ArticleBMC public health2025
Perceptions of tuberculosis and home-based infection screening among families and providers in Madagascar: a qualitative study.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMadagascar is a country with a high tuberculosis (TB) burden, and the incidence of the disease has remained unchanged since 2013. TB detection largely relies on passive strategies, with little attention given to TB infections (TBIs), which are silent reservoirs that fuel future active TB cases.
methodThis qualitative study investigated how Malagasy communities perceive TB and an innovative approach for TBI screening and care. This approach was developed through the APRECIT operational research project in partnership with the National Tuberculosis Control Program (NTP). Semi-structured in-depth interviews were conducted between March and May 2023 with a sample of stakeholders and health workers (26 HWs) at the national, regional and community levels and focus groups with household contacts (46 HHCs) of TB patients.
resultsThe fight against TB remains challenging in Madagascar. Community knowledge of TB is limited, and the disease is perceived as shameful. Individuals with TB and their families face stigmatization within their own family and the community. At the provider level, HWs reported challenges in promptly detecting and treating TB people with TB due to structural constraints within the health system and barriers at the household (HH) level. The introduction of home-based screening for TBI was perceived as a way to interrupt disease progression and help reduce stigma. For HWs, this strategy helps to limit TB transmission. However, HWs expressed concerns about giving treatment to asymptomatic people and the replicability of the strategy at the national level.
conclusionImproving communication about TB and implementing a home-based screening strategy for HHCs to identify individuals at high risk of TB progression have the potential to improve TB control in Madagascar.
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.