ArticleBMC health services research2018
Voices from the frontline: barriers and strategies to improve tuberculosis infection control in primary health care facilities in South Africa.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 5 of them syntheses that pooled it.
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Who cites it
34 citing papers in PubMed, 5 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- How primary care addresses vaping in the youth: a systematic literature review.BMC primary care · 2026Pooled it
- Compliance of Healthcare Worker's toward Tuberculosis Preventive Measures in Workplace: A Systematic Literature Review.International journal of environmental research and public health · 2021Pooled it
- Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review.Antimicrobial resistance and infection control · 2021Pooled it
- Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis.The Cochrane database of systematic reviews · 2020Pooled it
- Pooled it
- Access to tuberculosis care in South Africa during the COVID-19 pandemic: A scoping review.African journal of primary health care & family medicine · 2025Article
- Quantitative evaluation of hospital workplace violence prevention and control policies in China: based on PMC index model.Health research policy and systems · 2025Article
- Healthcare worker perceptions of the FAST TB infection control strategy.Public health action · 2025Article
- Knowledge and attitude of nosocomial infection prevention and control precautions among healthcare personnel at Kiruddu Referral Hospital in Kampala, Uganda.BMC health services research · 2025Article
- Qualitative system dynamics modelling to support the design and implementation of tuberculosis infection prevention and control measures in South African primary healthcare facilities.Health policy and planning · 2024Article
- Exploring the Role of Healthcare Personnel in Designing Tuberculosis Infection Prevention and Control Measures in Healthcare Settings: A Scoping Review.International journal of environmental research and public health · 2024Article
- Risk factors of healthcare-associated infection among healthcare workers in intensive care units: A multicenter cross-sectional study.PloS one · 2024Article
- Roles and challenges of nurses in tuberculosis care in Africa: A narrative review.Journal of clinical tuberculosis and other mycobacterial diseases · 2023Review
- A Qualitative Study on the Implementation of the Workplace TB Program in the Philippines: Challenges and Way Forward.Tropical medicine and infectious disease · 2023Article
- A social identity approach to COVID-19 transmission in hospital settings.Journal of applied social psychology · 2022Article
- Healthcare Workers' Perception of Measures to Reduce the Risk of New Tuberculosis Infections: A Qualitative Study Report.Nursing reports (Pavia, Italy) · 2022Article
- Complexity and evidence in health sector decision-making: lessons from tuberculosis infection prevention in South Africa.Health policy and planning · 2022Article
- Understanding the factors that impact effective uptake and maintenance of HIV care programs in South African primary health care clinics.Archives of public health = Archives belges de sante publique · 2022Article
- Health worker experiences of implementing TB infection prevention and control: A qualitative evidence synthesis to inform implementation recommendations.PLOS global public health · 2022Article
- Psychosocial beliefs of health providers' intention and behavior of offering HIV testing and counseling services: Estimating their relevance for intervention.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundTuberculosis (TB) infection control at primary healthcare (PHC) level remains problematic, especially in South Africa. Improvements are significantly dependent on healthcare workers' (HCWs) behaviours, underwriting an urgent need for behaviour change. This study sought to 1) identify factors influencing TB infection control behaviour at PHC level within a high TB burden district and 2) in a participatory manner elicit recommendations from HCWs for improved TB infection control.
methodA qualitative case study was employed. TB nurses and facility managers in the Mangaung Metropolitan District, South Africa, participated in five focus group and nominal group discussions. Data was thematically analysed.
resultsUtilising the Information Motivation and Behaviour (IMB) Model, major barriers to TB infection control information included poor training and conflicting policy guidelines. Low levels of motivation were observed among participants, linked to feelings of powerlessness, negative attitudes of HCWs, poor district health support, and general health system challenges. With a few exceptions, most behaviours necessary to achieve TB risk-reduction, were generally regarded as easy to accomplish.
conclusionsStrategies for improved TB infection control included: training for comprehensive TB infection control for all HCWs; clarity on TB infection control policy guidelines; improved patient education and awareness of TB infection control measures; emphasis on the active role HCWs can play in infection control as change agents; improved social support; practical, hands-on training or role playing to improve behavioural skills; and the destigmatisation of TB/HIV among HCWs and patients.
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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.