Gridlock from diagnosis to treatment of multidrug-resistant tuberculosis in Tanzania: low accessibility of molecular diagnostic services and lack of healthcare worker empowerment in 28 districts of 5 high burden TB regions with mixed methods evaluation.
Stellah G MpagamaPeter M MbeleleAnna M ChongoloIsaack A LekuleJohnson J LyimoGibson S KibikiScott K HeysellPublished in: BMC public health (2019)
Underutilization of molecular diagnostics in high-risk groups was a function of a lack of front-line healthcare workforce empowerment and training, and a lack of equipment access, which likely contributed to the observed delay in MDR-TB diagnosis in Tanzania.
Keyphrases
- healthcare
- multidrug resistant
- mycobacterium tuberculosis
- drug resistant
- gram negative
- acinetobacter baumannii
- public health
- primary care
- mental health
- klebsiella pneumoniae
- pulmonary tuberculosis
- single molecule
- randomized controlled trial
- escherichia coli
- emergency department
- health information
- clinical trial
- combination therapy
- risk factors
- hepatitis c virus