Between Process Gaps, Knowledge, and Patient Trust: Healthcare Workers’ Insights on Implementing Tuberculosis Preventive Therapy for People with HIV in the Philippines and Indonesia
Our findings highlight implementation determinants to TPT implementation across outer, inner, and individual domains of HIV-TB care. Understanding how structural gaps, provider capacity, and patient trust intersect with supportive policies, and peer and mass media influences offer insights into the complex dynamics shaping TPT uptake and integration. Our study insights may inform policy adjustments and guide strategies to better integrate TPT into national health frameworks.
Authors
- Aljira Fitya Hapsari
- Rossana Ditangco
- Jonathan Eric Golub (ORCID: https://orcid.org/0000-0003-2398-3145)
- Evy Yunihastuti (ORCID: https://orcid.org/0000-0001-6650-0559)
- Laura Steiner
- Christopher J. Hoffmann (ORCID: https://orcid.org/0000-0002-9422-0519)
- Anshari Saifuddin Hasibuan (ORCID: https://orcid.org/0000-0003-4331-2381)
- Mark Donald C. Reñosa (ORCID: https://orcid.org/0000-0002-7414-7174)
- Bianca Joyce Sornillo (ORCID: https://orcid.org/0009-0001-0023-139X)
- Prashant Kulkarni (ORCID: https://orcid.org/0000-0002-6066-586X)
- Anna Maureen Dungca-Lorilla
- Mira Yulianti
- Ruth Anne Hechanova-Cruz
- Candice Eula Lamigo (ORCID: https://orcid.org/0009-0009-9689-1525)
Institutions
- Johns Hopkins University (US)
- Heidelberg University (DE)
- Johns Hopkins Medicine (US)
- Research Institute for Tropical Medicine (PH)
- University Hospital Heidelberg (DE)
- Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo (ID)
Publication Details
- Journal
- Implementation Science Communications
- Published
- 2025-09-30
- DOI
- https://doi.org/10.1186/s43058-025-00776-z
- Primary Topic
- Tuberculosis Research and Epidemiology
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- amfAR, The Foundation for AIDS Research
- Johns Hopkins University
- National Institutes of Health
- Fogarty International Center