Bridging the gap between policy and practice: a qualitative analysis of providers' field experiences tinkering with directly observed therapy in patients with drug-resistant tuberculosis in Addis Ababa, Ethiopia.
Kirubel Manyazewal MussieChristoph GradmannTsegahun ManyazewalPublished in: BMJ open (2020)
If rigidly implemented, DOT could lead to more DR-TB-a problem DOT was invented to resolve. Front-line healthcare providers are sensitive to the tragic experiences of DR-TB patients and empathise with them. Thus, they do not strictly implement DOT and are willing to take any blame resulting from tinkering with it. It is high time to shape the practice of DOT for DR-TB patients, with meaningful contributions from front-line healthcare providers.
Keyphrases
- healthcare
- drug resistant
- mycobacterium tuberculosis
- multidrug resistant
- mental health
- editorial comment
- end stage renal disease
- primary care
- energy transfer
- newly diagnosed
- ejection fraction
- acinetobacter baumannii
- chronic kidney disease
- prognostic factors
- public health
- emergency department
- quality improvement
- stem cells
- patient reported outcomes
- cystic fibrosis
- mesenchymal stem cells
- social media
- health information
- patient reported
- electronic health record
- quantum dots
- smoking cessation
- replacement therapy