See the published version of this preprint at BMC Health Services Research.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
Research article
Yael Hirsch-Moverman
Columbia University Mailman School of Public Health
Corresponding Author
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: One million children developed tuberculosis in 2016, and at least 250,000 children died from TB. Implementation of effective child contact management is an important strategy to prevent childhood tuberculosis, but these practices often are not prioritized or implemented, particularly in low and middle income countries.
Objective: To explore attitudes of healthcare providers toward tuberculosis prevention and perceived facilitators and challenges to child contact management in Lesotho, a high TB burden country.
Design: Qualitative data were collected via group and individual in-depth interviews with 12 healthcare providers at five health facilities in one district, and analyzed using a thematic framework.
Findings: Providers identified facilitators and challenges to a successful childhood tuberculosis prevention program. Facilitators included: provider understanding of the importance of tuberculosis prevention, and enhanced provider training on child contact management. Challenges included: (1) access to care, (2) supply-chain issues, (3) identification and screening of child contacts, and (4) adherence to isoniazid preventive therapy.
Conclusions: Given the significant burden of tuberculosis morbidity and mortality in young children, prioritization of child contact management is imperative and should include enhanced provider training and mentorship, and strategies to eliminate challenges, including improved access to services, more efficient community screening using standardized tools, and delivery of intensive community health education about the importance of tuberculosis prevention.
Keywords
Child contact management, isoniazid preventive therapy, qualitative evaluation
Figure 1
Loading...
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Health Services Research.
No community comments so far
Review #1 received
Received 29 Apr, 2020
Reviewer #2 agreed
On 22 Mar, 2020
Reviewer #1 agreed
On 10 Mar, 2020
Reviewers invited
Invitations sent on 06 Mar, 2020
Editor assigned
On 25 Feb, 2020
Submission checks complete
On 24 Feb, 2020
Editor invited
On 24 Feb, 2020
Version 1
Posted 12 Dec, 2019
No comments provided
Editorial decision: Major revision
On 21 Jan, 2020
Review #3 received
Received 16 Jan, 2020
Reviewer #3 agreed
On 12 Dec, 2019
Review #2 received
Received 27 Nov, 2019
Reviewer #2 agreed
On 06 Nov, 2019
Review #1 received
Received 24 Jul, 2019
Reviewer #1 agreed
On 03 Jul, 2019
Reviewers invited
Invitations sent on 01 Jul, 2019
Editor assigned
On 06 Jun, 2019
First submitted
On 05 Jun, 2019
Submission checks complete
On 05 Jun, 2019
Editor invited
On 05 Jun, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Learn more about our company.
A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Health Services Research.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Yael Hirsch-Moverman
Columbia University Mailman School of Public Health
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Health Services Research.
No community comments so far
Review #1 received
Received 29 Apr, 2020
Reviewer #2 agreed
On 22 Mar, 2020
Reviewer #1 agreed
On 10 Mar, 2020
Reviewers invited
Invitations sent on 06 Mar, 2020
Editor assigned
On 25 Feb, 2020
Submission checks complete
On 24 Feb, 2020
Editor invited
On 24 Feb, 2020
Version 1
Posted 12 Dec, 2019
No comments provided
Editorial decision: Major revision
On 21 Jan, 2020
Review #3 received
Received 16 Jan, 2020
Reviewer #3 agreed
On 12 Dec, 2019
Review #2 received
Received 27 Nov, 2019
Reviewer #2 agreed
On 06 Nov, 2019
Review #1 received
Received 24 Jul, 2019
Reviewer #1 agreed
On 03 Jul, 2019
Reviewers invited
Invitations sent on 01 Jul, 2019
Editor assigned
On 06 Jun, 2019
First submitted
On 05 Jun, 2019
Submission checks complete
On 05 Jun, 2019
Editor invited
On 05 Jun, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Health Services Research.
Background: One million children developed tuberculosis in 2016, and at least 250,000 children died from TB. Implementation of effective child contact management is an important strategy to prevent childhood tuberculosis, but these practices often are not prioritized or implemented, particularly in low and middle income countries.
Objective: To explore attitudes of healthcare providers toward tuberculosis prevention and perceived facilitators and challenges to child contact management in Lesotho, a high TB burden country.
Design: Qualitative data were collected via group and individual in-depth interviews with 12 healthcare providers at five health facilities in one district, and analyzed using a thematic framework.
Findings: Providers identified facilitators and challenges to a successful childhood tuberculosis prevention program. Facilitators included: provider understanding of the importance of tuberculosis prevention, and enhanced provider training on child contact management. Challenges included: (1) access to care, (2) supply-chain issues, (3) identification and screening of child contacts, and (4) adherence to isoniazid preventive therapy.
Conclusions: Given the significant burden of tuberculosis morbidity and mortality in young children, prioritization of child contact management is imperative and should include enhanced provider training and mentorship, and strategies to eliminate challenges, including improved access to services, more efficient community screening using standardized tools, and delivery of intensive community health education about the importance of tuberculosis prevention.
Figure 1
Loading...