”

Modelling the factors affecting Quality of Life among Indian police officers: a novel ISM and DEMATEL approach

“…ISM technique has been extensively used in fields such as classroom communication barriers [ 49 ], barriers in controlling TB [ 50 ], factors affecting global economy [ 51 ], QOL in diabetics [ 52 ], lean management [ 53 ], and selection of reverse logistics provider [ 54 ]. An ISM-based analysis has been used to conduct barrier analysis in implementing green supply chain management [ 55 ].…”

International Journal of Health Governance review 26.4

“…Inappropriate antibiotic use, unregulated private healthcare, corruption and lack of political will all contribute to the failure of TB eradication. Mittal et al (2021) report on a Delphi study to identify the barriers to TB eradication by the WHO deadline of 2035. The Delphi method is a qualitative research method first developed by the RAND Corporation in the 1950s to make military predictions.…”

“…Understanding the barriers to TB elimination and their interrelationships is an important first step in the fight to control TB. Mittal et al (2021) suggest that in addressing these barriers, India could serve as a model for other developing countries.…”

“…Whilst there is no clear single theme defining this issue of IJHG there are eight very interesting articles that can be grouped to produce a logical progression of thought. Two of the articles (Jain and Dhir, 2021;Mittal et al, 2021) describe healthcare issues in India. Four further articles address current issues in the Association of Southeast Asian Nations (ASEAN) area (Ashraf and Ong, 2021;Baithesda et al, 2021;Del Rosario et al, 2021;Sooampon et al, 2021), whilst the two outliers address healthcare in Iran (Ebrahini et al, 2021) and Norway (Aase et al, 2021).…”