TY - JOUR
T1 - Challenges perceived by health care providers for implementation of contact screening and isoniazid chemoprophylaxis in Karnataka, India
AU - Chawla, Kiran
AU - Nagaraja, Sharath Burugina
AU - Siddalingaiah, Nayana
AU - Sanju, Chidananda
AU - Shenoy, Vishnu Prasad
AU - Kumar, Uday
AU - Das, Arundathi
AU - Hazra, Druti
AU - Shastri, Suresh
AU - Singarajipur, Anil
AU - Reddy, Ramesh Chandra
N1 - Funding Information:
Funding: This research was funded by the Central TB Division (CTD), Ministry of Health and Family Welfare (MoHFW), National TB Elimination Programme (NTEP), Government of India (GoI), Grant number-NTEP/IFD/GIA/NR/2020-2021.
Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/9
Y1 - 2021/9
N2 - Background: In India, challenges in pediatric TB contact screening and chemoprophylaxis initiation are still underexplored. Elucidating these challenges will help in better implementation of the programme at the grass-roots level thereby helping in early detection of pediatric cases and timely initiation of preventive therapy. This study aimed at exploring the challenges faced by the health care provider in contact screening and chemoprophylaxis initiation implementation of the pediatric household contacts. Methods: A qualitative study was conducted in the districts of Bengaluru and Udupi and in-depth interviews of key participants were adopted to explore the challenges. Qualitative data analysis was done after developing transcripts by generating themes and codes. Results: The key challenges were identified as stigma towards the disease, migrant patients with changing address, difficulty in sample collection, anxiety among parents due to long duration of the prophylactic treatment and adherence to IPT is not well documented, inadequate transportation from rural areas, and the ongoing COVID-19 pandemic. Conclusions: It is important for the National TB programme to address these challenges efficiently and effectively. Innovative solutions, feasible engagements, and massive efforts are to be taken by the programme to improve contact screening and isoniazid chemoprophylaxis implementation.
AB - Background: In India, challenges in pediatric TB contact screening and chemoprophylaxis initiation are still underexplored. Elucidating these challenges will help in better implementation of the programme at the grass-roots level thereby helping in early detection of pediatric cases and timely initiation of preventive therapy. This study aimed at exploring the challenges faced by the health care provider in contact screening and chemoprophylaxis initiation implementation of the pediatric household contacts. Methods: A qualitative study was conducted in the districts of Bengaluru and Udupi and in-depth interviews of key participants were adopted to explore the challenges. Qualitative data analysis was done after developing transcripts by generating themes and codes. Results: The key challenges were identified as stigma towards the disease, migrant patients with changing address, difficulty in sample collection, anxiety among parents due to long duration of the prophylactic treatment and adherence to IPT is not well documented, inadequate transportation from rural areas, and the ongoing COVID-19 pandemic. Conclusions: It is important for the National TB programme to address these challenges efficiently and effectively. Innovative solutions, feasible engagements, and massive efforts are to be taken by the programme to improve contact screening and isoniazid chemoprophylaxis implementation.
UR - http://www.scopus.com/inward/record.url?scp=85117704528&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85117704528&partnerID=8YFLogxK
U2 - 10.3390/TROPICALMED6030167
DO - 10.3390/TROPICALMED6030167
M3 - Article
AN - SCOPUS:85117704528
SN - 2414-6366
VL - 6
JO - Tropical Medicine and Infectious Disease
JF - Tropical Medicine and Infectious Disease
IS - 3
M1 - 167
ER -