Factors influencing the implementation of TB screening among PLHIV in selected HIV clinics in Ghana: a qualitative study

被引:3
|
作者
Narh-Bana, Solomon A. [1 ,2 ]
Kawonga, Mary [1 ,3 ]
Odopey, Selase Adjoa [2 ]
Bonsu, Frank [4 ]
Ibisomi, Latifat [1 ,5 ]
Chirwa, Tobias F. [1 ]
机构
[1] Univ Witwatersrand, Sch Publ Hlth, Fac Hlth Sci, Johannesburg, South Africa
[2] Dodowa Hlth Res Ctr, Div Res & Dev, Ghana Hlth Serv, Dodowa, Ghana
[3] Charlotte Maxeke Johannesburg Acad Hosp, Dept Community Hlth, Johannesburg, South Africa
[4] Natl TB Control Programme, Accra, Ghana
[5] Nigerian Inst Med Res, Lagos, Nigeria
关键词
Barriers; Enablers; Factors; TB screening; PLHIV; Ghana; TUBERCULOSIS;
D O I
10.1186/s12913-022-08295-6
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Decreasing the burden of Tuberculosis (TB) among PLHIV through TB screening is an effective intervention recommended by the World Health Organization (WHO). However, after over a decade of implementation in Ghana, the intervention does not realize the expected outcomes. It is also not well understood whether this lack of success is due to implementation barriers. Our study, therefore, sought to examine the factors influencing the implementation of the intervention among people living with HIV (PLHIV) attending HIV clinics at district hospitals in Ghana. Methods: This was a qualitative study conducted from 6th to 31 May 2019 in three regions of Ghana. We conducted 17 in-depth interviews (IDIs - comprising two regional, six districts and nine facility TB/HIV coordinators) and eight focus group discussions (FGD - consisting of a total of 65 participants) with HIV care providers. The Consolidated Framework for Implementation Research (CFIR) guided the design of interview guides, data collection and analysis. All responses were digitally audio-recorded and transcribed verbatim for coding and analysis using the Framework Approach. Participants consented to the interview and recording. Results: The main barriers to TB screening relate to the low commitment of the implementers to screen for TB and limited facility infrastructure for the screening activities. Facilitators of TB screening include (1) ease in TB screening, (2) good communication and referral channels, (3) effective goals and feedback mechanisms, (4) health workers recognizing the need for the intervention and (5) the role of chemical sellers. Conclusions: Key barriers and facilitators to the intervention are revealed. The study has shown that there is a need to increase HIV care providers and institutional commitment towards TB screening interventions. In addition, cost issues need to be assessed as they are drivers of sustainability. Our study also advances the field of implementation science through CFIR to better understand the factors influencing the implementation.
引用
收藏
页数:12
相关论文
共 50 条
  • [1] Factors influencing the implementation of TB screening among PLHIV in selected HIV clinics in Ghana: a qualitative study
    Solomon A. Narh-Bana
    Mary Kawonga
    Selase Adjoa Odopey
    Frank Bonsu
    Latifat Ibisomi
    Tobias F. Chirwa
    [J]. BMC Health Services Research, 22
  • [2] Fidelity of implementation of TB screening guidelines by health providers at selected HIV clinics in Ghana
    Narh-Bana, Solomon A.
    Kawonga, Mary
    Chirwa, Esnat D.
    Ibisomi, Latifat
    Bonsu, Frank
    Chirwa, Tobias F.
    [J]. PLOS ONE, 2021, 16 (09):
  • [3] Adherence of HIV clinics to guidelines for the delivery of TB screening among people living with HIV/AIDS in Ghana
    Solomon A. Narh-Bana
    Tobias F. Chirwa
    Esnat D. Chirwa
    Frank Bonsu
    Latifat Ibisomi
    Mary Kawonga
    [J]. BMC Health Services Research, 21
  • [4] Adherence of HIV clinics to guidelines for the delivery of TB screening among people living with HIV/AIDS in Ghana
    Narh-Bana, Solomon A.
    Chirwa, Tobias F.
    Chirwa, Esnat D.
    Bonsu, Frank
    Ibisomi, Latifat
    Kawonga, Mary
    [J]. BMC HEALTH SERVICES RESEARCH, 2021, 21 (01)
  • [5] A qualitative analysis of factors influencing antiretroviral adherence among persons living with HIV in Ghana
    Abdulai, Martha Ali
    Mevissen, Fraukje E. F.
    Ruiter, Robert A. C.
    Owusu-Agyei, Seth
    Asante, Kwaku Poku
    Bos, Arjan E. R.
    [J]. JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY, 2022, 32 (01) : 135 - 150
  • [6] Factors influencing implementation of an insulin patient decision aid at public health clinics in Malaysia: A qualitative study
    Tong, Wen Ting
    Lee, Yew Kong
    Ng, Chirk Jenn
    Lee, Ping Yein
    [J]. PLOS ONE, 2020, 15 (12):
  • [7] ‘Baby mamas’ in Urban Ghana: an exploratory qualitative study on the factors influencing serial fathering among men in Accra, Ghana
    Rosemond Akpene Hiadzi
    Jemima Akweley Agyeman
    Godwin Banafo Akrong
    [J]. Reproductive Health, 20
  • [8] 'Baby mamas' in Urban Ghana: an exploratory qualitative study on the factors influencing serial fathering among men in Accra, Ghana
    Hiadzi, Rosemond Akpene
    Agyeman, Jemima Akweley
    Akrong, Godwin Banafo
    [J]. REPRODUCTIVE HEALTH, 2023, 20 (01)
  • [9] Factors affecting the acceptability of isoniazid preventive therapy among healthcare providers in selected HIV clinics in Nairobi County, Kenya: a qualitative study
    Wambiya, Elvis Omondi Achach
    Atela, Martin
    Eboreime, Ejemai
    Ibisomi, Latifat
    [J]. BMJ OPEN, 2018, 8 (12):
  • [10] Factors influencing the implementation of obstetric triage: a qualitative study
    Moudi, Asieh
    Iravani, Mina
    Najafian, Mahin
    Zareiyan, Armin
    Forouzan, Arash
    Mirghafourvand, Mojgan
    [J]. MIDWIFERY, 2021, 92