Journal of tropical pediatrics · 2017
Isoniazid Preventive Therapy among Children Living with Tuberculosis Patients: Is It Working? A Mixed-Method Study from Bhopal, India.
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Singh Akash Ranjan, Kharate Atul, Bhat Prashant, Kokane Arun M, Bali Surya, Sahu Swaroop, Verma Manoj, Nagar Mukesh, Kumar Ajay Mv
Аннотация
OBJECTIVE: We assessed uptake of isoniazid preventive therapy (IPT) among child contacts of smear-positive tuberculosis (TB) patients and its implementation challenges from healthcare providers' and parents' perspectives in Bhopal, India.
METHODS: A mixed-method study design: quantitative phase (review of programme records and house-to-house survey of smear-positive TB patients) followed by qualitative phase (interviews of healthcare providers and parents).
RESULTS: Of 59 child contacts (<6 years) of 129 index patients, 51 were contacted. Among them, 19 of 51 (37%) were screened for TB and one had TB. Only 11 of 50 (22%) children were started and 10 of 50 (20%) completed IPT. Content analysis of interviews revealed lack of awareness, risk perception among parents, cumbersome screening process, isoniazid stock-outs, inadequate knowledge among healthcare providers and poor programmatic monitoring as main barriers to IPT implementation.
CONCLUSION: National TB programme should counsel parents, train healthcare providers, simplify screening procedures, ensure regular drug supply and introduce an indicator to strengthen monitoring and uptake of IPT.
METHODS: A mixed-method study design: quantitative phase (review of programme records and house-to-house survey of smear-positive TB patients) followed by qualitative phase (interviews of healthcare providers and parents).
RESULTS: Of 59 child contacts (<6 years) of 129 index patients, 51 were contacted. Among them, 19 of 51 (37%) were screened for TB and one had TB. Only 11 of 50 (22%) children were started and 10 of 50 (20%) completed IPT. Content analysis of interviews revealed lack of awareness, risk perception among parents, cumbersome screening process, isoniazid stock-outs, inadequate knowledge among healthcare providers and poor programmatic monitoring as main barriers to IPT implementation.
CONCLUSION: National TB programme should counsel parents, train healthcare providers, simplify screening procedures, ensure regular drug supply and introduce an indicator to strengthen monitoring and uptake of IPT.
Предметные рубрики MeSH
AdolescentAdultAgedAntitubercular AgentsChild, PreschoolCommunicable Disease ControlContact TracingFemaleHealth Knowledge, Attitudes, PracticeHealth PersonnelHealth Services AccessibilityHumansIndiaInfantInterviews as TopicIsoniazidMaleMiddle AgedNational Health ProgramsPatient CompliancePost-Exposure ProphylaxisProgram EvaluationQualitative ResearchSputumTuberculosisYoung Adult