Public Health in Practice最新文献

{"title":"An opportunity missed: Strengthening health system data on multisystem inflammatory syndrome in children from low- and middle-income countries in Asia","authors":"D.S. Ong ,&nbsp;P.V. Licciardi ,&nbsp;K. Mulholland ,&nbsp;L.A.H. Do","doi":"10.1016/j.puhip.2024.100535","DOIUrl":"10.1016/j.puhip.2024.100535","url":null,"abstract":"<div><h3>Background</h3><p>Multisystem inflammatory syndrome in children (MIS-C) is a severe complication associated with SARS-CoV-2 infection. The clinical epidemiology of MIS-C is not completely understood in low- and middle-income countries (LMICs) due to limited reporting, including in Asia where there was a substantial burden of COVID-19. We aimed to discuss the challenges of diagnosing MIS-C and factors which may cause children from Asian LMICs to have an increased risk of MIS-C.</p></div><div><h3>Methods</h3><p>Not applicable.</p></div><div><h3>Results</h3><p>The burden of MIS-C in Asian LMICs may be disproportionately high due to underlying risk factors, resource-limited health systems, and the increased infectivity and transmissibility of recent SARS-CoV-2 variants. Complex clinical features of MIS-C contributed to missed or delayed diagnosis and treatment, while underlying risk factors including ethnicity, chronic health conditions, and socioeconomic factors may have predisposed children in Asian LMICs to MIS-C.</p></div><div><h3>Conclusions</h3><p>There was a lack of data on the clinical epidemiology of MIS-C in Asian LMICs during the COVID-19 pandemic, despite reports of higher paediatric mortality rates compared to high-income countries. This highlights the need for LMICs to have strong surveillance systems to collect high-quality and timely data on newly emerging complications associated with a pandemic, such as MIS-C. This will lead to rapid understanding of these emerging complications, and inform clinical management, disease prevention and health system planning.</p></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"8 ","pages":"Article 100535"},"PeriodicalIF":2.2,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535224000727/pdfft?md5=82d8a6a413df0c354925d7c673a1222b&pid=1-s2.0-S2666535224000727-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142040168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between the lifestyle health index and voter turnout during the 2020 United States presidential election in the context of regional cultures","authors":"Ross Arena ,&nbsp;Nicolaas P. Pronk ,&nbsp;Thomas E. Kottke ,&nbsp;Anthony Arena ,&nbsp;Colin Woodard","doi":"10.1016/j.puhip.2024.100534","DOIUrl":"10.1016/j.puhip.2024.100534","url":null,"abstract":"<div><h3>Objectives</h3><p>There are numerous population health challenges confronting the United States (U.S.), including the unhealthy lifestyle – chronic disease pandemics. However, the impact of unhealthy lifestyle behaviors and the increased prevalence of chronic diseases that result from them affect many facets of life outside of the health domain, and their scope remains under-appreciated. The current analysis contributes to addressing this knowledge gap by comparing the newly developed Lifestyle Health Index (LHI) to U.S. county-level voter turnout rates in the 2020 presidential election.</p></div><div><h3>Study design</h3><p>Descriptive, cross-sectional, retrospective analysis.</p></div><div><h3>Methods</h3><p>County-level data on the LHI, percent voter turnout, and the American Nations regional cultures model schematic was used in the current analysis.</p></div><div><h3>Results</h3><p>Pearson correlations between county-level LHI scores and sub scores and Democratic, Republican, and overall voter turnout were all statistically significant and of similar strength (<em>r</em> &gt; 0.63, <em>p</em> &lt; 0.001). All counties in the worst performing LHI quartile had a voter turnout &lt;60 %. Higher LHIs were consistently assocaited with lower voter turnout across the regional cultures, although heterogeneity was evident across the American Nations.</p></div><div><h3>Conclusions</h3><p>A large percentage of the U.S. population is afflicted with poor health, and unhealthy lifestyle behaviors are a primary driver. Poor health does not occur in a vacuum and impacts many other facets of an individual's life. The current study further demonstrates the potential detrimental impact of poor health on civic engagement, specifically participation in the electoral process (i.e, citizens' health may influence voter turnout). Health care professionals and institutions in the U.S. should uniformly embrace the recent policy brief by the American College of Physicians on participation in the electoral process for patients receiving care. This paradigm shift has the potential to substantially improve voter turnout during U.S. elections.</p></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"8 ","pages":"Article 100534"},"PeriodicalIF":2.2,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535224000715/pdfft?md5=cda00469c5066e1bbac7931d1aca98ea&pid=1-s2.0-S2666535224000715-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142048682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The rising cost of applying to medical school — Lack of cost mitigation and trends in workforce diversity","authors":"Bassil Bacare ,&nbsp;Mallika L. Mendu","doi":"10.1016/j.puhip.2024.100531","DOIUrl":"10.1016/j.puhip.2024.100531","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"8 ","pages":"Article 100531"},"PeriodicalIF":2.2,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535224000685/pdfft?md5=2d47f06dd53ba062b4d4f19690dfc38a&pid=1-s2.0-S2666535224000685-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141698272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short communication: Five ways UK European Capitals and cities of culture have connected cultural activities with nature and their impacts on health and wellbeing, wider determinants of health and inequality","authors":"Amy Barnes ,&nbsp;Kevin Brain ,&nbsp;Fiona Phillips","doi":"10.1016/j.puhip.2024.100533","DOIUrl":"https://doi.org/10.1016/j.puhip.2024.100533","url":null,"abstract":"<div><h3>Objective</h3><p>To rapidly synthesise evidence for local practice on what initiatives UK European Capitals and Cities of Culture (UKEUCoCs) have implemented connecting cultural activities with green, blue, or outdoor space (culture-nature initiatives) and their impacts on planetary health outcomes: personal health and wellbeing, wider determinants of health particularly the environment, and existing inequality.</p></div><div><h3>Study design</h3><p>Rapid evidence review.</p></div><div><h3>Methods</h3><p>A rapid review of published articles and evaluation reports. Published articles were identified through database searches (Proquest, OVID, Scopus, Web of Science, MEDLINE) in January–February 2024. Data was extracted directly into a table and findings synthesised narratively by theme.</p></div><div><h3>Results</h3><p>Published evidence about UKEUCoC culture-nature initiatives was limited but five initiative types were identified: 1) growing-focused activities; 2) activities exploring human-nature relationships; 3) targeted nature-based wellbeing activities; 4) activities connecting cultural engagement with environmental activism; and 5) use of outdoor spaces for artworks, performances and festivals. UKEUCoC culture-nature initiatives may contribute to short-term improvements in mental health and wellbeing (confidence, self-esteem, subjective wellbeing), community health (community relations, civic pride), cultural participation, and local environmental quality and use, but risk widening existing inequalities. Co-creating initiatives at hyper-local levels with marginalised groups and trusted Community Champions, active involvement, and creating equitable access to livelihood opportunities may mitigate inequality risks.</p></div><div><h3>Conclusions</h3><p>Evidence is limited but suggests UKEUCoC culture-nature initiatives could positively support planetary health outcomes in the short-term. Equity in these outcomes appears to rely however, on action to ensure the involvement of and sustainable livelihood creation for marginalised groups. It is unclear how outcomes are generated across the initiative types identified, including through interactions between them, where they are implemented. The five initiative types identified in this work could be targeted for further investigation in research and practice on culture-nature initiatives for health more generally, using a complex systems approach to evaluation.</p></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"8 ","pages":"Article 100533"},"PeriodicalIF":2.2,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535224000703/pdfft?md5=d2e40f0917975f02fc3cd55905319b3c&pid=1-s2.0-S2666535224000703-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141607640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interventions for adolescent mental, sexual and reproductive health in West Africa: A scoping review","authors":"Irene A. Agyepong ,&nbsp;Emelia Agblevor ,&nbsp;Selase Odopey ,&nbsp;Selasie Addom ,&nbsp;Nana Efua Enyimayew Afun ,&nbsp;Mary Pomaa Agyekum ,&nbsp;Paapa Yaw Asante ,&nbsp;Grace Emmanuelle Aye ,&nbsp;Natasha Darko ,&nbsp;Aïssa Diarra ,&nbsp;Ama Pokuaa Fenny ,&nbsp;Annick Gladzah ,&nbsp;Nassirou Ibrahim ,&nbsp;Aline Kagambega ,&nbsp;Lauren J. Wallace ,&nbsp;Jacob Novignon ,&nbsp;Maurice Yaogo ,&nbsp;Roxane Borgès Da Sliva ,&nbsp;Tim Ensor ,&nbsp;Tolib Mirzoev","doi":"10.1016/j.puhip.2024.100530","DOIUrl":"10.1016/j.puhip.2024.100530","url":null,"abstract":"<div><h3>Objectives</h3><p>A quarter of West Africa's population are adolescents 10–19 years. Their mental, sexual, and reproductive health is inter-related. We therefore aimed to examine published evidence on effectiveness of interventions for adolescent mental, sexual and reproductive health in the Economic Community of West African States (ECOWAS) to inform development, implementation and de-implementation of policies and programs.</p></div><div><h3>Study design</h3><p>The study design was a scoping review.</p></div><div><h3>Methods</h3><p>We considered all qualitative and quantitative research designs that included adolescents 10–19 years in any type of intervention evaluation that included adolescent mental, sexual and reproductive health. Outcomes were as defined by the researchers. PubMed/Medline, APA PsycINFO, CAIRN, and Google Scholar databases were searched for papers published between January 2000 and November 9, 2023.1526 English and French language papers were identified. After eliminating duplicates, screening abstracts and then full texts, 27 papers from studies in ECOWAS were included.</p></div><div><h3>Results</h3><p>Interventions represented three categories: service access, quality, and utilization; knowledge and information access and intersectionality and social determinants of adolescent health. Most studies were small-scale intervention research projects and interventions focused on sexual and reproductive or mental health individually rather than synergistically. The most common evaluation designs were quasi-experimental (13/27) followed by observational studies (8/27); randomized, and cluster randomized controlled trials (5/27), and one realist evaluation. The studies that evaluated policies and programs being implemented at scale used observational designs.</p></div><div><h3>Conclusion</h3><p>Research with robust evaluation designs on synergistic approaches to adolescent mental, sexual and reproductive health policies, interventions, implementation and de-implementation is urgently needed to inform adolescent health policies and programs.</p></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"8 ","pages":"Article 100530"},"PeriodicalIF":2.2,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535224000673/pdfft?md5=ca2495aabed8770894154f755c275f4a&pid=1-s2.0-S2666535224000673-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141623617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unleashing leadership potential in unprecedented times: Lessons learned from an evaluation of a virtual cohort-based adaptive leadership program for public health executives","authors":"Kellie Hall,&nbsp;Cortni Bardier,&nbsp;Deya Greer,&nbsp;Anna Clayton,&nbsp;Ramona Poblete","doi":"10.1016/j.puhip.2024.100532","DOIUrl":"10.1016/j.puhip.2024.100532","url":null,"abstract":"<div><h3>Objectives</h3><p>This paper presents the evaluation results from the Adaptive Leadership Academy (ALA), a pilot program aimed at developing executive-level leaders in public and community health.</p></div><div><h3>Study design</h3><p>Mixed methods study.</p></div><div><h3>Methods</h3><p>The evaluation followed the Kirkpatrick Model to assess program participants’ satisfaction with the training, knowledge and skill gain, and behavior change. Data were collected beginning in December 2021 through August 2022 from 20 program participants via online surveys and key informant interviews.</p></div><div><h3>Results</h3><p>The findings indicated that ALA helped participants improve their leadership knowledge, skills, and capabilities. In particular, the study highlighted the effectiveness of cohort-based leadership development programs using adaptive leadership as the foundation for the curriculum. Participants found the cohort-based model and synchronous components particularly useful in creating a supportive environment in which to be vulnerable and grow.</p></div><div><h3>Conclusions</h3><p>Overall, the evaluation provided evidence that the ALA pilot enhanced leadership knowledge, skills, and capabilities. The findings support the use of adaptive leadership as a framework for leadership development programs in the public health sector.</p></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"8 ","pages":"Article 100532"},"PeriodicalIF":2.2,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535224000697/pdfft?md5=bef656698d7c91e527b247d3c9939469&pid=1-s2.0-S2666535224000697-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141623616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of dengue viruses: Surveillance, response, and public health implications in Queensland, Australia","authors":"Alan Silburn,&nbsp;Joel Arndell","doi":"10.1016/j.puhip.2024.100529","DOIUrl":"https://doi.org/10.1016/j.puhip.2024.100529","url":null,"abstract":"<div><p>This study examines dengue transmission, symptoms, vaccination efforts, treatment options, and global impact, focusing on Australia, especially Queensland. It evaluates current surveillance and response systems, identifies areas for improvement, and proposes strategies to enhance public health preparedness. Highlighting the socioeconomic impact of dengue outbreaks, the study underscores the need for integrated public health measures, effective vaccines, advanced surveillance methods, and sustainable mosquito control programs to mitigate the threat of dengue outbreaks and potential endemicity.</p></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"8 ","pages":"Article 100529"},"PeriodicalIF":2.2,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535224000661/pdfft?md5=18bbf64b07651f21cc0643c8bd4d0116&pid=1-s2.0-S2666535224000661-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141594221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The efficacy of a mobile-based multidomain program on cognitive functioning of residents in assisted living facilities","authors":"Yongseop Kim ,&nbsp;Junhyoung Kim ,&nbsp;Jaegyeong Lee ,&nbsp;Marcia G. Ory ,&nbsp;Myung Jin Ko","doi":"10.1016/j.puhip.2024.100528","DOIUrl":"10.1016/j.puhip.2024.100528","url":null,"abstract":"<div><h3>Objectives</h3><p>The purpose of this study is to test the efficacy of a mobile-based multidomain application, Silvia Program, on cognitive functioning of residents in assisted living facilities (ALFs).</p></div><div><h3>Study design</h3><p>Pilot randomized controlled trial using a two-group pretest-posttest design.</p></div><div><h3>Methods</h3><p>Twenty participants living in ALFs were randomized to a Silvia group or usual care group. Silvia group received mobile-based Multidomain lifestyle intervention for 50–60 min, twice weekly, for 12 weeks. We assessed the cognitive functioning using the Montreal Cognitive Assessment (MoCA).</p></div><div><h3>Results</h3><p>Results are that the total MoCA scores of the Silvia group showed significant improvement while the total scores of the control group declined.</p></div><div><h3>Conclusion</h3><p>The present study provides suggestive evidence for an overall positive effect of the use of the Silvia Program on the cognitive functioning among residents in ALFs.</p></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"8 ","pages":"Article 100528"},"PeriodicalIF":2.2,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266653522400065X/pdfft?md5=90d2af6d8cd1cc8730b521df6a0dc619&pid=1-s2.0-S266653522400065X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141630836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a large-scale event on SARS-CoV-2 cases and hospitalizations in the Netherlands, carnival seasons 2022 and 2023","authors":"Koen M.F. Gorgels ,&nbsp;Nicole H.T.M. Dukers-Muijrers ,&nbsp;Ymke J. Evers ,&nbsp;Volker H. Hackert ,&nbsp;Paul H.M. Savelkoul ,&nbsp;Christian J.P.A. Hoebe","doi":"10.1016/j.puhip.2024.100523","DOIUrl":"10.1016/j.puhip.2024.100523","url":null,"abstract":"<div><h3>Objectives</h3><p>The COVID-19 pandemic highlights the importance of understanding facilitators for disease transmission. Events such as Carnival, characterized by large gatherings and extensive social interactions, have the potential to become ‘super spreading events' for respiratory infections. This paper aims to assess the impact of large gatherings on virus transmission, providing crucial insights for the development of effective public health strategies.</p></div><div><h3>Study design</h3><p>An ecological study was performed.</p></div><div><h3>Methods</h3><p>The age-standardized number of COVID-19 cases reported in 2022, stratified by age (under 60 and 60+ years) was compared countrywide for Dutch provinces where Carnival was celebrated versus those where it was not. Additionally, we compared standardized hospitalization rates in 2022 and 2023 for both areas.</p></div><div><h3>Results</h3><p>Countrywide, 2,278,431 COVID-19 cases were reported between 06-02-2022 and 10-04-2022. Daily incidence increased after Carnival, peaking at 803 per 100,000 inhabitants for under 60s in carnival provinces and 368 in non-carnival provinces. For individuals 60+ daily incidence peaked at 396 in carnival provinces and 247 in non-carnival provinces. Over the 10 weeks following the start of Carnival, the carnival provinces demonstrated a 15 % (2022) 17 % (2023) higher hospitalization rate compared to non-carnival provinces.</p></div><div><h3>Conclusions</h3><p>The peak in cases and hospitalizations in regions actively celebrating Carnival compared to the rest of the Netherlands qualifies Carnival as a ‘super-spreading’ event. Our findings underscore the elevated risk of respiratory infections associated with large gatherings, advocating guided policies, including transparent risk communication and healthcare preparedness.</p></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"8 ","pages":"Article 100523"},"PeriodicalIF":2.2,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535224000600/pdfft?md5=4b457e9d9037ff46162e99bb71d0fc7b&pid=1-s2.0-S2666535224000600-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142040167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tuberculosis preventive treatment in eight SEAR countries – Current practices, implementation challenges and operations research priorities","authors":"Prathiksha Giridharan ,&nbsp;Rakesh P. Suseela ,&nbsp;Tandin Zangpo ,&nbsp;Rita Bhandari Joshi ,&nbsp;Mizaya Cader ,&nbsp;Fathiyah Isbaniah ,&nbsp;Banurekah Velayudham ,&nbsp;Fathimath Nazla Rafeeg ,&nbsp;Antonio da Cruz Santos ,&nbsp;Naveen Prakash Shah ,&nbsp;Manu Mathew ,&nbsp;Leyanna Susan George ,&nbsp;Nivedita Gupta ,&nbsp;Chandrasekaran Padmapriyadarsini","doi":"10.1016/j.puhip.2024.100518","DOIUrl":"https://doi.org/10.1016/j.puhip.2024.100518","url":null,"abstract":"<div><h3>Objectives</h3><p>Countries in the South East Asian region face similar challenges in control of infectious diseases. There is limited access to experiences and learnings of neighboring countries. The Indian Council - of Medical Research (ICMR) has established a Regional Enabler for the South-East Asia Research Collaboration for Health (RESEARCH) Platform for South East Asian Region (SEAR) countries to address the above issues. This paper discusses about current practices, implementation challenges and operations research priorities of Tuberculosis Preventive therapy (TPT) in eight SEAR countries.</p></div><div><h3>Methods</h3><p>A three day workshop on “Capacity Building for TB Research under Programmatic Settings”. was conducted under the aegis of this RESEARCH platform jointly ICMR and the Union which was participated by eight SEAR countries. Data were collected from a semi-structured questionnaire prior to the workshop and open discussions during the workshop.</p></div><div><h3>Results</h3><p>The various challenges faced for TPT implementation were broadly categorized as poor demand and low level of acceptance by the beneficiary, low level of acceptance to provide TPT among the providers, challenges in ruling out active TB, issues with supply and supply chain management of diagnostic tests and drugs. Many operations research priorities like person centric TPT driven models, capacity building for improving cascade of care for latent TB infection, health system strengthening and effective risk communication were identified.</p></div><div><h3>Conclusion</h3><p>Full implementation of the TPT guidelines requires focused attention and coordinated action from all stakeholders of the country to attain the full benefit of TB preventive therapy and the ultimate TB elimination goal.</p></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"8 ","pages":"Article 100518"},"PeriodicalIF":2.2,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666535224000557/pdfft?md5=f6f17964251acfcd20a136ced2aec8cd&pid=1-s2.0-S2666535224000557-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141486575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}