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

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dc.contributor.advisorRother, Andreaen_ZA
dc.contributor.advisorCox, Helenen_ZA
dc.contributor.authorAdeleke, Oluwatoyinen_ZA
dc.date.accessioned2014-12-25T15:46:27Z
dc.date.available2014-12-25T15:46:27Z
dc.date.issued2012en_ZA
dc.description.abstractHIV 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.identifier.apacitationAdeleke, 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/11427/9994en_ZA
dc.identifier.chicagocitationAdeleke, 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/11427/9994en_ZA
dc.identifier.citationAdeleke, O. 2012. Barriers to implementation of Tuberculosis infection control amongst South African Health Care Workers. University of Cape Town.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
dc.identifier.urihttp://hdl.handle.net/11427/9994
dc.identifier.vancouvercitationAdeleke 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/11427/9994en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentHealth Economics Uniten_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherHealth Economicsen_ZA
dc.titleBarriers to implementation of Tuberculosis infection control amongst South African Health Care Workersen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPHen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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