Evidence map›Paper›PMID 34743759›Full record

ArticleGlobal health research and policy2021

Addressing constraints to informal providers' involvement in tuberculosis control: a qualitative study of patent medicine dealers and tuberculosis programme managers.

Cosmas Kenan Onah, Benedict Ndubueze Azuogu, Edmund Ndudi Ossai, Adaoha Pearl Agu, Victoria Chioma Azuogu, Isaac Alobu, Emeka Onwe Ogah

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Article in Global health research and policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 10% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Cosmas Kenan OnahDepartment of Community Medicine, Alex Ekwueme Federal University Teaching Hospital, Abakaliki (AEFUTHA), P.M.B: 102, Abakaliki, Ebonyi State, Nigeria. onahcosyo@gmail.com.ORCID 0000-0002-3315-7851
Benedict Ndubueze AzuoguDepartment of Community Medicine, Alex Ekwueme Federal University Teaching Hospital, Abakaliki (AEFUTHA), P.M.B: 102, Abakaliki, Ebonyi State, Nigeria.
Edmund Ndudi OssaiDepartment of Community Medicine, Alex Ekwueme Federal University Teaching Hospital, Abakaliki (AEFUTHA), P.M.B: 102, Abakaliki, Ebonyi State, Nigeria.
Adaoha Pearl AguDepartment of Community Medicine, College of Health Sciences, Ebonyi State University, Abakaliki, Nigeria.
Victoria Chioma AzuoguDepartment of Nursing Services, AE-FUTHA, Abakaliki, Ebonyi State, Nigeria.
Isaac AlobuNational Tuberculosis, Leprosy and Buruli Ulcer Control Programme, Ebonyi State Ministry of Health, Abakaliki, Nigeria.
Emeka Onwe OgahDepartment of Paediatrics, AE-FUTHA, Abakaliki, Ebonyi State, Nigeria.
Ebonyi State University · NGFederal Teaching Hospital Abakaliki · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA major constraint to tuberculosis control is low case finding with under-reporting to national authorities. Evidence shows that Patent Medicine Dealers are first port of call for most people with symptoms of tuberculosis, yet there is poor referral of such clients to tuberculosis treatment facilities for further evaluation. This study investigated constraints to involvement of Patent Medicine Dealers in tuberculosis control.

methodsThis was a cross-sectional qualitative study among Patent Medicine Dealers and Tuberculosis Control Programme Managers in Ebonyi State Nigeria. Sixty-four Patent Medicine Dealers and five Tuberculosis Control Programme Managers were interviewed using Focus Group Discussion and In-Depth Interview respectively. Data was collected with electronic audio-recording device and analyzed using thematic approach.

resultsThere are some knowledge gaps about tuberculosis signs, symptoms, free-treatment policy and mode of operation of care service among Patent Medicine Dealers. Patent Medicine Dealers and Tuberculosis Control Programme Managers are willing to collaborate in tuberculosis control effort but constant demand for incentives by Patent Medicine Dealers and inability of National Tuberculosis Control Programme to keep up with such demands are obvious constraints.

conclusionsKnowledge gaps in tuberculosis, its control, constant demand for incentives by Patent Medicine Dealers and inability of National Tuberculosis Control Programme to satisfy such demands are constraints to involvement of Patent Medicine Dealers in tuberculosis control. More robust engagement of Patent Medicine Dealers in tuberculosis control with clear job description through tuberculosis education and provision of incentives to support them are recommended policy approaches to improve linkage of clients to tuberculosis treatment facilities.

Indexed as

Nonprescription DrugsTuberculosisCross-Sectional StudiesFocus GroupsHumansQualitative ResearchNonprescription DrugsChronic coughDOTSNigeriaPatent medicine dealersPresumptive tuberculosis referralTuberculosis control

Identifiers

PMID34743759
PMCPMC8574043
OpenAlexW3212288761

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LicenceCC BY
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Registered trials

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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.