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Isoniazid Preventive Therapy among Children Living with Tuberculosis Patients: Is It Working? A Mixed-Method Study from Bhopal, India.
- Source :
-
Journal of Tropical Pediatrics . Aug2017, Vol. 63 Issue 4, p274-285. 12p. - Publication Year :
- 2017
-
Abstract
- <bold>Objective: </bold>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.<bold>Methods: </bold>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).<bold>Results: </bold>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.<bold>Conclusion: </bold>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. [ABSTRACT FROM AUTHOR]
- Subjects :
- *TUBERCULOSIS prevention
*PREVENTIVE medicine
*ISONIAZID
*CHILDREN of tuberculosis patients
*CHEMOPREVENTION
*TUBERCULOSIS
*PUBLIC health
*GOVERNMENT policy
*SPUTUM microbiology
*TUBERCULOSIS diagnosis
*ANTITUBERCULAR agents
*PREVENTION of communicable diseases
*HEALTH attitudes
*HEALTH services accessibility
*INTERVIEWING
*MEDICAL personnel
*NATIONAL health services
*PATIENT compliance
*QUALITATIVE research
*CONTACT tracing
*EVALUATION of human services programs
*PHARMACODYNAMICS
TUBERCULOSIS transmission
Subjects
Details
- Language :
- English
- ISSN :
- 01426338
- Volume :
- 63
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Journal of Tropical Pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 124422862
- Full Text :
- https://doi.org/10.1093/tropej/fmw086