Solutions to improve the latent tuberculosis Cascade of Care in Ghana: a longitudinal impact assessment

BMC Infectious Diseases

Table 3 Patient and Provider judged Acceptability of Solutions (based on Post-Solutions questionnaire) and post study adoption

Solutions	Acceptability^a		Post study adoption
Solutions	Patient	Provider	Post study adoption
Program Strengthening
Initial and in-service HCW training^b	Good	Good	Yes
Initial and in-service HCW training^b	Good	Good	Program Funded
Local Solutions
Educational materials	Good	Good	Yes
Educational materials	Good	Good	Program Funded
Phone reminders	Moderate	Moderate	Yes
			Self funded (HCW)
			HCW have continued to make reminder and follow-up phone calls but they are paying for the cost out of their own pockets.
Community Education	Moderate	Not reported	Yes
			Program Funded
			The LTBI clinic health care workers have been able to join with other public health activities funded by the hospital to provide LTBI education at these sessions.
Community leader education/stigma reduction (Durbar)	N/A	N/A	No
Home visits	Good	Good	Yes
			Program Funded
			The hospital provided funding for a vehicle for transport to allow HCW to continue home visits.
Patient transport reimbursement	Moderate	Good	No
CXR reimbursement	Good	Good	No
CXR reimbursement	Good	Good	Funding for CXR reimbursement from the hospital could not be obtained. The clinic is currently recommending patients travel to another hospital where they can obtain CXR for free (patients pay for cost of travel).
WhatsApp for physicians	N/A	Not reported	Yes
			Self funded (Physicians)
			Physicians have continued to use this program but are paying for the data costs on their own.

Health care workers (HCW); Chest x-ray (CXR)
^aSolutions were judged to be acceptable based on the responses in the post-solutions questionnaires. If ≥30% of Patient respondents (either adult HHCs, parents of child HHCs, index patients) listed a solution as helpful then the solution was considered to have “good” patient acceptability (Fig. 3). If between 3 and 30% of Patient respondents listed a solution as helpful, the solution was considered to have “moderate” acceptability. If solution was not directly assessed in the questionnaires, then “not applicable (N/A)” was reported. For HCWs, the same criteria were used, with the exception that if HCWs selected a solution as one of the “most helpful” solutions it was judged to have “good” acceptability (Fig. 4; Appendix 1-Table 3)
^bNo explicit training was provided to HCW regarding patient education, however, the initial and in-service training provided HCW with knowledge to educate patients, and therefore, for the analysis the response “HCW education to patients” was attributed to this solution

ISSN: 1471-2334