Developing and testing community-based tuberculosis (TB) screening intervention to increase TB referral, case detection and knowledge among sexual minority people in urban Bangladesh: a mixed-method study protocol
Introduction Although Bangladesh is a country of generalised tuberculosis (TB) epidemic, the HIV prevalence is low among general populations, and 3.9% among key populations. Despite the high possibility of HIV–TB coinfection, scientifically tested approaches for increasing TB case detection among se...
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BMJ Publishing Group
2020-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/9/e037371.full |
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| author | Mahbubur Rahman Golam Sarwar Masud Reza Mohammad Niaz Morshed Khan Gorkey Gourab A K M Masud Rana Shaan Muberra Khan Samira Dishti Irfan Shahriar Ahmed Rupali Sisir Banu Sayera Banu Sharful Islam Khan |
| author_facet | Mahbubur Rahman Golam Sarwar Masud Reza Mohammad Niaz Morshed Khan Gorkey Gourab A K M Masud Rana Shaan Muberra Khan Samira Dishti Irfan Shahriar Ahmed Rupali Sisir Banu Sayera Banu Sharful Islam Khan |
| author_sort | Mahbubur Rahman |
| collection | DOAJ |
| description | Introduction Although Bangladesh is a country of generalised tuberculosis (TB) epidemic, the HIV prevalence is low among general populations, and 3.9% among key populations. Despite the high possibility of HIV–TB coinfection, scientifically tested approaches for increasing TB case detection among sexual minority people are yet to be developed and implemented in Bangladesh. Such approaches could foster service delivery linkages between communities and the government health system. Findings of this experimental research are likely to provide new insights for programme managers and policy planners for adopting a similar approach in order to enhance TB referral, thus ultimately increasing TB case detections and reducing the likelihood of TB-related mortalities and morbidities, irrespective of HIV status.Methods and analysis This operational research will follow a quasi-experimental design, applying both qualitative and quantitative methods, in two drop-in centres in three phases. Phase 1 will encompass baseline data collection and development of a community-based TB screening approach. In phase 2, the newly developed intervention will be implemented, followed by end-line data collection in phase 3. Qualitative data collection will be continued throughout the first and second phases. The baseline and end-line data will be compared both in the intervention and comparison areas to measure the impact of the intervention.Ethics and dissemination Ethical approval was obtained from the Institutional Review Board of International Centre for Diarrhoeal Disease Research, Bangladesh. The findings will be disseminated through diverse scientific forums including peer-reviewed journals, presentation at conferences and among the policy-makers for policy implication. The study started in January 2019 and will continue until June 2020. |
| format | Article |
| id | doaj-art-955d59f80f1c4fbab777e2c5d7e8696b |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-955d59f80f1c4fbab777e2c5d7e8696b2025-01-08T20:50:12ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2020-037371Developing and testing community-based tuberculosis (TB) screening intervention to increase TB referral, case detection and knowledge among sexual minority people in urban Bangladesh: a mixed-method study protocolMahbubur Rahman0Golam Sarwar1Masud Reza2Mohammad Niaz Morshed Khan3Gorkey Gourab4A K M Masud Rana5Shaan Muberra Khan6Samira Dishti Irfan7Shahriar Ahmed8Rupali Sisir Banu9Sayera Banu10Sharful Islam Khan11Infectious Diseases Division, International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, BangladeshDisease Control and Elimination, Medical Research Council Unit The Gambia at the London School of Hygiene and Tropical Medicine, Banjul, GambiaHealth System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, BangladeshHealth System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, BangladeshInfectious Diseases Division, International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, BangladeshInfectious Diseases Division, International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, BangladeshInfectious Diseases Division, International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, BangladeshHealth System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, BangladeshInfectious Diseases Division, International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, BangladeshNational Tuberculosis Control Program, Directorate General of Health Services, Govt. Of the People’s Republic of Bangladesh, Dhaka, BangladeshInfectious Disease Division, International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, Dhaka District, BangladeshHealth System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, BangladeshIntroduction Although Bangladesh is a country of generalised tuberculosis (TB) epidemic, the HIV prevalence is low among general populations, and 3.9% among key populations. Despite the high possibility of HIV–TB coinfection, scientifically tested approaches for increasing TB case detection among sexual minority people are yet to be developed and implemented in Bangladesh. Such approaches could foster service delivery linkages between communities and the government health system. Findings of this experimental research are likely to provide new insights for programme managers and policy planners for adopting a similar approach in order to enhance TB referral, thus ultimately increasing TB case detections and reducing the likelihood of TB-related mortalities and morbidities, irrespective of HIV status.Methods and analysis This operational research will follow a quasi-experimental design, applying both qualitative and quantitative methods, in two drop-in centres in three phases. Phase 1 will encompass baseline data collection and development of a community-based TB screening approach. In phase 2, the newly developed intervention will be implemented, followed by end-line data collection in phase 3. Qualitative data collection will be continued throughout the first and second phases. The baseline and end-line data will be compared both in the intervention and comparison areas to measure the impact of the intervention.Ethics and dissemination Ethical approval was obtained from the Institutional Review Board of International Centre for Diarrhoeal Disease Research, Bangladesh. The findings will be disseminated through diverse scientific forums including peer-reviewed journals, presentation at conferences and among the policy-makers for policy implication. The study started in January 2019 and will continue until June 2020.https://bmjopen.bmj.com/content/10/9/e037371.full |
| spellingShingle | Mahbubur Rahman Golam Sarwar Masud Reza Mohammad Niaz Morshed Khan Gorkey Gourab A K M Masud Rana Shaan Muberra Khan Samira Dishti Irfan Shahriar Ahmed Rupali Sisir Banu Sayera Banu Sharful Islam Khan Developing and testing community-based tuberculosis (TB) screening intervention to increase TB referral, case detection and knowledge among sexual minority people in urban Bangladesh: a mixed-method study protocol BMJ Open |
| title | Developing and testing community-based tuberculosis (TB) screening intervention to increase TB referral, case detection and knowledge among sexual minority people in urban Bangladesh: a mixed-method study protocol |
| title_full | Developing and testing community-based tuberculosis (TB) screening intervention to increase TB referral, case detection and knowledge among sexual minority people in urban Bangladesh: a mixed-method study protocol |
| title_fullStr | Developing and testing community-based tuberculosis (TB) screening intervention to increase TB referral, case detection and knowledge among sexual minority people in urban Bangladesh: a mixed-method study protocol |
| title_full_unstemmed | Developing and testing community-based tuberculosis (TB) screening intervention to increase TB referral, case detection and knowledge among sexual minority people in urban Bangladesh: a mixed-method study protocol |
| title_short | Developing and testing community-based tuberculosis (TB) screening intervention to increase TB referral, case detection and knowledge among sexual minority people in urban Bangladesh: a mixed-method study protocol |
| title_sort | developing and testing community based tuberculosis tb screening intervention to increase tb referral case detection and knowledge among sexual minority people in urban bangladesh a mixed method study protocol |
| url | https://bmjopen.bmj.com/content/10/9/e037371.full |
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