Enhancing programmatic scale-up: Applying the consolidated framework for implementation research to evaluate decentralized drug-resistant tuberculosis services in Southern Nigeria.

ABSTRACT:

Background

Decentralization of Drug-Resistant Tuberculosis (DR-TB) services using multilevel interventions was piloted in Akwa-Ibom and Oyo States of Nigeria, which had high rates of pre-treatment loss-to-follow-up in 2021. The varying outcomes of the intervention strategies necessitated understanding what worked well and why. This study aimed to identify enablers and barriers shaping the implementation of decentralized DR-TB services in these states and provide actionable strategies for programmatic scale-up.

Methods

Semi-structured key informant interviews were conducted with 40 stakeholders involved in the pilot implementation of decentralized DR-TB services in southern Nigeria. Interviews were audio-recorded, transcribed verbatim, and template analysis done using NVivo s

SUBMITTER: Murphy-Okpala N 

PROVIDER: S-EPMC11844838 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature