Operational Challenges in Conducting a Subnational TB Prevalence Survey in India: Lessons Learned for Resource-Limited, High-Burden Settings.

IF 2.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Global Health: Science and Practice Pub Date : 2024-02-28 DOI:10.9745/GHSP-D-23-00284
Prathiksha Giridharan, Havenesh Murugesan, Sriram Selvaraju, Asha Frederick, T S Selvavinayagam, Karikalan Nagarajan, Kannan Thiruvengadam, Rajendran Krishnan, Priya Rajendran, Paul Kumaran, Makesh Kumar, Padmapriyadarsini Chandrasekeran
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Abstract

Estimating the burden of TB at the subnational level is critical to planning and prioritizing resources for TB control activities according to the local epidemiological situation. We report the experiences and operational challenges of implementing a TB prevalence survey at the subnational level in India. Information was collected from research reports that gathered data from periodic meetings, informal discussions with study teams, letters of communication, and various site visit reports. During the implementation of the survey, several challenges were encountered, including frequent turnover in human resources, lack of survey participation and community engagement, breakdown of X-ray machines, laboratory issues that delayed sputum sample testing, delays in X-ray reading, and network and Internet connectivity issues that impeded data management. To help ensure the survey was implemented in a timely manner, we developed several solutions, including planning ahead to anticipate challenges, ensuring timely communication, having a high commitment from all stakeholders, having strong team motivation, providing repetitive hands-on training, and involving local leaders to increase community engagement. This experience may help future states and countries that plan to conduct TB prevalence surveys to address these anticipated challenges and develop alternative strategies well in advance.

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在印度开展次国家级结核病流行率调查的操作挑战:在资源有限、负担沉重的环境中吸取的经验教训》。
估算国家以下层面的结核病负担对于根据当地流行病学情况规划结核病控制活动并确定资源的优先次序至关重要。我们报告了印度在国家以下层面实施结核病流行率调查的经验和操作挑战。我们从研究报告中收集信息,这些报告从定期会议、与研究小组的非正式讨论、通信信函以及各种实地考察报告中收集数据。在调查实施过程中,遇到了一些挑战,包括人力资源频繁更替、缺乏调查参与和社区参与、X 光机故障、实验室问题导致痰样检测延迟、X 光读取延迟以及网络和互联网连接问题阻碍了数据管理。为帮助确保调查的及时实施,我们制定了几种解决方案,包括提前规划以预测挑战、确保及时沟通、所有利益相关者的高度承诺、团队的强大动力、提供重复的实践培训以及让当地领导参与进来以提高社区参与度。这些经验可以帮助未来计划开展结核病流行率调查的州和国家应对这些预期挑战,并提前制定替代策略。
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来源期刊
Global Health: Science and Practice
Global Health: Science and Practice Medicine-Health Policy
CiteScore
3.50
自引率
7.50%
发文量
178
审稿时长
22 weeks
期刊介绍: Global Health: Science and Practice (GHSP) is a no-fee, open-access, peer-reviewed, online journal aimed to improve health practice, especially in low- and middle-income countries. Our goal is to reach those who design, implement, manage, evaluate, and otherwise support health programs. We are especially interested in advancing knowledge on practical program implementation issues, with information on what programs entail and how they are implemented. GHSP is currently indexed in PubMed, PubMed Central, POPLINE, EBSCO, SCOPUS,. the Web of Science Emerging Sources Citation Index, and the USAID Development Experience Clearinghouse (DEC). TOPICS: Issued four times a year, GHSP will include articles on all global health topics, covering diverse programming models and a wide range of cross-cutting issues that impact and support health systems. Examples include but are not limited to: Health: Addiction and harm reduction, Child Health, Communicable and Emerging Diseases, Disaster Preparedness and Response, Environmental Health, Family Planning/Reproductive Health, HIV/AIDS, Malaria, Maternal Health, Neglected Tropical Diseases, Non-Communicable Diseases/Injuries, Nutrition, Tuberculosis, Water and Sanitation. Cross-Cutting Issues: Epidemiology, Gender, Health Communication/Healthy Behavior, Health Policy and Advocacy, Health Systems, Human Resources/Training, Knowledge Management, Logistics and Supply Chain Management, Management and Governance, mHealth/eHealth/digital health, Monitoring and Evaluation, Scale Up, Youth.
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