Integrating narrative and bibliometric approaches to examine factors and impacts of tuberculosis treatment non-compliance DOI Creative Commons

Agus Santosa,

Neti Juniarti, Tuti Pahria

et al.

Multidisciplinary Respiratory Medicine, Journal Year: 2025, Volume and Issue: 20(Vol. 20 (2025))

Published: Feb. 28, 2025

Background: Tuberculosis (TB) treatment non-compliance remains a significant global public health issue, undermining disease control efforts and leading to adverse clinical epidemiological outcomes. While considerable research has explored this gaps remain in understanding the multifactorial influences on non-compliance, particularly its key factors impacts, as well interconnections that exacerbate these challenges. This study integrates narrative bibliometric approaches critically synthesize visualize contributing TB impacts. By addressing gaps, aims provide comprehensive framework for challenges proposing evidence-informed strategies address issues. Methods: A systematic search of Scopus, EBSCO (Medline), ScienceDirect, PubMed databases identified empirical studies published up December 2024. Thematic synthesis categorized into overarching themes, while analysis using VOSviewer software visualized their interconnections. Results: The review such poor tuberculosis knowledge, stigma, side effects, economic constraints, interacting with demographic, psychological, systemic barriers. Network visualization highlighted among factors, illustrating how they compound non-compliance. Clinical impacts include MDR/XDR-TB, prolonged treatment, community transmission. Conclusions: arises from complex interplay individual, socio-economic, healthcare-related factors. emphasizes importance integrated develop context-specific improving adherence, reducing burden, guiding future policy.

Language: Английский

A roadmap for integrating nutritional assessment, counselling, and support into the care of people with tuberculosis DOI Creative Commons
Pranay Sinha, Madhavi Bhargava, Madeline Carwile

et al.

The Lancet Global Health, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Undernutrition-the leading risk factor for tuberculosis worldwide-is associated with impaired immunity, more extensive disease, delayed sputum conversion, and worse treatment outcomes, including mortality. In this Health Policy, we propose a comprehensive roadmap integrating nutritional assessment, counselling, support into as part of person-centred care. At initiation, recommend standard assessment anthropometric measurements haemoglobin estimation, in addition to macronutrient micronutrient alongside counselling. Weight should be monitored during lack weight gain at the end intensive phase prompt an investigation causes, such food insecurity, poor adherence, malabsorption, uncontrolled diabetes, or drug resistance. treatment, reassessing measures assess recovery. People who remain underweight receive close follow-up detect early relapse. We call annual reporting metrics by WHO, explicit inclusion care national strategic plans, domestic international programmes people tuberculosis, increased operational research initiatives, integration WHO Multisectoral Accountability Framework regional levels.

Language: Английский

Citations

1
Integrating narrative and bibliometric approaches to examine factors and impacts of tuberculosis treatment non-compliance DOI Creative Commons

Agus Santosa,

Neti Juniarti, Tuti Pahria

et al.

Multidisciplinary Respiratory Medicine, Journal Year: 2025, Volume and Issue: 20(Vol. 20 (2025))

Published: Feb. 28, 2025

Background: Tuberculosis (TB) treatment non-compliance remains a significant global public health issue, undermining disease control efforts and leading to adverse clinical epidemiological outcomes. While considerable research has explored this gaps remain in understanding the multifactorial influences on non-compliance, particularly its key factors impacts, as well interconnections that exacerbate these challenges. This study integrates narrative bibliometric approaches critically synthesize visualize contributing TB impacts. By addressing gaps, aims provide comprehensive framework for challenges proposing evidence-informed strategies address issues. Methods: A systematic search of Scopus, EBSCO (Medline), ScienceDirect, PubMed databases identified empirical studies published up December 2024. Thematic synthesis categorized into overarching themes, while analysis using VOSviewer software visualized their interconnections. Results: The review such poor tuberculosis knowledge, stigma, side effects, economic constraints, interacting with demographic, psychological, systemic barriers. Network visualization highlighted among factors, illustrating how they compound non-compliance. Clinical impacts include MDR/XDR-TB, prolonged treatment, community transmission. Conclusions: arises from complex interplay individual, socio-economic, healthcare-related factors. emphasizes importance integrated develop context-specific improving adherence, reducing burden, guiding future policy.

Language: Английский

Citations

0