METHODOLOGY
Study 1: Systematic review of the literature
Objectives
- To explore barriers and facilitators to effective TBIC measures in resource-constrained primary healthcare settings
click to edit
- To examine the effectiveness of TBIC measures in reduing TB cases in resource-poor primary healthcare setting
Study 2
Health facility survey
Study sites
Quantitative study design
sampling technique and sample size
Highlands region
Momase region
Sampling - convenience sampling
Rural hospitals
random selection of all health workers employed in rural hospital
click to edit
Purposive sampling using maximum variation sampling technique
available to where researcher is located
geographical proximity
easy accessibility
availability of health facility
Study 3
Sampling and sample size: Purposive sampling using MVT with KIs, 216 KIs
Methods: Semi-structured interviews, document reviews & observation, FGD
study design: qualitative exploratory study
Data analysis: Inductive thematic analysis, guided by SEM theories, constant comparison
HCWs perceptions of factors shaping implementation of TBIC measures in rural hospitals in highlands and momase regions of PNG
What do HCWs consider to be barriers and facilitators that could shape the implementation of TBIC measures in rural hospitals in the highlands and momase regions of PNG?
What factors (internal and external) shapes the implementation of TBIC measures in rural hospitals in the highlands and momase regions of PNG?
Study settings/sites: Highlands and Momase regions, rural/district hospitals
Study 4
To explore the TBIC measures that are most important for rural hospitals
study design: qualitative study design
method: Nominal Group Technique
Reaching consensus on the most important TBIC measures in rural hospitals
What are the most important TBIC measures at the rural hospitals and why?
Group discussions
data analysis: content analysis, inductively guided by SEM
click to edit
Methods
Data collection
Quality assessment
Results
Study progress
PRISMA framework
Studies that report on administrative, environmental, and personal respiratory control
Five online databases
- Snow Balling
- PubMed
- Embase
- ProQuest
- ScienceDirect
- Scopus
Data analysis
Narrative synthesis
Categorised according to WHO TBIC guidelines
15 studies included for data extraction
Evidence of environmental control in reducing TB spread
Evidence of respiratory control in reducing TB spread
Evidence of administrative control measures in reducing TB spread
Reported on multiple TBIC barriers and enablers to TBIC measures in resource-poor health settings