Health system-related barriers and facilitators to tuberculosis preventive treatment: a qualitative case study comparing implementation in the Republic of Moldova and Georgia
The case study identified similar challenges in the rollout of TPT across both settings, highlighting common barriers hindering effective implementation. For optimal TPT rollout, enhancing provider confidence, improving access to testing for TB infection and strengthening integration with primary healthcare with refined roles of family doctors are essential. Both settings would also benefit from improved monitoring and evaluation systems and prioritisation of TB prevention in monitoring.
Authors
- Maka Danelia
- Askar Yedilbayev (ORCID: https://orcid.org/0000-0001-8557-5046)
- Anna M. Foss (ORCID: https://orcid.org/0000-0002-7822-5942)
- Valentina Vilc
- Andrei Dadu (ORCID: https://orcid.org/0000-0002-3080-8321)
- Patrick Nguipdop‐Djomo (ORCID: https://orcid.org/0000-0002-3429-0259)
- Zaruhi Mkrtchyan (ORCID: https://orcid.org/0009-0005-2202-8076)
Institutions
- National Center for Disease Control and Public Health (GE)
- London School of Hygiene & Tropical Medicine (GB)
- World Health Organization Regional Office for Europe (DK)
- Phthisiopneumology Institute "Chiril Draganiuc" (MD)
Publication Details
- Journal
- BMJ Open Respiratory Research
- Published
- 2025-09-01
- DOI
- https://doi.org/10.1136/bmjresp-2024-002802
- Citations
- 1
- Primary Topic
- Healthcare Systems and Reforms
- Type
- article
- Field-Weighted Citation Impact
- 2.21