Identifying barriers to TB diagnosis and treatment under a new rapid diagnostic scheme

Research Partners:

Liverpool School of Tropical Medicine

Photo: Microbe World/Flickr licensed under: CC BY-NC-SA 2.0

 

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Tuberculosis, the main cause of adult infectious death in the world, requires the examination of several sputum samples for diagnosis and patients need to visit services several times.  Patients can only initiate treatment if they have been diagnosed and improving the efficiency of the process is crucial to increasing treatment access.  More efficient diagnostic approaches that examine a reduced number of specimens or accelerate their collection to a single day are being developed with support from the World Health Organisation. 

This study will assess whether these accelerated approaches could lead to increased access to treatment.  The study will aim to identify barriers preventing adults from completing the diagnostic process in Nepal, Yemen and Ethiopia and the changes that are required to increase treatment uptake.  A combination of quantitative and qualitative methods will be used, including surveillance data collection and surveys to monitor the proportion of patients initiating and completing treatment, and in depth interviews, focus group discussions and case studies to provide an insight into these processes.  Services will be modified in response to the research findings to promote equitable and increased access to health services for under-served populations.

Liverpool School of Tropical Medicine
Luis Eduardo Cuevas
Sally Theobald
Primary theme: 
Themes: 
Grant Reference: 
RES-167-25-0387
ES/F027702/1
Project Status: 
Closed
Grant Category: 
Research Grant
Lead Organisation Department: 
Child and Reproductive Health
Fund Start Date: 
May 1st, 2008
Fund End Date: 
October 31st, 2012
Fund Currency Code: 
GBP
Fund Value: 
225996
access-to-health-services
death-rates
diagnostic-efficiency
disease
effectiveness-of-services
employment-issues
gender
health-workers
marginalised-populations
MDGs
microscopy
poverty
pro-poor-strategies
social-isolation
socio-cultural-norms
Stigma
Tuberculosis-treatment