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dc.contributor.authorMajumdar, Anindo
dc.contributor.authorWilkinson, Ewan
dc.contributor.authorRinu, P. Krishnankutty
dc.contributor.authorMaung, Thae Maung
dc.contributor.authorBachani, Damodar
dc.contributor.authorPunia, Jaswant Singh
dc.contributor.authorJain, Shalu
dc.contributor.authorYadav, Taramani
dc.contributor.authorJarhyan, Prashant
dc.contributor.authorMohan, Sailesh
dc.contributor.authorKumar, Ajay M. V.
dc.date.accessioned2023-08-24T14:51:52Z
dc.date.available2023-08-24T14:51:52Z
dc.date.issued2019-03-21
dc.identifierhttps://chesterrep.openrepository.com/bitstream/handle/10034/628009/Tuberculosis.pdf?sequence=4
dc.identifier.citationMajumdar, A., Wilkinson, E., Rinu, P. K., Maung, T. M., Bachani, D., Punia, J. S., ... & Kumar, A. M. V. (2019). Tuberculosis-diabetes screening: how well are we doing? A mixed-methods study from North India. Public Health Action, 9(1), 3-10. https://doi.org/10.5588/pha.18.0048en_US
dc.identifier.issnNo print ISSN
dc.identifier.doi10.5588/pha.18.0048
dc.identifier.urihttp://hdl.handle.net/10034/628009
dc.description.abstractSetting: Public health care facilities in Sonipat District, Haryana State, India. Objectives: To assess 1) the proportion of tuberculosis (TB) patients screened for diabetes mellitus (DM) and vice versa, 2) factors associated with screening, and 3) the enablers, barriers and solutions related to screening. Design: A mixed-methods study with quantitative (cohort study involving record reviews of patients registered between November 2016 and April 2017) and qualitative (interviews of patients, health care providers [HCPs] and key district-level staff) components. Results: Screening for TB among DM patients was not implemented, despite documents indicating that it had been. Of 562 TB patients, only 137 (24%) were screened for DM. TB patients registered at tertiary and secondary health centres were more likely to be screened than primary health centres. Low patient awareness, poor knowledge of guidelines among HCPs, lack of staff and inadequate training were barriers to screening. Enablers were the positive attitude of HCPs and programme staff. The key solutions suggested were to improve awareness of HCPs and patients regarding the need for screening, training of HCPs and wider availability of DM testing facilities. Conclusion: The implementation of bidirectional screening was poor. Adequate staffing, regular training, continuous laboratory supplies for DM diagnosis and widespread publicity should be ensured.en_US
dc.publisherInternational Union Against Tuberculosis and Lung Diseaseen_US
dc.relation.urlhttps://www.ingentaconnect.com/content/iuatld/pha/2019/00000009/00000001/art00003en_US
dc.rightsAttribution 4.0 International*
dc.subjectSORT ITen_US
dc.subjectHealth systemsen_US
dc.subjectOperational researchen_US
dc.subjectPolicy implementationen_US
dc.subjectProgrammeen_US
dc.titleTuberculosis-diabetes screening: how well are we doing? A mixed-methods study from North Indiaen_US
dc.typeArticleen_US
dc.identifier.eissn2220-8372en_US
dc.contributor.departmentAll India Institute of Medical Sciences; University of Chester; Public Health Foundation of India; Ministry of Health and Sports, Myanmar; John Snow India Pvt Ltd; Haryana Health Department, India; Haryana District Tuberculosis Office, Revised National Tuberculosis Control Programme; International Union Against Tuberculosis and Lung Disease (The Union); Yenepoya Medical College, Yenepoya (Deemed University)en_US
dc.identifier.journalPublic Health Actionen_US
or.grant.openaccessYesen_US
rioxxterms.funderDepartment for International Development (DFID), London, UK, and La Fondation Veuve Emile Metz-Tesch, Luxembourgen_US
rioxxterms.identifier.projectStructured Operational Research and Training Initiative (SORT IT)en_US
dcterms.dateAccepted2018-12-02
rioxxterms.publicationdate2019-03-21
dc.date.deposited2023-08-24en_US


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