Obstacles of ending TB: What does health system think?
Background: Despite the importance of Tuberculosis (TB) control program and elimination of disease as its target, only a few studies have been carried out to evaluate tuberculosis control in Iran. In the present study, we intended to ask the opinions from experts and managers of Iran University of M...
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| Format: | Article |
| Language: | English |
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Shahid Beheshti University of Medical Sciences
2018-01-01
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| Series: | Social Determinants of Health |
| Subjects: | |
| Online Access: | https://journals.sbmu.ac.ir/sdh/article/view/20927 |
| _version_ | 1818871277983629312 |
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| author | Soodabeh Hoveidamanesh Behnaz Soleimani Tapehsari Zahra Rampisheh Massomeh Goshtaei Peyman Parchami Salimeh Goharinezhad |
| author_facet | Soodabeh Hoveidamanesh Behnaz Soleimani Tapehsari Zahra Rampisheh Massomeh Goshtaei Peyman Parchami Salimeh Goharinezhad |
| author_sort | Soodabeh Hoveidamanesh |
| collection | DOAJ |
| description | Background: Despite the importance of Tuberculosis (TB) control program and elimination of disease as its target, only a few studies have been carried out to evaluate tuberculosis control in Iran. In the present study, we intended to ask the opinions from experts and managers of Iran University of Medical Sciences about the TB control program in Iran.
Methods: A Qualitative study was carried out to determine experts’ and managers’ opinions about the national TB control program. Experts and stakeholders were listed for focus group discussions (FGD) and interviews using purposive sampling method. We interviewed all levels of staff involved in the tuberculosis control program (managers, physicians, and administrative and executive staffs). Three FGD sessions were held with 28 participants. The participants were excluded if they had less than six months of experience in TB program. FGD and interviews were manually coded and the themes and sub-themes were extracted. After analyzing the results, the final report was drafted.
Results: The results were classified into four themes and 15 subthemes (6 in input, 3 in process, 2 in outputs, and 4 in outcome). There were positive points and problems in each part. To achieve the goal of End TB, we will need to review the process, incorporate with other sectors, apply new diagnostic methods, and participate with other stakeholders (internal and external).
Conclusion: Because of the effects of socio-economic factors on tuberculosis, considering the current implementation of the program; it is not possible to eliminate tuberculosis. |
| first_indexed | 2024-12-19T12:20:22Z |
| format | Article |
| id | doaj.art-0d60005e37c84c2c8c8646b37376a433 |
| institution | Directory Open Access Journal |
| issn | 2423-7337 |
| language | English |
| last_indexed | 2024-12-19T12:20:22Z |
| publishDate | 2018-01-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Social Determinants of Health |
| spelling | doaj.art-0d60005e37c84c2c8c8646b37376a4332022-12-21T20:21:47ZengShahid Beheshti University of Medical SciencesSocial Determinants of Health2423-73372018-01-014110.22037/sdh.v4i1.2092710714Obstacles of ending TB: What does health system think?Soodabeh Hoveidamanesh0Behnaz Soleimani Tapehsari1Zahra Rampisheh2Massomeh Goshtaei3Peyman Parchami4Salimeh Goharinezhad5MD, MPH. Preventive Medicine and Public Health Research Center, Iran University of Medical Science (IUMS),Tehran, Iran and Educational Development center, Iran University of Medical Sciences (IUMS), Tehran, IranMD. Department of Community Medicine, School of Medicine, Iran University of Medical Science (IUMS),Tehran, Iran and Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences (IUMS), Tehran, IranMD. Assistant Professor. Department of Community Medicine, School of Medicine, Iran University of Medical Science (IUMS),Tehran, Iran and Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences (IUMS), Tehran, IranPHD. Iran university of medical sciences, Tehran, IranMD, MPH. Iran university of medical sciences, Tehran, IranPHD. Assistant Professor. Educational Development center, Iran university of medical sciences, Tehran, IranBackground: Despite the importance of Tuberculosis (TB) control program and elimination of disease as its target, only a few studies have been carried out to evaluate tuberculosis control in Iran. In the present study, we intended to ask the opinions from experts and managers of Iran University of Medical Sciences about the TB control program in Iran. Methods: A Qualitative study was carried out to determine experts’ and managers’ opinions about the national TB control program. Experts and stakeholders were listed for focus group discussions (FGD) and interviews using purposive sampling method. We interviewed all levels of staff involved in the tuberculosis control program (managers, physicians, and administrative and executive staffs). Three FGD sessions were held with 28 participants. The participants were excluded if they had less than six months of experience in TB program. FGD and interviews were manually coded and the themes and sub-themes were extracted. After analyzing the results, the final report was drafted. Results: The results were classified into four themes and 15 subthemes (6 in input, 3 in process, 2 in outputs, and 4 in outcome). There were positive points and problems in each part. To achieve the goal of End TB, we will need to review the process, incorporate with other sectors, apply new diagnostic methods, and participate with other stakeholders (internal and external). Conclusion: Because of the effects of socio-economic factors on tuberculosis, considering the current implementation of the program; it is not possible to eliminate tuberculosis.https://journals.sbmu.ac.ir/sdh/article/view/20927IranQualitative ResearchTuberculosis |
| spellingShingle | Soodabeh Hoveidamanesh Behnaz Soleimani Tapehsari Zahra Rampisheh Massomeh Goshtaei Peyman Parchami Salimeh Goharinezhad Obstacles of ending TB: What does health system think? Social Determinants of Health Iran Qualitative Research Tuberculosis |
| title | Obstacles of ending TB: What does health system think? |
| title_full | Obstacles of ending TB: What does health system think? |
| title_fullStr | Obstacles of ending TB: What does health system think? |
| title_full_unstemmed | Obstacles of ending TB: What does health system think? |
| title_short | Obstacles of ending TB: What does health system think? |
| title_sort | obstacles of ending tb what does health system think |
| topic | Iran Qualitative Research Tuberculosis |
| url | https://journals.sbmu.ac.ir/sdh/article/view/20927 |
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