Evidence map›Paper›PMID 36441076›Full record

ArticleGlobal health action2022

Experiences and perceptions of participants on the pathway towards clinical management of dual tuberculosis and diabetes mellitus in Tanzania.

Nyasatu G Chamba, Kenneth C Byashalira, Dirk L Christensen, Kaushik L Ramaiya, Eliakimu P Kapyolo, PendoMartha J Shayo, Troels Lillebaek, Nyanda E Ntinginya, Blandina T Mmbaga, Ib C Bygbjerg and 2 more

Open access · goldAbstract read
In one paragraph

Article in Global health action, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

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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

12 authors at 5 institutions in 2 countries.

Nyasatu G ChambaKilimanjaro Christian Medical University College, Faculty of Medicine, Moshi, United Republic of Tanzania.ORCID 0000-0002-9390-3393
Kenneth C ByashaliraKilimanjaro Christian Medical University College, Faculty of Medicine, Moshi, United Republic of Tanzania.
Dirk L ChristensenGlobal Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-2142-522X
Kaushik L RamaiyaDepartment of Internal Medicine, Shree Hindu Mandal Hospital, Dar es Salaam, United Republic of Tanzania.ORCID 0000-0003-3309-5395
Eliakimu P KapyoloDepartment of Clinical research, National Institute for Medical Research, Dodoma Medical Research Centre, Dodoma, United Republic of Tanzania.
PendoMartha J ShayoKibong'oto Infectious Disease Hospital, Department of Research, Sanya Juu, United Republic of Tanzania.
Troels LillebaekGlobal Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-2601-2718
Nyanda E NtinginyaNational Institute for Medical Research, Mbeya Medical Research Centre, Mbeya, United Republic of Tanzania.ORCID 0000-0002-1575-4521
Blandina T MmbagaKilimanjaro Christian Medical University College, Faculty of Medicine, Moshi, United Republic of Tanzania.ORCID 0000-0002-5550-1916
Ib C BygbjergGlobal Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0001-9100-2754
Stellah G MpagamaKilimanjaro Christian Medical University College, Faculty of Medicine, Moshi, United Republic of Tanzania.ORCID 0000-0002-0660-6930
Rachel N ManongiInstitute of Public Health, Kilimanjaro Christian Medical University College, Moshi, United Republic of Tanzania.ORCID 0000-0003-3841-974X
Kilimanjaro Christian Medical Centre · TZNational Institute for Medical Research · TZUniversity of Copenhagen · DKAga Khan Hospital Dar es Salaam · TZStatens Serum Institut · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetes mellitus (DM) is a common comorbidity among people with tuberculosis (TB). Despite the availability of guidelines on how to integrate dual TB/DM in Tanzania, the practice of integration at various healthcare levels is unclear.

objectiveTo explore the participants' experiences and perceptions on the pathway towards clinical management of dual TB/DM.

methodThe research was carried out in Dar es Salaam, Iringa, and Kilimanjaro regions between January and February 2020. A qualitative, in-depth interview approach was used to collect participants' experiences and perspectives on the acquisition of dual TB/DM services at various levels of healthcare facilities. The information gathered were coded and classified thematically.

resultsThe participants' perception of TB services within the healthcare facilities was positive due to the support they received from the healthcare providers. On the other hand, participants reported difficulty receiving management in various health facilities for each condition in terms of access to dual TB/DM care and access to DM medication. This was viewed as a significant challenge for the participants with dual TB/DM.

conclusionsThe current disjunction and disruption in healthcare for people with dual TB/DM makes it difficult to access services at various levels of health facilities. For optimal clinical management for people with dual TB/DM, patient-centered strategies and integrated approaches are urgently needed.

Indexed as

Diabetes MellitusTuberculosisHealth FacilitiesHealth PersonnelHumansTanzaniadiabetes mellituspatient centered careperceptionTanzaniaTuberculosis

Identifiers

PMID36441076
PMCPMC9894537
OpenAlexW4310154598

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.