Implementation strategies for decentralized management of multidrug-resistant tuberculosis: insights from community health systems in Zambia.

ABSTRACT:

Background

Decentralized management approaches for multi-drug-resistant tuberculosis (MDR TB) have shown improved treatment outcomes in patients. However, challenges remain in the delivery of decentralized MDR TB services. Further, implementation strategies for effectively delivering the services in community health systems (CHSs) in low-resource settings have not been fully described, as most strategies are known and effective in high-income settings. Our research aimed to delineate the specific implementation strategies employed in managing MDR TB in Zambia.

Methods

Our qualitative case study involved 112 in-depth interviews with a diverse group of participants, including healthcare workers, community health workers, patients, caregivers, and health managers in nine distri

SUBMITTER: Zulu JM 

PROVIDER: S-EPMC11401366 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature