Evidence map›Paper›PMID 36949740›Full record

ArticlePublic health action2023

Local government stewardship for TB elimination in Kerala, India.

P S Rakesh, S Nair, R Kamala, M S Manu, S K Mrithunjayan, M J Valamparampil, V Raman Kutty, R Sadanandan

Abstract read
In one paragraph

Article in Public health action, 2023. 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
–field-weighted citation impact
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.

  1. Article
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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

8 authors.

P S RakeshWHO Technical Support Network, State TB Cell, Thiruvananthapuram, India.
S NairDepartment of Pulmonary Medicine, Government Medical College, Thrissur, India.
R KamalaDecentralisation Study Group, Health Action by People, Thiruvananthapuram, India.
M S ManuDecentralisation Study Group, Health Action by People, Thiruvananthapuram, India.
S K MrithunjayanDecentralisation Study Group, Health Action by People, Thiruvananthapuram, India.
M J ValamparampilDecentralisation Study Group, Health Action by People, Thiruvananthapuram, India.
V Raman KuttyDecentralisation Study Group, Health Action by People, Thiruvananthapuram, India.
R SadanandanHealth Systems Transformation Platform, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

settingThe southern Indian state of Kerala has implemented 'Kerala Tuberculosis Elimination Mission' as 'People's Movement against TB' under the stewardship of local governments (LGs). The state has been certified by the Government of India for being on track to attain the UN Sustainable Development Goals related to TB elimination.

objectiveTo document the role of LG stewardship in the successful implementation of the TB elimination activities in Kerala.

design1) Key informant interviews with four state officials, 2) desk review of available documents, 3) in-depth interviews with seven LG leaders, three mid-level programme managers and three health department field staff.

resultsLG involvement led to the establishment of solutions based on local problems, enhanced outreach of services to the socially vulnerable individuals, improved treatment support to patients with TB, increased community ownership of TB elimination activities, reduced TB-related stigma and social determinants being addressed. Institutional mechanisms such as LG TB elimination task forces, formal guidance in planning interventions and appreciation of their performance in the form of awards were facilitators for LG involvement.

conclusionLG stewardship can accelerate TB elimination. A good plan for engagement and institutional mechanisms are crucial for LG involvement.

Indexed as

decentralisationNational Tuberculosis Elimination Programmequalitative researchSustainable Development Goals

Identifiers

PMID36949740
PMCPMC9983805

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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.