Active case-finding policy development, implementation and scale-up in high-burden countries: A mixed-methods survey with National Tuberculosis Programme managers and document review

The World Health Organization (WHO) stresses the importance of active case-finding (ACF) for early detection of tuberculosis (TB), especially in the 30 high-burden countries that account for almost 90% of cases globally. To describe the attitudes of National TB Programme (NTP) managers related to AC...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:PloS one 2020-10, Vol.15 (10), p.e0240696-e0240696
Hauptverfasser: Biermann, Olivia, Tran, Phuong Bich, Viney, Kerri, Caws, Maxine, Lönnroth, Knut, Sidney Annerstedt, Kristi
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page e0240696
container_issue 10
container_start_page e0240696
container_title PloS one
container_volume 15
creator Biermann, Olivia
Tran, Phuong Bich
Viney, Kerri
Caws, Maxine
Lönnroth, Knut
Sidney Annerstedt, Kristi
description The World Health Organization (WHO) stresses the importance of active case-finding (ACF) for early detection of tuberculosis (TB), especially in the 30 high-burden countries that account for almost 90% of cases globally. To describe the attitudes of National TB Programme (NTP) managers related to ACF policy development, implementation and scale-up in the 30 high-burden countries, and to review national TB strategic plans. This was a mixed-methods study with an embedded design: A cross-sectional survey with NTP managers yielded quantitative and qualitative data. A review of national TB strategic plans complemented the results. All data were analyzed in parallel and merged in the interpretation of the findings. 23 of the 30 NTP managers (77%) participated in the survey and 22 (73%) national TB strategic plans were reviewed. NTP managers considered managers in districts and regions key stakeholders for both ACF policy development and implementation. Different types of evidence were used to inform ACF policy, while there was a particular demand for local evidence. The NSPs reflected the NTP managers' unanimous agreement on the need for ACF scale-up, but not all included explicit aims and targets related to ACF. The NTP managers recognized that ACF may decrease health systems costs in the long-term, while acknowledging the risk for increased health system costs in the short-term. About 90% of the NTP managers declared that financial and human resources were currently lacking, while they also elaborated on strategies to overcome resource constraints. NTP managers stated that ACF should be scaled up but reported resource constraints. Strategies to increase resources exist but may not yet have been fully implemented, e.g. generating local evidence including from operational research for advocacy. Managers in districts and regions were identified as key stakeholders whose involvement could help improve ACF policy development, implementation and scale-up.
doi_str_mv 10.1371/journal.pone.0240696
format Article
fullrecord <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_2455533786</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A639736143</galeid><doaj_id>oai_doaj_org_article_d13d81d35dfe4b349af347925a277367</doaj_id><sourcerecordid>A639736143</sourcerecordid><originalsourceid>FETCH-LOGICAL-c780t-b888fe4a5a71a80a9884c13a4ddd34eabb2481d3f736d3461f4b2c3045622e2b3</originalsourceid><addsrcrecordid>eNqNk29vlTAUxonRuDn9BkabmBhN5Aq0QPGFyc3inyWLMzp925T2AJ2FYgt32xfz81nuZXOYmRhe0Bx-z3MOD5wgeBxHqxjn8eszM9qO61VvOlhFCYmyIrsT7McFTsIsifDdG-e94IFzZ1GUYppl94M9jOM4oUW0H_xai0FtAAnuIKxUJ1VXo95oJS6RhA1o07fQDa-QansN05EPynSIdxI5wTWEY49UhxpVN2E5WgkdEmbsBqvAvUFr1KoLkGELQ2OkQ260G7hE52po0KetE9fodCzBilEbpxz6bE1tedsCannHa7Bu20saMU7dkYWNgvOHwb2KaweP5vtB8O39u9PDj-HxyYejw_VxKHIaDWFJKa2A8JTnMacRLyglIsacSCkxAV6WCaGxxFWOM1_I4oqUicARSbMkgaTEB8HTnW_vp2Nz5I4lJE1TjHOaeeJoR0jDz1hvVcvtJTNcsW3B2JpxOyihgckYy6lbKv1MJSYFrzDJiyTlSe4HyL1XuPNy59CP5cJtLv3wJ2AkyyNMPF_8k--tkX9EV8KYpJFvGFGvfTu_2Vi2IIXP1nK9tFg86VTDarNheVok-XbYF7OBNT9HcANrlROgNe_AjLuMKCE5neZ89hd6e5IzVfvfiqmuMr6vmEzZOsOFTygm2FOrWyh_SWiV8LtQKV9fCF4uBJ4Z4GKo-egcO_r65f_Zk-9L9vkNtgGuh8YZPU4_tVuCZAcKa5yzUF2HHEdsWuWrNNi0ymxeZS97cvMDXYuudhf_Blm2SQ8</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2455533786</pqid></control><display><type>article</type><title>Active case-finding policy development, implementation and scale-up in high-burden countries: A mixed-methods survey with National Tuberculosis Programme managers and document review</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>SWEPUB Freely available online</source><source>Public Library of Science (PLoS) Journals Open Access</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Biermann, Olivia ; Tran, Phuong Bich ; Viney, Kerri ; Caws, Maxine ; Lönnroth, Knut ; Sidney Annerstedt, Kristi</creator><contributor>Shewade, Hemant Deepak</contributor><creatorcontrib>Biermann, Olivia ; Tran, Phuong Bich ; Viney, Kerri ; Caws, Maxine ; Lönnroth, Knut ; Sidney Annerstedt, Kristi ; Shewade, Hemant Deepak</creatorcontrib><description>The World Health Organization (WHO) stresses the importance of active case-finding (ACF) for early detection of tuberculosis (TB), especially in the 30 high-burden countries that account for almost 90% of cases globally. To describe the attitudes of National TB Programme (NTP) managers related to ACF policy development, implementation and scale-up in the 30 high-burden countries, and to review national TB strategic plans. This was a mixed-methods study with an embedded design: A cross-sectional survey with NTP managers yielded quantitative and qualitative data. A review of national TB strategic plans complemented the results. All data were analyzed in parallel and merged in the interpretation of the findings. 23 of the 30 NTP managers (77%) participated in the survey and 22 (73%) national TB strategic plans were reviewed. NTP managers considered managers in districts and regions key stakeholders for both ACF policy development and implementation. Different types of evidence were used to inform ACF policy, while there was a particular demand for local evidence. The NSPs reflected the NTP managers' unanimous agreement on the need for ACF scale-up, but not all included explicit aims and targets related to ACF. The NTP managers recognized that ACF may decrease health systems costs in the long-term, while acknowledging the risk for increased health system costs in the short-term. About 90% of the NTP managers declared that financial and human resources were currently lacking, while they also elaborated on strategies to overcome resource constraints. NTP managers stated that ACF should be scaled up but reported resource constraints. Strategies to increase resources exist but may not yet have been fully implemented, e.g. generating local evidence including from operational research for advocacy. Managers in districts and regions were identified as key stakeholders whose involvement could help improve ACF policy development, implementation and scale-up.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0240696</identifier><identifier>PMID: 33112890</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Care and treatment ; Computer and Information Sciences ; Content analysis ; Data collection ; Design ; Documentation ; Evaluation ; Evidence-based medicine ; Health Personnel ; Health Plan Implementation ; Health Policy ; Health risks ; Human resources ; Humans ; Interviews ; Laws, regulations and rules ; Medical diagnosis ; Medicin och hälsovetenskap ; Medicine and Health Sciences ; Mixed methods research ; Operations research ; Organizational aspects ; Polls &amp; surveys ; Public health ; Qualitative analysis ; Questionnaires ; Risk Factors ; Social Sciences ; Stakeholder Participation ; Surveys ; Surveys and Questionnaires ; Tuberculosis ; Tuberculosis - epidemiology ; World Health Organization</subject><ispartof>PloS one, 2020-10, Vol.15 (10), p.e0240696-e0240696</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Biermann et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Biermann et al 2020 Biermann et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c780t-b888fe4a5a71a80a9884c13a4ddd34eabb2481d3f736d3461f4b2c3045622e2b3</citedby><cites>FETCH-LOGICAL-c780t-b888fe4a5a71a80a9884c13a4ddd34eabb2481d3f736d3461f4b2c3045622e2b3</cites><orcidid>0000-0002-5978-0211</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7592767/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7592767/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,552,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33112890$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:145092508$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><contributor>Shewade, Hemant Deepak</contributor><creatorcontrib>Biermann, Olivia</creatorcontrib><creatorcontrib>Tran, Phuong Bich</creatorcontrib><creatorcontrib>Viney, Kerri</creatorcontrib><creatorcontrib>Caws, Maxine</creatorcontrib><creatorcontrib>Lönnroth, Knut</creatorcontrib><creatorcontrib>Sidney Annerstedt, Kristi</creatorcontrib><title>Active case-finding policy development, implementation and scale-up in high-burden countries: A mixed-methods survey with National Tuberculosis Programme managers and document review</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The World Health Organization (WHO) stresses the importance of active case-finding (ACF) for early detection of tuberculosis (TB), especially in the 30 high-burden countries that account for almost 90% of cases globally. To describe the attitudes of National TB Programme (NTP) managers related to ACF policy development, implementation and scale-up in the 30 high-burden countries, and to review national TB strategic plans. This was a mixed-methods study with an embedded design: A cross-sectional survey with NTP managers yielded quantitative and qualitative data. A review of national TB strategic plans complemented the results. All data were analyzed in parallel and merged in the interpretation of the findings. 23 of the 30 NTP managers (77%) participated in the survey and 22 (73%) national TB strategic plans were reviewed. NTP managers considered managers in districts and regions key stakeholders for both ACF policy development and implementation. Different types of evidence were used to inform ACF policy, while there was a particular demand for local evidence. The NSPs reflected the NTP managers' unanimous agreement on the need for ACF scale-up, but not all included explicit aims and targets related to ACF. The NTP managers recognized that ACF may decrease health systems costs in the long-term, while acknowledging the risk for increased health system costs in the short-term. About 90% of the NTP managers declared that financial and human resources were currently lacking, while they also elaborated on strategies to overcome resource constraints. NTP managers stated that ACF should be scaled up but reported resource constraints. Strategies to increase resources exist but may not yet have been fully implemented, e.g. generating local evidence including from operational research for advocacy. Managers in districts and regions were identified as key stakeholders whose involvement could help improve ACF policy development, implementation and scale-up.</description><subject>Care and treatment</subject><subject>Computer and Information Sciences</subject><subject>Content analysis</subject><subject>Data collection</subject><subject>Design</subject><subject>Documentation</subject><subject>Evaluation</subject><subject>Evidence-based medicine</subject><subject>Health Personnel</subject><subject>Health Plan Implementation</subject><subject>Health Policy</subject><subject>Health risks</subject><subject>Human resources</subject><subject>Humans</subject><subject>Interviews</subject><subject>Laws, regulations and rules</subject><subject>Medical diagnosis</subject><subject>Medicin och hälsovetenskap</subject><subject>Medicine and Health Sciences</subject><subject>Mixed methods research</subject><subject>Operations research</subject><subject>Organizational aspects</subject><subject>Polls &amp; surveys</subject><subject>Public health</subject><subject>Qualitative analysis</subject><subject>Questionnaires</subject><subject>Risk Factors</subject><subject>Social Sciences</subject><subject>Stakeholder Participation</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Tuberculosis</subject><subject>Tuberculosis - epidemiology</subject><subject>World Health Organization</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>D8T</sourceid><sourceid>DOA</sourceid><recordid>eNqNk29vlTAUxonRuDn9BkabmBhN5Aq0QPGFyc3inyWLMzp925T2AJ2FYgt32xfz81nuZXOYmRhe0Bx-z3MOD5wgeBxHqxjn8eszM9qO61VvOlhFCYmyIrsT7McFTsIsifDdG-e94IFzZ1GUYppl94M9jOM4oUW0H_xai0FtAAnuIKxUJ1VXo95oJS6RhA1o07fQDa-QansN05EPynSIdxI5wTWEY49UhxpVN2E5WgkdEmbsBqvAvUFr1KoLkGELQ2OkQ260G7hE52po0KetE9fodCzBilEbpxz6bE1tedsCannHa7Bu20saMU7dkYWNgvOHwb2KaweP5vtB8O39u9PDj-HxyYejw_VxKHIaDWFJKa2A8JTnMacRLyglIsacSCkxAV6WCaGxxFWOM1_I4oqUicARSbMkgaTEB8HTnW_vp2Nz5I4lJE1TjHOaeeJoR0jDz1hvVcvtJTNcsW3B2JpxOyihgckYy6lbKv1MJSYFrzDJiyTlSe4HyL1XuPNy59CP5cJtLv3wJ2AkyyNMPF_8k--tkX9EV8KYpJFvGFGvfTu_2Vi2IIXP1nK9tFg86VTDarNheVok-XbYF7OBNT9HcANrlROgNe_AjLuMKCE5neZ89hd6e5IzVfvfiqmuMr6vmEzZOsOFTygm2FOrWyh_SWiV8LtQKV9fCF4uBJ4Z4GKo-egcO_r65f_Zk-9L9vkNtgGuh8YZPU4_tVuCZAcKa5yzUF2HHEdsWuWrNNi0ymxeZS97cvMDXYuudhf_Blm2SQ8</recordid><startdate>20201028</startdate><enddate>20201028</enddate><creator>Biermann, Olivia</creator><creator>Tran, Phuong Bich</creator><creator>Viney, Kerri</creator><creator>Caws, Maxine</creator><creator>Lönnroth, Knut</creator><creator>Sidney Annerstedt, Kristi</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>COVID</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-5978-0211</orcidid></search><sort><creationdate>20201028</creationdate><title>Active case-finding policy development, implementation and scale-up in high-burden countries: A mixed-methods survey with National Tuberculosis Programme managers and document review</title><author>Biermann, Olivia ; Tran, Phuong Bich ; Viney, Kerri ; Caws, Maxine ; Lönnroth, Knut ; Sidney Annerstedt, Kristi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c780t-b888fe4a5a71a80a9884c13a4ddd34eabb2481d3f736d3461f4b2c3045622e2b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Care and treatment</topic><topic>Computer and Information Sciences</topic><topic>Content analysis</topic><topic>Data collection</topic><topic>Design</topic><topic>Documentation</topic><topic>Evaluation</topic><topic>Evidence-based medicine</topic><topic>Health Personnel</topic><topic>Health Plan Implementation</topic><topic>Health Policy</topic><topic>Health risks</topic><topic>Human resources</topic><topic>Humans</topic><topic>Interviews</topic><topic>Laws, regulations and rules</topic><topic>Medical diagnosis</topic><topic>Medicin och hälsovetenskap</topic><topic>Medicine and Health Sciences</topic><topic>Mixed methods research</topic><topic>Operations research</topic><topic>Organizational aspects</topic><topic>Polls &amp; surveys</topic><topic>Public health</topic><topic>Qualitative analysis</topic><topic>Questionnaires</topic><topic>Risk Factors</topic><topic>Social Sciences</topic><topic>Stakeholder Participation</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><topic>Tuberculosis</topic><topic>Tuberculosis - epidemiology</topic><topic>World Health Organization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Biermann, Olivia</creatorcontrib><creatorcontrib>Tran, Phuong Bich</creatorcontrib><creatorcontrib>Viney, Kerri</creatorcontrib><creatorcontrib>Caws, Maxine</creatorcontrib><creatorcontrib>Lönnroth, Knut</creatorcontrib><creatorcontrib>Sidney Annerstedt, Kristi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological &amp; Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science &amp; Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Biermann, Olivia</au><au>Tran, Phuong Bich</au><au>Viney, Kerri</au><au>Caws, Maxine</au><au>Lönnroth, Knut</au><au>Sidney Annerstedt, Kristi</au><au>Shewade, Hemant Deepak</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Active case-finding policy development, implementation and scale-up in high-burden countries: A mixed-methods survey with National Tuberculosis Programme managers and document review</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-10-28</date><risdate>2020</risdate><volume>15</volume><issue>10</issue><spage>e0240696</spage><epage>e0240696</epage><pages>e0240696-e0240696</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The World Health Organization (WHO) stresses the importance of active case-finding (ACF) for early detection of tuberculosis (TB), especially in the 30 high-burden countries that account for almost 90% of cases globally. To describe the attitudes of National TB Programme (NTP) managers related to ACF policy development, implementation and scale-up in the 30 high-burden countries, and to review national TB strategic plans. This was a mixed-methods study with an embedded design: A cross-sectional survey with NTP managers yielded quantitative and qualitative data. A review of national TB strategic plans complemented the results. All data were analyzed in parallel and merged in the interpretation of the findings. 23 of the 30 NTP managers (77%) participated in the survey and 22 (73%) national TB strategic plans were reviewed. NTP managers considered managers in districts and regions key stakeholders for both ACF policy development and implementation. Different types of evidence were used to inform ACF policy, while there was a particular demand for local evidence. The NSPs reflected the NTP managers' unanimous agreement on the need for ACF scale-up, but not all included explicit aims and targets related to ACF. The NTP managers recognized that ACF may decrease health systems costs in the long-term, while acknowledging the risk for increased health system costs in the short-term. About 90% of the NTP managers declared that financial and human resources were currently lacking, while they also elaborated on strategies to overcome resource constraints. NTP managers stated that ACF should be scaled up but reported resource constraints. Strategies to increase resources exist but may not yet have been fully implemented, e.g. generating local evidence including from operational research for advocacy. Managers in districts and regions were identified as key stakeholders whose involvement could help improve ACF policy development, implementation and scale-up.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33112890</pmid><doi>10.1371/journal.pone.0240696</doi><tpages>e0240696</tpages><orcidid>https://orcid.org/0000-0002-5978-0211</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1932-6203
ispartof PloS one, 2020-10, Vol.15 (10), p.e0240696-e0240696
issn 1932-6203
1932-6203
language eng
recordid cdi_plos_journals_2455533786
source MEDLINE; DOAJ Directory of Open Access Journals; SWEPUB Freely available online; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry
subjects Care and treatment
Computer and Information Sciences
Content analysis
Data collection
Design
Documentation
Evaluation
Evidence-based medicine
Health Personnel
Health Plan Implementation
Health Policy
Health risks
Human resources
Humans
Interviews
Laws, regulations and rules
Medical diagnosis
Medicin och hälsovetenskap
Medicine and Health Sciences
Mixed methods research
Operations research
Organizational aspects
Polls & surveys
Public health
Qualitative analysis
Questionnaires
Risk Factors
Social Sciences
Stakeholder Participation
Surveys
Surveys and Questionnaires
Tuberculosis
Tuberculosis - epidemiology
World Health Organization
title Active case-finding policy development, implementation and scale-up in high-burden countries: A mixed-methods survey with National Tuberculosis Programme managers and document review
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T15%3A13%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Active%20case-finding%20policy%20development,%20implementation%20and%20scale-up%20in%20high-burden%20countries:%20A%20mixed-methods%20survey%20with%20National%20Tuberculosis%20Programme%20managers%20and%20document%20review&rft.jtitle=PloS%20one&rft.au=Biermann,%20Olivia&rft.date=2020-10-28&rft.volume=15&rft.issue=10&rft.spage=e0240696&rft.epage=e0240696&rft.pages=e0240696-e0240696&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0240696&rft_dat=%3Cgale_plos_%3EA639736143%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2455533786&rft_id=info:pmid/33112890&rft_galeid=A639736143&rft_doaj_id=oai_doaj_org_article_d13d81d35dfe4b349af347925a277367&rfr_iscdi=true