Resource implications of the latent tuberculosis cascade of care: a time and motion study in five countries.

摘要: The End TB Strategy calls for global scale-up of preventive treatment latent tuberculosis infection (LTBI), but little information is available about the associated human resource requirements. Our study aimed to quantify healthcare worker (HCW) time needed perform tasks with each step along LTBI cascade care household contacts patients. We conducted a and motion (TAM) between January 2018 March 2019, in which consenting HCWs were observed throughout typical workday. precise spent was recorded pre-specified categories work activities cascade. A linear mixed model fit estimate at step. total 173 Benin, Canada, Ghana, Indonesia, Vietnam participated. greatest amount medical evaluation (median: 11 min; IQR: 6–16), while least on reading tuberculin skin test (TST) 4 min; 2–9). variability seen evaluation, TST placement showed variability. required complete all steps cascade, from identification (HHC) through initiation ranged 1.8 h per index patient 5.2 h Ghana. findings suggest that requirements are very modest care, achieve full management will require additional resources many settings.