This study is focused on developing and evaluating strategies to foster implementation of guidelines for diagnosis of childhood tuberculosis (Partnerships for Enhanced Engagement in Research (PEER) Health). The three-year, USAID-funded implementation project (PI Achilles Katamba) has an overall objective to develop and evaluate an intervention to facilitate successful adoption of the Desk Guide at primary health centers in Uganda.
The Desk Guide for Diagnosis and Management of TB in Children, developed with USAID funding, is a simple, evidence-based decision aid to improve early and accurate identification of children with TB in resource-constrained settings. However, uptake of the Desk Guide has been limited to date and little is known about how best to facilitate implementation in routine practice settings.
The study employs mixed methods to answer its aims. The initial stage employed qualitative research methods to assess the barriers and enablers to uptake of the "Desk Guide". By employing a systematic, comprehensive theory of behavior change, the COM-B (Capability, Opportunity, and Motivation Determine Behaviour) model to analyze focus group data, we have developed targeted interventions from the initial phase of the study. The next phase will involve introduction of these interventions at seven governmental primary health facilities in Kampala, Uganda. The final phase will evaluate the impact of this intervention on Desk Guide implementation in these facilities.
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