Knowledge, enablers, and barriers to TB preventive treatment among health care workers.

IF 1.6 Q4 RESPIRATORY SYSTEM

Public Health Action Pub Date : 2025-09-03 eCollection Date: 2025-09-01 DOI:10.5588/pha.24.0044

O Chukwuogo, O Daniel, A Ihesie, R Eneogu, B Odume, A Agbaje, D Nongo, J Kuye, O Oyelaran, W Van Gemert, L Mupfumi, E Akpanowo, S Asuke, C D'auvergne, O Chijioke-Akaniro, C Anyaike, S Olarewaju

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Abstract

Background: As part of its TB control efforts, the Nigeria National TB Program has prioritised implementation of TB preventive treatment (TPT) especially among all contacts of TB patients. This study aims to assess knowledge, perceived enablers, and barriers to TPT among health care workers (HCWs) in Nigeria.

Methods: This was a cross-sectional descriptive study using mixed methods. Quantitative data were collected from 434 HCWs and analysed using SPSS version 25, and in-depth interviews were conducted on 36 purposely selected HCWs with thematic analysis.

Result: More than half of the respondents (55.7%) had good knowledge of TPT. Nurses, doctors, and other HCWs working in public tertiary institutions had better knowledge compared with other cadres. Adequate knowledge of types of TPT regimens and belief in their effectiveness were elicited as enablers, whereas barriers included suboptimal contact tracing system, TPT stock-outs, long duration of TPT, unavailability of TB infection testing before TPT, absence of transport logistics support for patients to receive TPT, and poor HCW capacity.

Conclusion: HCWs in public tertiary settings had better knowledge of TPT. Successful scale-up of TPT services requires competency building for other cadres and interventions addressing other identifiable barriers.

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卫生保健工作者在结核病预防治疗方面的知识、促进因素和障碍。

背景：作为结核病控制工作的一部分，尼日利亚国家结核病规划将结核病预防性治疗（TPT）的实施列为优先事项，特别是在结核病患者的所有接触者中。本研究旨在评估尼日利亚卫生保健工作者（HCWs）对TPT的知识、感知的促成因素和障碍。方法：采用混合方法进行横断面描述性研究。收集434家卫生院的定量数据，使用SPSS 25版进行分析，并对36家卫生院进行深度访谈，进行专题分析。结果：超过一半（55.7%）的受访者对TPT有良好的了解。在公立高等院校工作的护士、医生和其他卫生保健工作者的知识水平高于其他干部。对TPT方案类型的充分了解和对其有效性的信心是促成因素，而障碍包括接触者追踪系统不理想、TPT缺货、TPT持续时间长、TPT前无法获得结核病感染检测、缺乏对患者接受TPT的运输后勤支持以及HCW能力差。结论：公立高等学校卫生保健工作者对TPT有较好的认识。成功扩大TPT服务需要培养其他干部的能力，并采取干预措施解决其他可识别的障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Public Health Action RESPIRATORY SYSTEM-

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期刊介绍： Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.