A country-wide evaluation of infection control for tuberculosis in health-care facilities in Armenia

Introduction: Infection control at health facilities is an important part of TB control programmes. To assess the implementation of tuberculosis infection control (TB IC) measures and barriers hindering their implementation in TB health care facilities (HCFs) in Armenia; to report the feasibility o...

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Main Authors: Joshua Chadwick Jayaraj, Karapet Davtyan, Hayk Davatyan, Anush Khachatryan, Armen Hayrepetyan, Lilit Khachatryan, Seda Abgaryan, Anthony Reid, Chinmay Laxmeshwar, Veerle Hermans, Maite Guardiola, Timothy Grieve, Rony Zachariah
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2019-05-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/11021
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author Joshua Chadwick Jayaraj
Karapet Davtyan
Hayk Davatyan
Anush Khachatryan
Armen Hayrepetyan
Lilit Khachatryan
Seda Abgaryan
Anthony Reid
Chinmay Laxmeshwar
Veerle Hermans
Maite Guardiola
Timothy Grieve
Rony Zachariah
author_facet Joshua Chadwick Jayaraj
Karapet Davtyan
Hayk Davatyan
Anush Khachatryan
Armen Hayrepetyan
Lilit Khachatryan
Seda Abgaryan
Anthony Reid
Chinmay Laxmeshwar
Veerle Hermans
Maite Guardiola
Timothy Grieve
Rony Zachariah
author_sort Joshua Chadwick Jayaraj
collection DOAJ
description Introduction: Infection control at health facilities is an important part of TB control programmes. To assess the implementation of tuberculosis infection control (TB IC) measures and barriers hindering their implementation in TB health care facilities (HCFs) in Armenia; to report the feasibility of using the WHO recommended checklist. Methodology: A cross-sectional survey using WHO TB-IC checklist and direct observations was conducted between January and May 2018. Results: The survey included all 62 TB institutions in Armenia. TB HCFs in Armenia had implemented some recommended TB IC measures: offering IC training to staff (48%), shortening time to diagnosing TB to less than one day (29%) and ensuring good ventilation (60%). N95 respirators were available in all HCFs. However, barriers that hindered implementation of TB IC measures were: lack of training, a different incentive model for primary care doctors versus TB doctors and lack of space and poor conditions of the building. Conclusion: The use of the standardized WHO checklist in this first evaluation of TB IC measures in Armenia was found to be useful and feasible in identifying areas of weak IC implementation and barriers to achieving good infection control. Other TB programs may benefit from the use of this model of assessment, based on the WHO checklist.
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spelling doaj-art-c07e04f018374e889b5d9a12b8bc4c832025-08-20T03:52:42ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802019-05-011305.110.3855/jidc.11021A country-wide evaluation of infection control for tuberculosis in health-care facilities in ArmeniaJoshua Chadwick Jayaraj0Karapet Davtyan1Hayk Davatyan2Anush Khachatryan3Armen Hayrepetyan4Lilit Khachatryan5Seda Abgaryan6Anthony Reid7Chinmay Laxmeshwar8Veerle Hermans9Maite Guardiola10Timothy Grieve11Rony Zachariah12Tuberculosis Prevention and Research Center NGO, Yerevan, ArmeniaTuberculosis Prevention and Research Center NGO, Yerevan, ArmeniaNational Tuberculosis Control Center, Yerevan, ArmeniaNational Tuberculosis Control Center, Yerevan, ArmeniaNational Tuberculosis Control Center, Yerevan, ArmeniaGlobal Fund Projects Coordinating Team at the Ministry of Health, Yerevan, ArmeniaNational Center for AIDS Prevention, Yerevan, ArmeniaMédecins sans Frontières, Brussels, BelgiumMédecins sans Frontières, Zhytomyr, UkraineOperational Research Unit (LuxOR), Medical Department, Operational Centre Brussels, Médecins Sans Frontières, Luxembourg LuxembourgMédecins sans Frontières, Operational Center Barcelona, Nairobi, KenyaUNICEF, New York, United StatesUNICEF/UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases (TDR), World Health Organization, Geneva, Switzerland Introduction: Infection control at health facilities is an important part of TB control programmes. To assess the implementation of tuberculosis infection control (TB IC) measures and barriers hindering their implementation in TB health care facilities (HCFs) in Armenia; to report the feasibility of using the WHO recommended checklist. Methodology: A cross-sectional survey using WHO TB-IC checklist and direct observations was conducted between January and May 2018. Results: The survey included all 62 TB institutions in Armenia. TB HCFs in Armenia had implemented some recommended TB IC measures: offering IC training to staff (48%), shortening time to diagnosing TB to less than one day (29%) and ensuring good ventilation (60%). N95 respirators were available in all HCFs. However, barriers that hindered implementation of TB IC measures were: lack of training, a different incentive model for primary care doctors versus TB doctors and lack of space and poor conditions of the building. Conclusion: The use of the standardized WHO checklist in this first evaluation of TB IC measures in Armenia was found to be useful and feasible in identifying areas of weak IC implementation and barriers to achieving good infection control. Other TB programs may benefit from the use of this model of assessment, based on the WHO checklist. https://jidc.org/index.php/journal/article/view/11021ImplementationTB Health-care facilitiesBarriersOperational researchSORT IT
spellingShingle Joshua Chadwick Jayaraj
Karapet Davtyan
Hayk Davatyan
Anush Khachatryan
Armen Hayrepetyan
Lilit Khachatryan
Seda Abgaryan
Anthony Reid
Chinmay Laxmeshwar
Veerle Hermans
Maite Guardiola
Timothy Grieve
Rony Zachariah
A country-wide evaluation of infection control for tuberculosis in health-care facilities in Armenia
Journal of Infection in Developing Countries
Implementation
TB Health-care facilities
Barriers
Operational research
SORT IT
title A country-wide evaluation of infection control for tuberculosis in health-care facilities in Armenia
title_full A country-wide evaluation of infection control for tuberculosis in health-care facilities in Armenia
title_fullStr A country-wide evaluation of infection control for tuberculosis in health-care facilities in Armenia
title_full_unstemmed A country-wide evaluation of infection control for tuberculosis in health-care facilities in Armenia
title_short A country-wide evaluation of infection control for tuberculosis in health-care facilities in Armenia
title_sort country wide evaluation of infection control for tuberculosis in health care facilities in armenia
topic Implementation
TB Health-care facilities
Barriers
Operational research
SORT IT
url https://jidc.org/index.php/journal/article/view/11021
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