Healthcare worker perceived barriers and facilitators to implementing a tuberculosis preventive therapy program in rural South Africa: a content analysis using the consolidated framework for implementation research.
Brittney J SullivanMichael WilsonKarl le RouxBen GauntSarah GimbelNorma C WarePublished in: Implementation science communications (2023)
The use of the CFIR, a validated implementation determinants framework, provided a systematic approach to identify barriers and facilitators to TB household contact investigation, specifically the provision and management of TPT in this rural, high TB burden setting. Specific resources-time, trainings, and evidence-are necessary to ensure healthcare providers feel knowledgeable and competent about TPT prior to prescribing it more broadly. Tangible resources such as improved data systems coupled with political coordination and funding for TPT programming are essential for sustainability.
Keyphrases
- healthcare
- south africa
- quality improvement
- mycobacterium tuberculosis
- primary care
- hiv positive
- pulmonary tuberculosis
- social support
- electronic health record
- physical activity
- depressive symptoms
- adverse drug
- palliative care
- hiv infected
- data analysis
- human immunodeficiency virus
- mesenchymal stem cells
- emergency department
- social media
- health insurance
- affordable care act