SynthesisBMC infectious diseases2025
Barriers and facilitators to pediatric tuberculosis management in India: a systematic review.
Synthesis in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- Diagnostic accuracy of GeneReady MTB assay on sputum for detecting pulmonary tuberculosis: a prospective multicenter study in China.Journal of clinical microbiology · 2026Article
- Global child-friendly anti-TB medicines - where do we stand?IJTLD open · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPediatric tuberculosis (TB) is a significant public health concern in India, contributing to 28% of the global pediatric TB burden. Despite its impact on child health, strategies to control TB have inadequately addressed pediatric cases, resulting in suboptimal management. Understanding the barriers and facilitators influencing the management of pediatric TB in India is crucial for improving healthcare practices and outcomes for affected children.
methodsThis systematic review aims to analyze existing literature to identify barriers and facilitators to the management of pediatric TB in India. A search of three databases; Embase, PubMed and Web of Science, was conducted to identify relevant studies published from 01/01/2012 to 07/09/2024. Studies focusing on barriers and facilitators in pediatric TB management were included in this review.
resultsThe search strategy yielded 1132 original articles, with 24 articles meeting the selection criteria for inclusion. In this review, the prevalent barrier at the individual level encompasses parental knowledge gaps, financial constraints, and the preference for private healthcare services. At the community level, barriers included gender inequality, stigmatization and discrimination, interconnected living environment, and traditional practices. At the health system level, the most significant barriers included the insufficient knowledge and training among healthcare providers, diagnostic complexities, non-child-friendly tools and techniques, limited availability and accessibility of resources, inadequate monitoring, and practices in the private healthcare sector. The facilitators identified in this review included the collaboration between different sectors and the utilization of the Xpert MTB/RIF diagnostic test. DISCUSSION: This systematic review provides a comprehensive understanding of the multifaceted challenges influencing the management of pediatric TB in India. By identifying the barriers and facilitators at different levels, the review offers valuable insights into the complexities of the diagnosis, treatment, and prevention of pediatric TB. A better understanding of these complexities is essential for improving pediatric TB management in India and worldwide.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.