ArticleJournal of community health2011
Implementing tuberculosis control in Papua New Guinea: a clash of culture and science?
Article in Journal of community health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Risk of Tuberculosis among Populations Living in Slum Settings: a Systematic Review and Meta-analysis.Journal of urban health : bulletin of the New York Academy of Medicine · 2019Pooled it
- SMS reminders to improve adherence and cure of tuberculosis patients in Cameroon (TB-SMS Cameroon): a randomised controlled trial.BMC public health · 2018Trial
- Trial
- A Global Health Research Checklist for clinicians.International journal of emergency medicine · 2018Article
- The social determinants of tuberculosis treatment adherence in a remote region of Papua New Guinea.BMC public health · 2017Article
- Steps on a journey to TB control in Solomon Islands: a cross-sectional, mixed methods pre-post evaluation of a local language DVD.BMC international health and human rights · 2015Article
- TB incidence and characteristics in the remote gulf province of Papua New Guinea: a prospective study.BMC infectious diseases · 2014Article
- Spatial distribution of tuberculosis in a rural region of Western Province, Papua New Guinea.Western Pacific surveillance and response journal : WPSARArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Tuberculosis (TB) remains a major health problem in Papua New Guinea (PNG) and the Directly Observed Treatment Short course (DOTS) strategy has been adopted as a framework for controlling the disease. We review here the local and cultural factors in PNG that act as barriers to implementing each component of the DOTS program. Political Will is needed to tackle the underlying conditions that lead to squatter settlements, e.g. poverty and unemployment, and to build infrastructure for access to rural populations. Better case detection may be obtained by addressing the cultural beliefs that delay presentation to health facilities, as well as providing ongoing training for laboratory technicians, introducing better sputum microscopy techniques and regular service of radiology equipment. Direct observation of therapy may need to be done using the traditional clan structure, e.g. clan chiefs and extended family system in rural areas. Effective drug supply is provided by the World Health Organisation (WHO) Global Drug Facility (GDF). Monitoring and Evaluation will require innovative approaches; perhaps through financial incentives on completion of the program or texting through the mobile text messaging for reminders. There are unique cultural and local issues that need to be addressed when implementing DOTS strategy in PNG.
Indexed as
Identifiers
21161347What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.