Challenges perceived by health care providers for implementation of contact screening and isoniazid chemoprophylaxis in Karnataka, India

Kiran Chawla, Sharath Burugina Nagaraja, Nayana Siddalingaiah, Chidananda Sanju, Vishnu Prasad Shenoy, Uday Kumar, Arundathi Das, Druti Hazra, Suresh Shastri, Anil Singarajipur, Ramesh Chandra Reddy

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Background: In India, challenges in pediatric TB contact screening and chemoprophylaxis initiation are still underexplored. Elucidating these challenges will help in better implementation of the programme at the grass-roots level thereby helping in early detection of pediatric cases and timely initiation of preventive therapy. This study aimed at exploring the challenges faced by the health care provider in contact screening and chemoprophylaxis initiation implementation of the pediatric household contacts. Methods: A qualitative study was conducted in the districts of Bengaluru and Udupi and in-depth interviews of key participants were adopted to explore the challenges. Qualitative data analysis was done after developing transcripts by generating themes and codes. Results: The key challenges were identified as stigma towards the disease, migrant patients with changing address, difficulty in sample collection, anxiety among parents due to long duration of the prophylactic treatment and adherence to IPT is not well documented, inadequate transportation from rural areas, and the ongoing COVID-19 pandemic. Conclusions: It is important for the National TB programme to address these challenges efficiently and effectively. Innovative solutions, feasible engagements, and massive efforts are to be taken by the programme to improve contact screening and isoniazid chemoprophylaxis implementation.

Original languageEnglish
Article number167
JournalTropical Medicine and Infectious Disease
Volume6
Issue number3
DOIs
Publication statusPublished - 09-2021

All Science Journal Classification (ASJC) codes

  • Immunology and Microbiology(all)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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