ArticleBMJ global health2021
Health system influences on the implementation of tuberculosis infection prevention and control at health facilities in low-income and middle-income countries: a scoping review.
Article in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Community views on active case finding for tuberculosis in low- and middle-income countries: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2024Pooled it
- Structural guidelines for the sustainability of the tuberculosis infection control planBiomedica : revista del Instituto Nacional de Salud · 2026Article
- "They hide because they fear": Barriers and opportunities for tuberculosis control in rural Indonesia through the PRECEDE-PROCEED lens.Journal of public health research · 2026Article
- Article
- Exploring healthcare facilities' readiness for standard precautions in infection prevention and control: a cross-country comparative analysis of six low- and middle-income countries using national cross-sectional surveys.Journal of global health · 2025Article
- Rapid tuberculosis diagnosis from respiratory or blood samples by a low cost, portable lab-in-tube assay.Science translational medicine · 2025Article
- Indicator-based tuberculosis infection control assessments with knowledge, attitudes, and practices evaluations among health facilities in China, 2017 to 2019.American journal of infection control · 2025Article
- How has the concept of health system software been used in health policy and systems research? A scoping review.Health policy and planning · 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
- Research priorities and trends in pulmonary tuberculosis in Latin America: A bibliometric analysis.Heliyon · 2024Article
- Long-term exposure to ambient fine particulate matter (PMBMJ open · 2024Article
- Investigating socio-ecological factors influencing implementation of tuberculosis infection prevention and control in rural Papua New Guinea.Journal of public health (Oxford, England) · 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
- Exploring the role of candidalysin in the pathogenicity ofAmerican journal of translational research · 2024Article
- Cost-effectiveness of tuberculosis infection prevention and control interventions in South African clinics: a model-based economic evaluation informed by complexity science methods.BMJ global health · 2023Article
- Time to change the way we think about tuberculosis infection prevention and control in health facilities: insights from recent research.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023Article
- Article
- Health care worker carriage of drug-resistant bacteria and infection control practices at a tertiary care hospital in Uganda: a cross-sectional survey.The Pan African medical journal · 2023Article
- Complexity and evidence in health sector decision-making: lessons from tuberculosis infection prevention in South Africa.Health policy and planning · 2022Article
- Simulated patients and their reality: An inquiry into theory and method.Social science & medicine (1982) · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundTuberculosis infection prevention and control (TB-IPC) measures are consistently reported to be poorly implemented globally. TB-IPC guidelines provide limited recognition of the complexities of implementing TB-IPC within routine health systems, particularly those facing substantive resource constraints. This scoping review maps documented system influences on TB-IPC implementation in health facilities of low/middle-income countries (LMICs).
methodsWe conducted a systematic search of empirical research published before July 2018 and included studies reporting TB-IPC implementation at health facility level in LMICs. Bibliometric data and narratives describing health system influences on TB-IPC implementation were extracted following established methodological frameworks for conducting scoping reviews. A best-fit framework synthesis was applied in which extracted data were deductively coded against an existing health policy and systems research framework, distinguishing between social and political context, policy decisions, and system hardware (eg, information systems, human resources, service infrastructure) and software (ideas and interests, relationships and power, values and norms).
resultsOf 1156 unique search results, we retained 77 studies; two-thirds were conducted in sub-Saharan Africa, with more than half located in South Africa. Notable sociopolitical and policy influences impacting on TB-IPC implementation include stigma against TB and the availability of facility-specific TB-IPC policies, respectively. Hardware influences on TB-IPC implementation referred to availability, knowledge and educational development of staff, timeliness of service delivery, availability of equipment, such as respirators and masks, space for patient separation, funding, and TB-IPC information, education and communication materials and tools. Commonly reported health system software influences were workplace values and established practices, staff agency, TB risk perceptions and fears as well as staff attitudes towards TB-IPC.
conclusionTB-IPC is critically dependent on health system factors. This review identified the health system factors and health system research gaps that can be considered in a whole system approach to strengthen TB-IPC practices at facility levels in LMICs.
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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.