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- Title
Investigating socio-ecological factors influencing implementation of tuberculosis infection prevention and control in rural Papua New Guinea.
- Authors
Marme, Gigil; Kuzma, Jerzy; Zimmerman, Peta-Anne; Harris, Neil; Rutherford, Shannon
- Abstract
Background Tuberculosis (TB) is a highly transmissible infectious disease killing millions of people yearly, particularly in low-income countries. TB is most likely to be transmitted in healthcare settings with poor infection control practices. Implementing TB infection prevention and control (TB-IPC) is pivotal to preventing TB transmission in healthcare settings. This study investigated diverse stakeholders' perspectives relating to barriers and strategies for TB-IPC in rural hospitals in Papua New Guinea. Methods Multiple qualitative case studies were conducted with 32 key stakeholders with experience in TB services. Data collection drew on three primary sources to triangulate data: semi-structured interviews, document reviews and field notes. The data were analyzed using hybrid deductive-inductive thematic analysis. Results Our results reveal that key stakeholders perceive multiple interdependent factors that affect TB-IPC practice. The key emerging themes include strategic planning for and prioritizing TB-IPC guidelines; governance, leadership and accountability at the provincial level; community attitudes towards TB control; institutional capacity to deliver TB care, healthcare workers' safety, and long-term partnership and integration of TB-IPC programmes into the broad IPC programme. Conclusions The evidence suggests that a multi-perspective approach is crucial for TB-IPC guidelines in healthcare institutions. Interventions focusing on addressing health systems strengthening may improve the implementation of TB-IPC guidelines.
- Subjects
PAPUA New Guinea; TUBERCULOSIS prevention; MEDICAL protocols; HEALTH services accessibility; TEAMS in the workplace; COMMUNITY support; HUMAN services programs; INFECTION control; QUALITATIVE research; INTERPROFESSIONAL relations; PROFESSIONAL ethics; HEALTH attitudes; RESEARCH funding; PERSONAL protective equipment; RURAL hospitals; SOCIAL factors; INTERVIEWING; FIELD notes (Science); CLINICAL governance; LEADERSHIP; RESPONSIBILITY; HEALTH policy; STRATEGIC planning; JUDGMENT sampling; PATIENT advocacy; DESCRIPTIVE statistics; THEMATIC analysis; ORGANIZATIONAL effectiveness; MOTIVATION (Psychology); PROFESSIONS; SOUND recordings; RESEARCH methodology; ATTITUDES of medical personnel; STAKEHOLDER analysis; CASE studies; BUDGET; HEALTH education; INDUSTRIAL safety; INTEGRATED health care delivery
- Publication
Journal of Public Health, 2024, Vol 46, Issue 2, p267
- ISSN
1741-3842
- Publication type
Article
- DOI
10.1093/pubmed/fdae018