Evidence map›Paper›PMID 39432474›Full record

ArticlePLOS global public health2024

The role and value of counsellors in the treatment journeys of people with tuberculosis and their families: Qualitative insights from the South Fly District of Papua New Guinea.

Paula Jops, John Cowan, Richard Nake Trumb, Martha Kupul, Allan Kuma, Stephen Bell, Tess Keam, Mathias Bauri, Herolyn Nindil, Suman S Majumdar and 8 more

Abstract read
In one paragraph

Article in PLOS global public health, 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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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Paula JopsKirby Institute, UNSW Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-7916-0124
John CowanPapua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.
Richard Nake TrumbPapua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.
Martha KupulPapua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.
Allan KumaBurnet Institute, Melbourne, Australia.
Stephen BellKirby Institute, UNSW Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0003-2877-9231
Tess KeamBurnet Institute, Melbourne, Australia.
Mathias BauriWestern Provincial Health Authority, Daru, Papua New Guinea.
Herolyn NindilNational Department of Health, National TB Program, Port Moresby, Papua New Guinea.
Suman S MajumdarBurnet Institute, Melbourne, Australia.ORCID https://orcid.org/0000-0002-9656-557X
Stacia FinchBurnet Institute, Melbourne, Australia.
William PomatKirby Institute, UNSW Sydney, Sydney, Australia.
Ben J MaraisSydney Infectious Diseases Institute (Sydney ID), University of Sydney, Sydney, Australia.
Guy B MarksWoolcock Institute of Medical Research, Sydney, Australia.ORCID https://orcid.org/0000-0002-8976-8053
John KaldorKirby Institute, UNSW Sydney, Sydney, Australia.
Andrew VallelyKirby Institute, UNSW Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0003-1558-4822
Stephen M GrahamBurnet Institute, Melbourne, Australia.ORCID https://orcid.org/0000-0003-3525-2294
Angela Kelly-HankuKirby Institute, UNSW Sydney, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Combined education and counselling can contribute to person-centred care for tuberculosis (TB), improving uptake, adherence, and outcomes of treatment for TB disease and TB infection. Though strongly recommended by the World Health Organization for all people diagnosed with TB, education and counselling is not widely implemented in TB programs around the world. In 2016, a pilot TB education and counselling program, delivered by trained professionals and peers, was initiated to support people on TB treatment in the South Fly District of Papua New Guinea. This article reports on select findings from a qualitative study that examined the socio-cultural dimensions of TB, including treatment support such as education and counselling, in the South Fly District. An assessment on data collected during 128 semi-structured in-depth interviews of the role of counsellors on TB treatment journeys revealed strong participant support for the counsellors and the services they delivered, with particular emphasis on the emotional support provided to address fears and concerns related to TB diagnosis and treatment, and to support treatment adherence; valuable attributes of counsellors; their role as intermediaries between patients and health workers; their provision of biomedical knowledge of TB transmission and disease; and their assistance in addressing stigma and discrimination from family and community. Participants also noted how tackling the socio-structural issues that drive TB transmission in people's homes and communities were beyond the remit of counsellors' work. TB education and counselling should be an essential part of all TB services to provide support and encouragement for people to continue treatment to completion.

Identifiers

PMID39432474
PMCPMC11493273

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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.