Please use this identifier to cite or link to this item: https://doi.org/10.1371/journal.pone.0210919
DC FieldValue
dc.titleAcceptability of active case finding with a seed-and-recruit model to improve tuberculosis case detection and linkage to treatment in Cambodia: A qualitative study
dc.contributor.authorTuot, S.
dc.contributor.authorTeo, A.K.J.
dc.contributor.authorCazabon, D.
dc.contributor.authorSok, S.
dc.contributor.authorUng, M.
dc.contributor.authorLy, S.
dc.contributor.authorChoub, S.C.
dc.contributor.authorYi, S.
dc.date.accessioned2021-12-29T04:34:39Z
dc.date.available2021-12-29T04:34:39Z
dc.date.issued2019
dc.identifier.citationTuot, S., Teo, A.K.J., Cazabon, D., Sok, S., Ung, M., Ly, S., Choub, S.C., Yi, S. (2019). Acceptability of active case finding with a seed-and-recruit model to improve tuberculosis case detection and linkage to treatment in Cambodia: A qualitative study. PLoS ONE 14 (7) : e0210919. ScholarBank@NUS Repository. https://doi.org/10.1371/journal.pone.0210919
dc.identifier.issn19326203
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/212293
dc.description.abstractBackground With support of the national tuberculosis (TB) program, KHANA (a local non-governmental organization in Cambodia) has implemented an innovative approach using a seed-and-recruit model to actively find TB cases in the community. The model engaged community members including TB survivors as seed and newly diagnosed people with TB as recruiters to recruit presumptive TB cases in their social network in a snowball approach for screening and linkage to treatment. This study aimed to explore the acceptability of the active case finding with the seed-and-recruit model in detecting new TB cases and determine the characteristics of successful seeds. Methods This qualitative study was conducted in four provinces (Banteay Meanchey, Kampong Chhnang, Siem Reap, and Takeo) in Cambodia in 2017. Fifty-six in-depth interviews and ten focus group discussions (with a total of 64 participants) were conducted with selected beneficiaries and key stakeholders at different levels to gain insights into the acceptability, strengths, and challenges in implementing the model and the characteristics of successful seeds. Transcripts were coded and content analyses were performed. Results The seed-and-recruit active case finding model was generally well-received by the study participants. They saw the benefits of engaging TB survivors and utilizing their social network to find new TB cases in the community. The social embeddedness of the model within the local community was one of the major strengths. The success of the model also hinges on the integration with existing health facilities. Having an extensive social network, being motivated, and having good knowledge about TB were important characteristics of successful seeds. Study participants reported challenges in motivating the presumptive TB cases for screening, logistic capacities, and high workload during the implementation. However, there was a general consensus that the model ought to be expanded. Conclusions These findings indicate that the seed-and-recruit model is well-accepted by the beneficiaries and key stakeholders. Further studies are needed to more comprehensively evaluate the impacts and cost-effectiveness of the model for future expansion in Cambodia as well as in other resource-limited settings. © 2019 Tuot et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
dc.publisherPublic Library of Science
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceScopus OA2019
dc.typeArticle
dc.contributor.departmentSAW SWEE HOCK SCHOOL OF PUBLIC HEALTH
dc.description.doi10.1371/journal.pone.0210919
dc.description.sourcetitlePLoS ONE
dc.description.volume14
dc.description.issue7
dc.description.pagee0210919
Appears in Collections:Staff Publications
Elements

Show simple item record
Files in This Item:
File Description SizeFormatAccess SettingsVersion 
10_1371_journal_pone_0210919.pdf677.4 kBAdobe PDF

OPEN

NoneView/Download

SCOPUSTM   
Citations

4
checked on Nov 24, 2022

Page view(s)

72
checked on Dec 1, 2022

Google ScholarTM

Check

Altmetric


This item is licensed under a Creative Commons License Creative Commons