Evidence map›Paper›PMID 38957498›Full record

ArticlePublic health action2024

The effect of an intervention to promote isoniazid preventive therapy on leadership and management abilities.

C Christian, E Kakande, V Nahurira, L B Balzer, A Owaraganise, J R Nugent, W DiIeso, D Rast, J Kabami, J J Peretz and 5 more

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Article in Public health action, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from 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.

2 · The registry

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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

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

15 authors.

C ChristianUniversity of California San Francisco, San Francisco, CA, USA.
E KakandeInfectious Diseases Research Collaboration, Uganda.
V NahuriraInfectious Diseases Research Collaboration, Uganda.
L B BalzerUniversity of California, Berkeley, CA.
A OwaraganiseInfectious Diseases Research Collaboration, Uganda.
J R NugentUniversity of Massachusetts, Amherst, MA, USA.
W DiIesoSustainable East Africa Research Collaboration (SEARCH)-IPT Trial, Uganda.
D RastSustainable East Africa Research Collaboration (SEARCH)-IPT Trial, Uganda.
J KabamiInfectious Diseases Research Collaboration, Uganda.
J J PeretzUniversity of California San Francisco, San Francisco, CA, USA.
C S CamlinUniversity of California San Francisco, San Francisco, CA, USA.
S B ShadeUniversity of California San Francisco, San Francisco, CA, USA.
M R KamyaInfectious Diseases Research Collaboration, Uganda.
D V HavlirUniversity of California San Francisco, San Francisco, CA, USA.
G ChamieUniversity of California San Francisco, San Francisco, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcross sub-Saharan Africa, mid-level healthcare managers oversee implementation of national guidelines. It remains unclear whether leadership and management training can improve population health outcomes.

methodsWe sought to evaluate leadership/management skills among district-level health managers in Uganda participating in the SEARCH-IPT randomised trial to promote isoniazid preventive therapy (IPT) for persons with HIV (PWH). The intervention, which led to higher IPT rates, included annual leadership/management training of managers. We conducted a cross-sectional survey assessing leadership/management skills among managers at trial completion. The survey evaluated self-reported use of leadership/management tools and general leadership/management. We conducted a survey among a sample of providers to understand the intervention's impact. Targeted minimum loss-based estimation (TMLE) was used to compare responses between trial arms.

resultsOf 163 managers participating in the SEARCH-IPT trial, 119 (73%) completed the survey. Intervention managers reported more frequent use of leadership/management tools taught in the intervention curriculum than control managers (+3.64, 95% CI 1.98-5.30,

conclusionsA leadership and management training intervention increased the use of leadership/management tools among mid-level managers and resulted in higher perceived quality of supervision among providers in intervention vs control districts in Uganda. These findings suggest improved leadership/management among managers contributed to increased IPT use among PWH in the intervention districts of the SEARCH-IPT trial.

Indexed as

Change Leadership Questionnairehealth system strengtheningimplementation scienceIPTLeadership Behavior Description Questionnairesub-Saharan Africatuberculosis

Identifiers

PMID38957498
PMCPMC11216294

What OpenQuestion holds

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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.