ArticleFrontiers in public health2019
Integrated Care for Latent Tuberculosis Infection (LTBI) at a Primary Health Care Facility for Refugees in Winnipeg, Canada: A Mixed-Methods Evaluation.
Article in Frontiers in public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Primary healthcare models for refugees involving nurses: a systematic review and narrative synthesis.BMJ global health · 2025Pooled it
- Improving primary health care quality for refugees and asylum seekers: A systematic review of interventional approaches.Health expectations : an international journal of public participation in health care and health policy · 2022Pooled it
- Initiation and completion of treatment for latent tuberculosis infection in migrants globally: a systematic review and meta-analysis.The Lancet. Infectious diseases · 2021Pooled it
- Pathways and barriers to tuberculosis care for refugees in Taraba State, Nigeria.Frontiers in public health · 2026Article
- Treatment of tuberculosis infection among immigrants in southern New Brunswick, Canada: A cross-sectional study.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2025Article
- Advocating for Change: Addressing Barriers To Tuberculosis Care for Immigrants and Refugees in Canada.Journal of immigrant and minority health · 2025Article
- Enhanced screening for tuberculosis infection among immigrants in southern New Brunswick: A cross-sectional pilot study.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2025Article
- "We really need to surround people with care:" a qualitative examination of service providers' perspectives on barriers to HIV care in Manitoba, Canada.BMC health services research · 2025Article
- Article
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- Community treatment of latent tuberculosis in child and adult refugee populations: outcomes and successes.Frontiers in public health · 2023Article
- Factors affecting the tuberculosis program coverage at the first level of care in HondurasBiomedica : revista del Instituto Nacional de Salud · 2022Article
- Minnesota refugees diagnosed with tuberculosis disease, January 1993-August 2019.BMC infectious diseases · 2022Article
- Introduction of short course treatment for latent tuberculosis infection at a primary care facility for refugees in Winnipeg, Canada: A mixed methods evaluation.Frontiers in public health · 2022Article
- Impact and benefit-cost ratio of a program for the management of latent tuberculosis infection among refugees in a region of Canada.PloS one · 2022Article
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Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although Canada has one of the lowest tuberculosis incidence rates in the world, certain groups are disproportionately affected, including foreign born people from high incidence countries. The Winnipeg Regional Health Authority has initiated a process to decentralize latent tuberculosis infection (LTBI) management at primary care clinics in Winnipeg. One of these clinics is BridgeCare Clinic which provides services to government-assisted refugees. The present study describes the BridgeCare Clinic LTBI program and reviews program outcomes from January 2015 to October 2016. Refugees at BridgeCare Clinic receive comprehensive care, including LTBI screening and treatment. The LTBI program is managed by physicians, nurse practitioners, and primary care nurses under a patient-centered model of care. An accessible interpretation service, education to clients, and laboratory sampling at the clinic with free IGRA testing are important components of the program. Anonymized data on client outcomes were statistically analyzed and qualitative interviews were conducted with senior staff. During the study period, 274 IGRA tests were ordered with 158 negative results (57.7%) and 101 positive results (36.9%). Of 45 clients eligible (from January to December 2015) for LTBI treatment, 11 (24.4%) declined to receive treatment and 34 (75.6%) started treatment. Twenty-seven (79.4%) clients completed treatment, 3 (8.8%) clients moved out of province, and 4 (11.8%) did not complete treatment. The most recent World Health Organization strategy for tuberculosis control calls for integrated, patient-centered care and prevention. Aligned with these WHO recommendations, our experience suggests that LTBI care and treatment can be delivered effectively in a primary care setting using an integrated patient-centered approach.
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