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Global Health: Science and Practice

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Tuberculosis

  • Open Access
    Facilitators and Barriers for Private Health Sector Engagement for TB Care in India: A Systematic Review and Meta-Synthesis of Qualitative Research
    Rakesh PS, Mohd Shannawaz, Manu E. Mathew and Kuldeep Singh Sachdeva
    Global Health: Science and Practice August 2024, 12(4):e2400034; https://doi.org/10.9745/GHSP-D-24-00034

    To strengthen the private sector engagement in TB care in India, several strategies should be considered, such as promoting nonfinancial incentives to private providers, establishing a coordination mechanism between public and private sectors, and simplifying data exchange mechanisms.

  • Open Access
    Lessons Learned From a Peer-Supported Differentiated Care and Nutritional Supplementation for People With TB in a Southern Indian State
    Hemant Deepak Shewade, A. James Jeyakumar Jaisingh, Prabhadevi Ravichandran, S. Kiran Pradeep, Sripriya Pandurangan, Subrat Mohanty, T. Daniel Rajasekar, R. Vijayaprabha, G. Kiruthika, K.V. Suma, Delphina Peter Pathinathan, Deiveegan Chidambaram, K. Sivagami, Anupama Srinivasan, Reuben Swamickan, Amrita Goswami, D. Sivaranjani, Ramya Ananthakrishnan, Asha Frederick and Manoj V. Murhekar
    Global Health: Science and Practice August 2024, 12(4):e2300504; https://doi.org/10.9745/GHSP-D-23-00504

    This pilot from southern India highlights the potential role of trained TB champions in counseling severely ill people with TB and facilitating targeted nutritional supplementation by mobilizing local resources.

  • Open Access
    An Effective Health System Approach to End TB: Implementing the Double X Strategy in Vietnam
    Anh L. Innes, Victoria Lebrun, Gia Linh Hoang, Andres Martinez, Nhi Dinh, Thi Thuy Ha Nguyen, Tan Phat Huynh, Van Luong Quach, Thanh Binh Nguyen, Van Chinh Trieu, Nghi Do Bao Tran, Huy Minh Pham, Van Luong Dinh, Binh Hoa Nguyen, Thi Thanh Huyen Truong, Van Cu Nguyen, Viet Nhung Nguyen and Thu Hien Mai
    Global Health: Science and Practice June 2024, 12(3):e2400024; https://doi.org/10.9745/GHSP-D-24-00024

    This article describes an effective health system strategy to detect TB disease in Vietnam that prioritizes chest radiography and GeneXpert rapid diagnostic testing, improving access to TB services during the COVID-19 pandemic for vulnerable populations in communities and facilities.

  • Open Access
    Improving TB Case Detection Through Active Case-Finding: Results of Multiple Intervention Strategies in Hard-to-Reach Riverine Areas of Southern Nigeria
    Joseph N. Chukwu, Cosmas Kenan Onah, Edmund Ndudi Ossai, Charles C. Nwafor, Chukwuka Alphonsus, Okechukwu E. Ezeakile, Ngozi Murphy-Okpala, Chinwe C. Eze, Obioma Chijioke-Akaniro, Anthony Meka, Martin I. Njoku, Francis S. Iyama and Ngozi Ekeke
    Global Health: Science and Practice February 2024, 12(1):e2300164; https://doi.org/10.9745/GHSP-D-23-00164

    To address TB control efforts more comprehensively, active case-finding is another important approach to increasing TB case detection rates, especially in hard-to-reach areas with high-risk populations.

  • Open Access
    Operational Challenges in Conducting a Subnational TB Prevalence Survey in India: Lessons Learned for Resource-Limited, High-Burden Settings
    Prathiksha Giridharan, Havenesh Murugesan, Sriram Selvaraju, Asha Frederick, T. S. Selvavinayagam, Karikalan Nagarajan, Kannan Thiruvengadam, Rajendran Krishnan, Priya Rajendran, Paul Kumaran, Makesh Kumar and Padmapriyadarsini Chandrasekeran
    Global Health: Science and Practice February 2024, 12(1):e2300284; https://doi.org/10.9745/GHSP-D-23-00284

    TB prevalence surveys can help estimate the burden of disease and prioritize resources for TB control. Anticipating operational challenges and addressing them in a timely manner can help ensure the successful implementation of the survey.

  • Open Access
    Evaluation of a Depression Intervention in People With HIV and/or TB in Eswatini Primary Care Facilities: Implications for Southern Africa
    Nina Putnis, Nick Riches, Archibald Nyamayaro, Darah Boucher, Rebecca King, Ian F. Walker, Alett Burger, Paul Southworth, Violet Mwanjali and John Walley
    Global Health: Science and Practice April 2023, 11(2):e2200016; https://doi.org/10.9745/GHSP-D-22-00016

    The authors assessed the feasibility and acceptability of a program integrating basic mental health care into nurse-led HIV and TB care in rural settings in Eswatini and identified key barriers to implementation and scale-up.

  • Open Access
    The First Differentiated TB Care Model From India: Delays and Predictors of Losses in the Care Cascade
    Hemant Deepak Shewade, Asha Frederick, G. Kiruthika, Madhanraj Kalyanasundaram, Joshua Chadwick, T. Daniel Rajasekar, K. Gayathri, R. Vijayaprabha, R. Sabarinathan, Jeyashree Kathiresan, P.K. Bhavani, S. Aarthi, K.V. Suma, Delphina Peter Pathinathan, Raghavan Parthasarathy, M. Bhavani Nivetha, Jerome G. Thampi, Deiveegan Chidambaram, Tarun Bhatnagar, S. Lokesh, Shanmugasundaram Devika, Timothy S. Laux, Stalin Viswanathan, R. Sridhar, K. Krishnamoorthy, M. Sakthivel, S. Karunakaran, S. Rajkumar, M. Ramachandran, K.D. Kanagaraj, M. Kaleeswari, V.P. Durai, R. Saravanan, A. Sugantha, S. Zufire Hassan Mohamed Khan, P. Sangeetha, R. Vasudevan, R. Nedunchezhian, M. Sankari, N. Jeevanandam, S. Ganapathy, V. Rajasekaran, T. Mathavi, A.R. Rajaprakash, Lakshmi Murali, U. Pugal, K. Sundaralingam, S. Savithri, S. Vellasamy, D. Dheenadayal, P. Ashok, K. Jayasree, R. Sudhakar, K.P. Rajan, N. Tharageshwari, D. Chokkalingam, S.M. Anandrajkumar, T.S. Selvavinayagam, C. Padmapriyadarshini, Ranjani Ramachandran and Manoj V. Murhekar
    Global Health: Science and Practice April 2023, 11(2):e2200505; https://doi.org/10.9745/GHSP-D-22-00505

    The authors present the first published experience of a statewide differentiated TB care model from Tamil Nadu, India. The findings of this operational research guided the authors in closing the gaps in the care cascade.

  • Open Access
    How Do Private Providers Unaffiliated With the Nigeria National TB Program Diagnose and Treat Drug-Susceptible TB Patients? A Cross-Sectional Study
    Victor Abiola Adepoju, Ademola Adelekan, Victoria Etuk, Moses Onoh and Babatunde Olofinbiyi
    Global Health: Science and Practice December 2022, 10(6):e2200210; https://doi.org/10.9745/GHSP-D-22-00210

    Private providers unaffiliated with the National TB Program (NTP) in Nigeria are not diagnosing or treating drug-susceptible TB patients according to NTP guidelines, resulting in an urgent need to engage non-NTP providers and improve the quality of their TB services.

  • Open Access
    Crossing the Last Mile of TB Care in Rural Southern Madagascar: A Multistakeholder Initiative
    Nadine Muller, Fierenantsoa Ranjaharinony, Miandrisoa Etrahagnane, Anna Frühauf, Turibio Razafindranaivo, Hortensia Ramasimanana and Julius Valentin Emmrich
    Global Health: Science and Practice October 2022, 10(5):e2200101; https://doi.org/10.9745/GHSP-D-22-00101

    Decentralizing TB care services by offering motorbike-based mobile clinics increased patient accessibility to TB care services in a remote district in Madagascar.

  • Open Access
    Screening for Severe Illness at Diagnosis Has the Potential to Prevent Early TB Deaths: Programmatic Experience From Karnataka, India
    Hemant Deepak Shewade, Sharath Burugina Nagaraja, Basavarajachar Vanitha, Hosadurga Jagadish Deepak Murthy, Madhavi Bhargava, Anil Singarajipura, Suresh G. Shastri, Bharatkumar Hargovandas Patel, Kajal Davara, Ramesh Chandra Reddy, Ajay M.V. Kumar and Anurag Bhargava
    Global Health: Science and Practice August 2022, 10(4):e2100736; https://doi.org/10.9745/GHSP-D-21-00736

    Despite TB being a potentially fatal disease, severity is not systematically assessed at the start of drug-susceptible TB treatment. We document our experience screening people for severe illness at diagnosis/notification in program settings and the potential impact on reducing early TB deaths.

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