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

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

SolutionsAcceptabilityaPost study adoption
PatientProvider
Program Strengthening
 Initial and in-service HCW trainingbGoodGoodYes
Program Funded
Local Solutions
 Educational materialsGoodGoodYes
Program Funded
 Phone remindersModerateModerateYes
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 EducationModerateNot reportedYes
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/AN/ANo
 Home visitsGoodGoodYes
Program Funded
The hospital provided funding for a vehicle for transport to allow HCW to continue home visits.
 Patient transport reimbursementModerateGoodNo
 CXR reimbursementGoodGoodNo
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 physiciansN/ANot reportedYes
Self funded (Physicians)
Physicians have continued to use this program but are paying for the data costs on their own.
  1. Health care workers (HCW); Chest x-ray (CXR)
  2. 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)
  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