Evidence map›Paper›PMID 41969702›Full record

ArticleIndian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine2026

A Qualitative Exploration into a Statewide Differentiated TB Care Initiative Aimed at Reducing TB Deaths.

K Gayathri, Hemant Deepak Shewade, R Vijayaprabha, Madhanraj Kalyanasundaram, T Daniel Rajasekar, G Kiruthika, S Kiran Pradeep, Prabhadevi Ravichandran

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

K GayathriICMR-National Institute of Epidemiology (ICMR-NIE), Chennai, Tamil Nadu, India.
Hemant Deepak ShewadeICMR-National Institute of Epidemiology (ICMR-NIE), Chennai, Tamil Nadu, India.
R VijayaprabhaICMR-National Institute of Epidemiology (ICMR-NIE), Chennai, Tamil Nadu, India.
Madhanraj KalyanasundaramICMR-National Institute of Epidemiology (ICMR-NIE), Chennai, Tamil Nadu, India.
T Daniel RajasekarICMR-National Institute of Epidemiology (ICMR-NIE), Chennai, Tamil Nadu, India.
G KiruthikaICMR-National Institute of Epidemiology (ICMR-NIE), Chennai, Tamil Nadu, India.
S Kiran PradeepMadha Medical College and Research Institute, Chennai, Tamil Nadu, India.
Prabhadevi RavichandranChettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In April 2022, Tamil Nadu, with 0.1 million annual tuberculosis (TB) notifications, launched Tamil Nadu Methods: This was a descriptive qualitative study. Interviews with experienced TB program staff and people with TB were conducted between June 2022 and November 2023. Descriptive thematic analysis was carried out using ATLAS.ti9 software. Results: The enablers were around optimum utilization of available resources; strategizing action for effective implementation; motivated staff; local initiatives and leadership; reorientation training and regular monitoring. Suboptimal knowledge, especially among non-National TB Elimination Program (NTEP) staff; issues in coordinating with non-NTEP staff; shortage of resources, and negative attitude of providers and family members were the key barriers. Suggested solutions were around quality improvement strategies and health system changes. Conclusion: The identified barriers and proposed solutions can help refine the initiative. Future efforts should prioritize quality triaging, better involvement of non-TB program staff, and support nodal inpatient facility physicians through regular training and untied local funds. A limitation was the lack of detailed insights into isolation beds and therapeutic nutrition.

Indexed as

Differentiated TB carehealth programIndiaoperational researchqualitative enquiryroutine settingsTB mortalitytriaging for severity

Identifiers

PMID41969702
PMCPMC13068416

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.