Sanjay Shinde, Dawit Galgalo, Julie R. Jadhav
Sanjay Shinde1, Dawit Galgalo2, Julie R. Jadhav
1Bule Hora University, Department of Nursing, College of Health and Medical Sciences, Ethiopia.
2Bule Hora University, Department of Public Health, College of Health and Medical Sciences, Ethiopia.
3Vijaya College of Nursing Sciences, Ayodhya Nagar, Belagavi, Karnataka, India.
Volume - 2,
Issue - 3,
Year - 2023
Introduction: The Millennium Development Goal target of halting and reversing TB incidence has been achieved on a global scale. Mortality from TB has fallen by 47% since 1990. Despite these gains, however, TB still remains a major worldwide health crisis. According to a recent WHO report, there where in 2018, an estimated 10 million people fell sick with tuberculosis (TB) worldwide. 5.7 million Men, 3.2 million women and 1.1 million children. Poor health systems pose many barriers to effective tuberculosis (TB) control. This study aimed at exploring health workers and TB control program coordinator’s perspectives on health systems challenges facing TB control in Bule Hora Town, Oromia Region, southern, Ethiopia. Objective: To identify challenges of health care workers and tuberculosis control program co-ordinator towards tuberculosis control at Public health facilities of Bule Hora town-2020. Method: Qualitative study was conducted at Public health facilities of Bule Hora town, Ethiopia. Four in-depth interviews with TB control program coordinators and two focus group discussions among 8 health workers were conducted. Purposive sampling was used to recruit study participants. Thematic analysis was used to identify and analyze main themes. Results: We identified that shortage of laboratory reagents, Shortages of TB diagnostic tools and intermittent supply of anti-TB drugs, shortage of trained and motivated health care staffs, Poor community TB mobilization and collaboration between health institutions were challenges facing the TB control program performance in the study area.
Conclusion: Ensuring no proper supply of anti-TB drugs, laboratory reagents and Shortages of TB diagnostic tools to all health facilities is essential. Continuous updated training of health workers on standard TB care and data handling, developing and implementing a sound retention strategy to attract and motivate health professionals to work in study areas are necessary interventions to improve the TB control program performance in the study area.
Cite this article:
Sanjay Shinde, Dawit Galgalo, Julie R. Jadhav. Qualitative Assessment of Challenges in Tuberculosis control in Public Health Facilities of Bule Hora Town, Ethiopia; Health Workers’ and Tuberculosis control Program Coordinators’ Perspectives, 2020. A and V Pub International Journal of Nursing and Medical Research. 2023; 2(3):69-7. doi: 10.52711/ijnmr.2023.17
Sanjay Shinde, Dawit Galgalo, Julie R. Jadhav. Qualitative Assessment of Challenges in Tuberculosis control in Public Health Facilities of Bule Hora Town, Ethiopia; Health Workers’ and Tuberculosis control Program Coordinators’ Perspectives, 2020. A and V Pub International Journal of Nursing and Medical Research. 2023; 2(3):69-7. doi: 10.52711/ijnmr.2023.17 Available on: https://ijnmronline.com/AbstractView.aspx?PID=2023-2-3-2
1. World Health Organization, Global Tuberculosis Report 2015, World Health Organization, Geneva, Switzerland, 2015, http://www.who.int/tb/publications/global report/en/.
2. W H O. Sustainable Development Goals (SDGs) by 2030 and End TB by 2035.
3. WHO, Stop TB Programme. 2006: The Stop TB Strategy, Geneva, World Health Organization.
4. J. F. Cowan, J. G. Cowan, S. Barnhart et al. A qualitative assessment of challenges to tuberculosis management and prevention in Northern Ethiopia. International Journal of Tuberculosis and Lung Disease. 2013; 17(8):1071–1075.
5. Cattamanchi, C. R. Miller, A. Tapley et al. Health worker perspectives on barriers to delivery of routine tuberculosis diagnostic evaluation services in Uganda: a qualitative study to guide clinic-based interventions. BMC Health Services Research. 2015; 15(10).
6. T. Getachew, A. Bekele, A. Defar et al. Tuberculosis service provision in Ethiopia: health facility assessment. American Scientific Research Journal for Engineering, Technology, and Sciences. 2015;13(1): 145–159.
7. Jaiswal K, Vaishnao L, Dudhgaonkar S, Raghte L, Kewalramani M, Jawade A et al. Knowledge, attitude and preventive practices regarding tuberculosis care and control among health care professionals at TB centres: implications for TB control efforts. International Journal of Community Medicine and Public Health. 2020; 7(6):2318.
8. Solomon Abebe Yimer, Christoph Gradmann, Mette Sagbakken. Barriers for tuberculosis case finding in Southwest Ethiopia: A qualitative study. 2020.8(2):123.
9. Moore C, Lewis D, Leikin J. False-positive and false-negative rates in meconium drug testing. Clinical Chemistry. 1995; 41(11):1614-1616.
10. Kaona F, Tuba M, Siziya S, Sikaona L. An assessment of factors contributing to treatment adherence and knowledge of TB transmission among patients on TB treatment. BMC Public Health. 2004; 4(1).
11. T. Getachew, A. Bekele, A. Defar et al. Tuberculosis service provision in Ethiopia: health facility assessment. American Scientific Research Journal for Engineering, Technology, and Sciences. 2015; 13(1): 145–159.
12. L. M. Parsons, A. Somosk¨ovi, C. Gutierrez et al. Laboratory diagnosis of tuberculosis in resource-poor countries: challenges and opportunities. Clinical Microbiology Reviews. 2011; 24(2): 314–350.
13. Deborah Birx, Mark de Souza, John N Nkengasong. Laboratory challenges in the scaling upof HIV, TB, and malaria programs: The Interaction of Health and Laboratory Systems, Clinical Research, and Service Delivery. 2009; 131(6): 849-51.
14. A. Inotu and F. Abebe. Assessment of defaulting from directly observed treatment short course (DOTS) and its determinants in Benin City, Nigeria. Journal of Tuberculosis Research. 2014; 2(1): 30–39.
15. Z. S. Nezenega, Y. H. M. Gacho, and T. E. Tafere. Patient satisfaction on tuberculosis treatment service and adherence to treatment in public health facilities of Sidama zone, South Ethiopia. BMC Health Services Research. 2013; 13: 110.
16. Federal Democratic Republic of Ethiopia Ministry of Health, Guidelines for Clinical and Programmatic Management of TB, Leprosy and TB/HIV in Ethiopia, Federal Democratic Republic of Ethiopia Ministry of Health, Addis Ababa, Ethiopia, 5th edition, 2012.
17. V. F. Gomes, A. Andersen, G. Lemvik et al. Impact of isoniazid preventive therapy on mortality among children less than 5years old following exposure to tuberculosis at home in Guinea-Bissau: a prospective cohort study. BMJ Open. 2013;3: Article ID001545, 2013.
18. Daniel, Chukwuemeka, Ogbuabor. Through service providers' eyes: health systems factors affecting implementation of tuberculosis control in Enugu State, South-Eastern Nigeria. 2020; 20(1):206.
19. A. Wynne, S. Richter, L. Banura, and W. Kipp. Challenges in tuberculosis care in Western Uganda: health care worker and patient perspectives. International Journal of Africa Nursing Sciences. 2014;1: 6–10.
20. L. M. Ibrahim, I. S. Hadjia, P. Nguku et al. Health care workers’ knowledge and attitude towards TB patients under Direct Observation of Treatment in Plateau state Nigeria. Pan African Medical Journal. 2011;18:1.
21. Uplekar M. Involving private health care providers in delivery of TB care: global strategy. Tuberculosis. 2003; 83(1-3):156-164.
22. World Health Organization (WHO), Increasing Access to Health Workers in Remote and Rural Areas Through Improved Retention. Global Policy Recommendations, World Health Organization, 2010.
23. Mengiste M Mesfin , James N Newell, John D Walley, et al. Quality of tuberculosis care and its association with patient adherence to treatment in eight Ethiopian districts. 2009; 24(6):457-66
24. Lakshmi D, Smith W. Comparing Proportions in the Presence of False Positive and False Negative Instrument Sorting Errors. Biometrics. 1993; 49(2):639.
25. Kurtin S, Latsko J, Finley-Oliver E. Educational and knowledge gaps among community health care providers (HCPS) treating patients with lower-risk MDS. 2015; 39: S110.