Engaging with civil society to improve access to LTBI screening for new-entrant migrants in England: a qualitative study
File(s)Berrocal_Almanza et al_26.09.2018.pdf (934.87 KB)
Accepted version
Author(s)
Lalvani, Ajit
Berrocal Almanza, Luis
Type
Journal Article
Abstract
Setting The LTBI programme offers testing and treatment to new entrant migrants from high incidence countries in England. However, the rates of LTBI testing, treatment acceptance and completion are suboptimal and appropriate access must be improved. Objective: To gain insights from the community, community-based organisations (CBOs), and public sector stakeholders on interventions that facilitate collaboration to improve health care outreach and delivery. Design Three stakeholder meetings and five focus group discussions were held using thematic analysis to identify themes arising from the participants’ perspectives. Results Four overarching themes emerged from the discussions. These were capacity, collaboration, culture and trust. These highlighted the complementary skills sets different sectors bring to collaboration, as well as the barriers that need surmounting.Stigma could be reduced by making LTBI testing routine, and community members could act as champions for health promotion raising awareness on LTBI testing, and providing a bridge between communities and primary care services. Conclusion Public service providers, community members and CBOs have a willingness to collaborate to support primary care delivery of testing for LTBI and other communicable and non-communicable diseases. Policy and commissioning support are needed to facilitate such workings.
Date Issued
2019-05-01
Date Acceptance
2018-10-18
Citation
The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2019, 23 (5), pp.563-570
ISSN
1027-3719
Publisher
International Union Against Tuberculosis and Lung Disease
Start Page
563
End Page
570
Journal / Book Title
The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease
Volume
23
Issue
5
Copyright Statement
© 2019 Ingenta.
Subjects
Science & Technology
Life Sciences & Biomedicine
Infectious Diseases
Respiratory System
latent tuberculous infection
tuberculosis
community
migrant
prevention
LATENT TUBERCULOSIS INFECTION
PRIMARY-CARE
UK
IMMIGRANTS
COHORT
Microbiology
1102 Cardiorespiratory Medicine and Haematology
Publication Status
Published