Table 2 Barriers and facilitators identified in TB patient questionnaires, HHC questionnaires and HCW questionnaires
Step in the cascade of LTBI care | Barriers n (%) | Facilitators n (%) |
|---|---|---|
Barriers and facilitators identified in TB patient questionnaires | ||
HHC identification | Not encouraging HHC to be tested 3 (10%) | Counselling from health professionals on LTBI testing in HHC 30 (97%) |
Disbelief in LTBI 2 (6%) | Concern about HHC falling ill with TB 29 (93%) | |
Correct knowledge of TB transmission 24 (77%) | ||
Completion of initial assessment and medical evaluation of HHC | Too busy, inconvenient location or working times of the clinics 4 (13%) | Knowledge of TB (as a precaution/fear) 13 (42%) |
Disbelief in LTBI 2 (6%) | Advice by a health professional 6 (19%) | |
LTBI treatment initiation | Disbelief in LTBI/ no symptoms/ not a priority 7 (23%) | Advice by a health professional 2 (6%) |
Barriers and facilitators identified in HHC questionnaires | ||
HHC identification | Correct knowledge of TB transmission 18 (82%) | |
Concern about falling ill with TB 18 (82%) | ||
Completion of initial assessment and medical evaluation of HHC | Too busy/not a priority 8 (37%) | Advice by a health professional 12 (55%) |
LTBI treatment initiation | Lack of trust in health professionals 1 (5%) | Concern about falling ill with TB 7 (32%) |
Knowledge of TB (prevention/ protection) 21 (95%) | ||
Barriers and facilitators identified in HCW questionnaires | ||
HHC identification | Correct knowledge of LTBI identification in children < 5 years 9 (50%) | |
Correct knowledge of the importance of LTBI testing 19 (100%) | ||
Completion of initial assessment and medical evaluation of HHC | Not having access to TST, chest x-ray and INH 1 (5.5%) | |
LTBI treatment initiation | Correct knowledge of the benefits of LTBI treatment 18 (95%) | |