Barriers to implementation of Tuberculosis infection control amongst South African Health Care Workers

 

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dc.contributor.advisor Rother, Andrea en_ZA
dc.contributor.advisor Cox, Helen en_ZA
dc.contributor.author Adeleke, Oluwatoyin en_ZA
dc.date.accessioned 2014-12-25T15:46:27Z
dc.date.available 2014-12-25T15:46:27Z
dc.date.issued 2012 en_ZA
dc.identifier.citation Adeleke, O. 2012. Barriers to implementation of Tuberculosis infection control amongst South African Health Care Workers. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/9994
dc.description.abstract HIV co-infection and drug resistance worsen the burden of Tuberculosis in South Africa. Infectious TB cases, often undiagnosed and untreated, are commonly found in health facilities increasing the likelihood of health-care associated TB. Health Care Workers (HCWs; and clients) are particularly at risk of TB infection in health care facilities; such risk characterises TB as a dual public health threat; first as a communicable disease and second as an occupational health hazard. Tuberculosis infection control (TBIC) measures may reduce the risk of TB transmission in health care settings, yet HCWs face challenges implementing TBIC measures. There is a gap in operational research seeking to understand the barriers to TBIC implementation among HCWs. There is, therefore, an urgent need to generate qualitative data, using a behavioural and sociological approach that provides insight to TBIC implementation challenges among HCWs. This case study research explored the barriers to TBIC implementation among HCWs in Khayelitsha clinics. Among professional and lay HCWs, data was collected by direct observation, interviews, focus group discussions and review of previous TBIC clinic assessment reports. The data was analysed using thematic analysis and interpretive analysis. This minor dissertation is in four parts. The protocol (Part A) presents the concept note of the study and its methodology. A structured literature review (Part B) provides a background and broadly reviews previous research and findings on Tuberculosis infection control. The journal ready article (Part C) presents the study findings, while Part D presents the study tools and related resources (appendices). Although most HCWs recognise the importance of TBIC in preventing health-care associated TB, they commonly believed that the TB transmission risk is only significant in clinic areas where known TB patients are found, and as such emphasise TBIC measures in those areas. Measures such as use of respirators and masks are mostly prioritized by HCWs ahead of administrative and environmental measures that are potentially more effective in reducing TB infection. Barriers to TBIC implementation identified include: inadequate HCW training on TBIC, a non-responsive compensation policy and the perception that a busy clinic schedule leaves no time for TBIC implementation. Resource availability, adequate human resources and leadership were further identified as enablers for TBIC implementation. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Health Economics en_ZA
dc.title Barriers to implementation of Tuberculosis infection control amongst South African Health Care Workers en_ZA
dc.type Master Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Health Economics Unit en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MPH en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Adeleke, O. (2012). <i>Barriers to implementation of Tuberculosis infection control amongst South African Health Care Workers</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit. Retrieved from http://hdl.handle.net/11427/9994 en_ZA
dc.identifier.chicagocitation Adeleke, Oluwatoyin. <i>"Barriers to implementation of Tuberculosis infection control amongst South African Health Care Workers."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit, 2012. http://hdl.handle.net/11427/9994 en_ZA
dc.identifier.vancouvercitation Adeleke O. Barriers to implementation of Tuberculosis infection control amongst South African Health Care Workers. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit, 2012 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/9994 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Adeleke, Oluwatoyin AB - HIV co-infection and drug resistance worsen the burden of Tuberculosis in South Africa. Infectious TB cases, often undiagnosed and untreated, are commonly found in health facilities increasing the likelihood of health-care associated TB. Health Care Workers (HCWs; and clients) are particularly at risk of TB infection in health care facilities; such risk characterises TB as a dual public health threat; first as a communicable disease and second as an occupational health hazard. Tuberculosis infection control (TBIC) measures may reduce the risk of TB transmission in health care settings, yet HCWs face challenges implementing TBIC measures. There is a gap in operational research seeking to understand the barriers to TBIC implementation among HCWs. There is, therefore, an urgent need to generate qualitative data, using a behavioural and sociological approach that provides insight to TBIC implementation challenges among HCWs. This case study research explored the barriers to TBIC implementation among HCWs in Khayelitsha clinics. Among professional and lay HCWs, data was collected by direct observation, interviews, focus group discussions and review of previous TBIC clinic assessment reports. The data was analysed using thematic analysis and interpretive analysis. This minor dissertation is in four parts. The protocol (Part A) presents the concept note of the study and its methodology. A structured literature review (Part B) provides a background and broadly reviews previous research and findings on Tuberculosis infection control. The journal ready article (Part C) presents the study findings, while Part D presents the study tools and related resources (appendices). Although most HCWs recognise the importance of TBIC in preventing health-care associated TB, they commonly believed that the TB transmission risk is only significant in clinic areas where known TB patients are found, and as such emphasise TBIC measures in those areas. Measures such as use of respirators and masks are mostly prioritized by HCWs ahead of administrative and environmental measures that are potentially more effective in reducing TB infection. Barriers to TBIC implementation identified include: inadequate HCW training on TBIC, a non-responsive compensation policy and the perception that a busy clinic schedule leaves no time for TBIC implementation. Resource availability, adequate human resources and leadership were further identified as enablers for TBIC implementation. DA - 2012 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2012 T1 - Barriers to implementation of Tuberculosis infection control amongst South African Health Care Workers TI - Barriers to implementation of Tuberculosis infection control amongst South African Health Care Workers UR - http://hdl.handle.net/11427/9994 ER - en_ZA


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