ArticleGlobal health action2023
--Eleven tips for operational researchers working with health programmes: our experience based on implementing differentiated tuberculosis care in south India.
Article in Global health action, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed.
- Sustained reduction in program-reported TB death rate in six districts following Tamil NaduGlobal health action · 2026Article
- Quality improvement package for severe tuberculosis triage in Tamil Nadu, India.Public health action · 2026Article
- Article
- Comprehensive assessment of adults severely ill with TB referred after triage in Tamil Nadu, India.Public health action · 2026Article
- A Qualitative Exploration into a Statewide Differentiated TB Care Initiative Aimed at Reducing TB Deaths.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026Article
- Reduction in TB Death Rate in Dharmapuri, Karur, and Villupuram Following Tamil NaduIndian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026Article
- First-ever Experience of Implementing Therapeutic Nutrition for Very Severely Undernourished Adults with TB in Routine Program Settings: A Longitudinal Descriptive Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025Article
- Quality of comprehensive assessment among severely ill TB patients referred after triaging in southern India.Public health action · 2024Article
- The First Differentiated TB Care Model From India: Delays and Predictors of Losses in the Care Cascade.Global health, science and practice · 2023Article
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Abstract
Due to the workload and lack of a critical mass of trained operational researchers within their ranks, health systems and programmes may not be able to dedicate sufficient time to conducting operational research (OR). Hence, they may need the technical support of operational researchers from research/academic organisations. Additionally, there is a knowledge gap regarding implementing differentiated tuberculosis (TB) care in programme settings. In this 'how we did it' paper, we share our experience of implementing a differentiated TB care model along with an inbuilt OR component in Tamil Nadu, a southern state in India. This was a health system initiative through a collaboration of the State TB cell with the Indian Council of Medical Research institutes and the World Health Organisation country office in India. The learnings are in the form of eleven tips: four broad principles (OR on priority areas and make it a health system initiative, implement simple and holistic ideas, embed OR within routine programme settings, aim for long-term engagement), four related to strategic planning (big team of investigators, joint leadership, decentralised decision-making, working in advance) and three about implementation planning (conducting pilots, smart use of e-tools and operational research publications at frequent intervals). These may act as a guide for other Indian states, high TB burden countries that want to implement differentiated care, and for operational researchers in providing technical assistance for strengthening implementation and conducting OR in health systems and programmes (TB or other health programmes). Following these tips may increase the chances of i) an enriching engagement, ii) policy/practice change, and iii) sustainable implementation.
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