Contributing Factors in the Tuberculosis Care Cascade in India: A Systematic Literature Review
Sandul Yasobant,1,2 Priya Bhavsar,1 Pachillu Kalpana,1 Farjana Memon,1 Poonam Trivedi,1 Deepak Saxena1– 3 1Department of Epidemiology, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, 382042, India; 2Center for One Health Education, Research, and Development (COHERD), Indian Insti...
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Dove Medical Press
2021-08-01
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| Series: | Risk Management and Healthcare Policy |
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| Online Access: | https://www.dovepress.com/contributing-factors-in-the-tuberculosis-care-cascade-in-india-a-syste-peer-reviewed-fulltext-article-RMHP |
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| author | Yasobant S Bhavsar P Kalpana P Memon F Trivedi P Saxena D |
| author_facet | Yasobant S Bhavsar P Kalpana P Memon F Trivedi P Saxena D |
| author_sort | Yasobant S |
| collection | DOAJ |
| description | Sandul Yasobant,1,2 Priya Bhavsar,1 Pachillu Kalpana,1 Farjana Memon,1 Poonam Trivedi,1 Deepak Saxena1– 3 1Department of Epidemiology, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, 382042, India; 2Center for One Health Education, Research, and Development (COHERD), Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, 382042, India; 3Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (DMIMS), Wardha, 442004, IndiaCorrespondence: Deepak SaxenaIndian Institute of Public Health Gandhinagar, Opp. Air Force Head Quarters, Nr. Lekawada, Gandhinagar, 382042, Gujarat, IndiaTel +91-9327396717Email ddeepak72@iiphg.orgAbstract: Tuberculosis (TB) care cascade is a recently evolved care model for patient retention across the sequential stages of care for a successful treatment outcome. The care cascade is multi-folded and complex in setting where the health system is reforming for its resilience. India, one of the countries with the highest burden of tuberculosis mortality and morbidity, is not an exception to this complexity. With the diverse challenges in the Indian health system and societal diversity, it is essential to understand the factors contributing to this TB care cascade. Thus, this study aims to map all the contributing factors to the TB care cascade in India. Further, it also captures the different patterns of factors explored so far in different countries’ regions. This systematic literature review was conducted between October 2020 and February 2021 in India using PubMed databases, Web of Science, and Google Scholar. Two reviewers extracted the data from eligible studies to summarize and tabulate important findings. Data were extracted and tabulated for study design, location of the study, type of TB patients, methodological approach, system side challenges, and demand-side challenges in the study’s findings. Out of 692 initial hits from the literature search, 28 studies were finally included to synthesize evidence in this review as per the inclusion and exclusion criteria. This review provides an insight into different factors such as the system-side (health workforce, institutional) and the demand-side (individual, societal) contributing towards the care cascade. The prime factors reflected in most of the studies were socio-economic condition, disease awareness, myths/beliefs, addictions among the demand-side factors and accessibility, the attitude of the healthcare staff, delay in referral for diagnosis among the system-side factors. The accountability for addressing these diverse factors is recommended to close the gaps in the TB care cascade.Keywords: care-seeking, care cascade, factors, tuberculosis, India |
| first_indexed | 2024-12-22T14:58:12Z |
| format | Article |
| id | doaj.art-031e548a9e4346a99fe7a487c3dd9fdb |
| institution | Directory Open Access Journal |
| issn | 1179-1594 |
| language | English |
| last_indexed | 2024-12-22T14:58:12Z |
| publishDate | 2021-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Risk Management and Healthcare Policy |
| spelling | doaj.art-031e548a9e4346a99fe7a487c3dd9fdb2022-12-21T18:22:11ZengDove Medical PressRisk Management and Healthcare Policy1179-15942021-08-01Volume 143275328667704Contributing Factors in the Tuberculosis Care Cascade in India: A Systematic Literature ReviewYasobant SBhavsar PKalpana PMemon FTrivedi PSaxena DSandul Yasobant,1,2 Priya Bhavsar,1 Pachillu Kalpana,1 Farjana Memon,1 Poonam Trivedi,1 Deepak Saxena1– 3 1Department of Epidemiology, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, 382042, India; 2Center for One Health Education, Research, and Development (COHERD), Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, 382042, India; 3Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (DMIMS), Wardha, 442004, IndiaCorrespondence: Deepak SaxenaIndian Institute of Public Health Gandhinagar, Opp. Air Force Head Quarters, Nr. Lekawada, Gandhinagar, 382042, Gujarat, IndiaTel +91-9327396717Email ddeepak72@iiphg.orgAbstract: Tuberculosis (TB) care cascade is a recently evolved care model for patient retention across the sequential stages of care for a successful treatment outcome. The care cascade is multi-folded and complex in setting where the health system is reforming for its resilience. India, one of the countries with the highest burden of tuberculosis mortality and morbidity, is not an exception to this complexity. With the diverse challenges in the Indian health system and societal diversity, it is essential to understand the factors contributing to this TB care cascade. Thus, this study aims to map all the contributing factors to the TB care cascade in India. Further, it also captures the different patterns of factors explored so far in different countries’ regions. This systematic literature review was conducted between October 2020 and February 2021 in India using PubMed databases, Web of Science, and Google Scholar. Two reviewers extracted the data from eligible studies to summarize and tabulate important findings. Data were extracted and tabulated for study design, location of the study, type of TB patients, methodological approach, system side challenges, and demand-side challenges in the study’s findings. Out of 692 initial hits from the literature search, 28 studies were finally included to synthesize evidence in this review as per the inclusion and exclusion criteria. This review provides an insight into different factors such as the system-side (health workforce, institutional) and the demand-side (individual, societal) contributing towards the care cascade. The prime factors reflected in most of the studies were socio-economic condition, disease awareness, myths/beliefs, addictions among the demand-side factors and accessibility, the attitude of the healthcare staff, delay in referral for diagnosis among the system-side factors. The accountability for addressing these diverse factors is recommended to close the gaps in the TB care cascade.Keywords: care-seeking, care cascade, factors, tuberculosis, Indiahttps://www.dovepress.com/contributing-factors-in-the-tuberculosis-care-cascade-in-india-a-syste-peer-reviewed-fulltext-article-RMHPcare-seekingcare cascadefactorstuberculosisindia |
| spellingShingle | Yasobant S Bhavsar P Kalpana P Memon F Trivedi P Saxena D Contributing Factors in the Tuberculosis Care Cascade in India: A Systematic Literature Review Risk Management and Healthcare Policy care-seeking care cascade factors tuberculosis india |
| title | Contributing Factors in the Tuberculosis Care Cascade in India: A Systematic Literature Review |
| title_full | Contributing Factors in the Tuberculosis Care Cascade in India: A Systematic Literature Review |
| title_fullStr | Contributing Factors in the Tuberculosis Care Cascade in India: A Systematic Literature Review |
| title_full_unstemmed | Contributing Factors in the Tuberculosis Care Cascade in India: A Systematic Literature Review |
| title_short | Contributing Factors in the Tuberculosis Care Cascade in India: A Systematic Literature Review |
| title_sort | contributing factors in the tuberculosis care cascade in india a systematic literature review |
| topic | care-seeking care cascade factors tuberculosis india |
| url | https://www.dovepress.com/contributing-factors-in-the-tuberculosis-care-cascade-in-india-a-syste-peer-reviewed-fulltext-article-RMHP |
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