Challenges with scale-up of GeneXpert MTB/RIF® in Uganda: a health systems perspective.

ABSTRACT:

Background

Many high burden countries are scaling-up GeneXpert® MTB/RIF (Xpert) testing for tuberculosis (TB) using a hub-and-spoke model. However, the effect of scale up on reducing TB has been limited. We sought to characterize variation in implementation of referral-based Xpert TB testing across Uganda, and to identify health system factors that may enhance or prevent high-quality implementation of Xpert testing services.

Methods

We conducted a cross-sectional study triangulating quantitative and qualitative data sources at 23 community health centers linked to one of 15 Xpert testing sites between November 2016 and May 2017 to assess health systems infrastructure for hub-and-spoke Xpert testing. Data sources included a standardized site assessment survey, routine TB noti

SUBMITTER: Nalugwa T 

PROVIDER: S-EPMC7057496 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature