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Barriers and solutions to finding rifampicin-resistant tuberculosis cases in older children and adolescents | Journal Article / Commentary | MSF Science Portal
Journal Article
|Commentary

Barriers and solutions to finding rifampicin-resistant tuberculosis cases in older children and adolescents

Mohr-Holland E, Apolisi I, Reuter A, De Azevedo V, Hill JE, Mathee S, Seddon JA, Isaakidis P, Furin J, Trivino Duran L
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Abstract
Little is known about the barriers to post-exposure management of rifampicin-resistant tuberculosis (RR-TB) in older children and adolescents. We report on implementation lessons from a pilot programme targeting household-exposed individuals aged 6–18 years in Khayelitsha, South Africa. Barriers included misperceptions regarding risk of exposure, multiple research and implementation stakeholders, additional workload for an overburdened healthcare system, logistical issues faced by families, and insufficient human and financial resources. Solutions to these barriers are possible, but creativity and persistence are required. Our experience can guide others looking to roll-out care for children and adolescents exposed to RR-TB.

Countries

South Africa

Subject Area

antibiotic resistancetuberculosisantimicrobial resistanceadolescent health

Languages

English
DOI
10.5588/pha.19.0050
Published Date
21 Dec 2019
PubMed ID
32042611
Journal
Public Health Action
Volume | Issue | Pages
Volume 9, Issue 4, Pages 174-176
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