Improving case detection of tuberculosis in hospitalised Kenyan children-employing the behaviour change wheel to aid intervention design and implementation.

ABSTRACT:

Background

The true burden of tuberculosis in children remains unknown, but approximately 65% go undetected each year. Guidelines for tuberculosis clinical decision-making are in place in Kenya, and the National Tuberculosis programme conducts several trainings on them yearly. By 2018, there were 183 GeneXpert® machines in Kenyan public hospitals. Despite these efforts, diagnostic tests are underused and there is observed under detection of tuberculosis in children. We describe the process of designing a contextually appropriate, theory-informed intervention to improve case detection of TB in children and implementation guided by the Behaviour Change Wheel.

Methods

We used an iterative process, going back and forth from quantitative and qualitative empiric data to reviewing

SUBMITTER: Oliwa JN 

PROVIDER: S-EPMC7687703 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature