Process evaluation of an implementation strategy to support uptake of a tuberculosis treatment adherence intervention to improve TB care and outcomes in Malawi.

ABSTRACT:

Objective

To assess implementation and to identify barriers and facilitators to implementation, sustainability and scalability of an implementation strategy to provide lay health workers (LHWs) with the knowledge, skills and tools needed to implement an intervention to support patient tuberculosis (TB) treatment adherence.

Design

Mixed-methods design including a cluster randomised controlled trial and process evaluation informed by the RE-AIM framework.

Setting

Forty-five health centres (HCs) in four districts in the south east zone of Malawi, who had an opportunity to receive cascade training.

Participants

Forty-five peer-trainers (PTs), 23 patients and 20 LHWs.

Intervention

Implementation strategy employing peer-led educational outreach, a clinical sup

SUBMITTER: Puchalski Ritchie LM 

PROVIDER: S-EPMC8256754 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature