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Implementation of digital chest radiography for childhood tuberculosis diagnosis at district hospital level in six high tuberculosis burden and resources limited countries.

dc.rights.licenseopenen_US
dc.contributor.authorMELINGUI, Bernard Fortune
hal.structure.identifierBordeaux population health [BPH]
hal.structure.identifierGlobal Health in the Global South [GHiGS]
dc.contributor.authorBASANT, Joshi
dc.contributor.authorTAGUEBUE, Jean Voisin
dc.contributor.authorMASSOM, Douglas Mbang
dc.contributor.authorLEROY TERQUEM, Etienne
dc.contributor.authorNORVAL, Pierre Yves
dc.contributor.authorSALOMAO, Angelica
dc.contributor.authorDIM, Bunnet
dc.contributor.authorTEK, Chhen Eap
dc.contributor.authorBORAND, Laurence
dc.contributor.authorKHOSA, Celso
dc.contributor.authorMOH, Raoul
dc.contributor.authorMWANGA-AMUMPERE, Juliet
dc.contributor.authorEANG, Mao Tan
dc.contributor.authorMANHIÇA, Ivan
dc.contributor.authorMUSTAPHA, Ayeshatu
dc.contributor.authorBALESTRE, Eric
dc.contributor.authorBENETEAU, Samuel
dc.contributor.authorWOBUDEYA, Eric
hal.structure.identifierBordeaux population health [BPH]
hal.structure.identifierGlobal Health in the Global South [GHiGS]
dc.contributor.authorMARCY, Olivier
hal.structure.identifierBordeaux population health [BPH]
hal.structure.identifierGlobal Health in the Global South [GHiGS]
dc.contributor.authorORNE GLIEMANN, Joanna
dc.contributor.authorBONNET, Maryline
dc.date.accessioned2024-11-20T15:14:58Z
dc.date.available2024-11-20T15:14:58Z
dc.date.issued2024-11-01
dc.identifier.issn1365-3156en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/203376
dc.description.abstractEnChest x-ray (CXR) plays an important role in childhood tuberculosis (TB) diagnosis, but access to quality CXR remains a major challenge in resource-limited settings. Digital CXR (d-CXR) can solve some image quality issues and facilitate their transfer for quality control. We assess the implementation of introducing d-CXR in 12 district hospitals (DHs) in 2021-2022 across Cambodia, Cameroon, Ivory Coast, Mozambique, Sierra Leone and Uganda as part of the TB-speed decentralisation study on childhood TB diagnosis. For digitisation of CXR, digital radiography (DR) plates were setup on existing analogue radiography devices. d-CXR were transferred to an international server at Bordeaux University and downloaded by sites' clinicians for interpretation. We assessed the uptake and performance of CXR services and health care workers' (HCW) perceptions of d-CXR implementation. We used a convergent mixed method approach utilising process data, individual interviews with 113 HCWs involved in performing or interpreting d-CXRs and site support supervision reports. Of 3104 children with presumptive TB, 1642 (52.9%) had at least one d-CXR, including 1505, 136 and 1 children with one, two and three d-CXRs, respectively, resulting in a total of 1780 d-CXR. Of them, 1773 (99.6%) were of good quality and 1772/1773 (99.9%) were interpreted by sites' clinicians. One hundred and sixty-four children had no d-CXR performed despite attending the radiography department: 126, 37 and 1 with one, two and three attempts, respectively. d-CXRs were not performed in 21.6% (44/203) due to connectivity problem between the DR plate captor and the computer. HCW reported good perceptions of d-CXR and of the DR plates provided. The main challenge was the upload to and download from the server of d-CXRs due to limited internet access. d-CXR using DR plates was feasible at DH level and provided good quality images but required overcoming operational challenges.
dc.language.isoENen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subject.enHumans
dc.subject.enRadiography
dc.subject.enThoracic
dc.subject.enChild
dc.subject.enHospitals
dc.subject.enDistrict
dc.subject.enChild
dc.subject.enPreschool
dc.subject.enTuberculosis
dc.subject.enPulmonary
dc.subject.enFemale
dc.subject.enInfant
dc.subject.enMale
dc.subject.enDeveloping Countries
dc.subject.enTuberculosis
dc.subject.enAfrica
dc.title.enImplementation of digital chest radiography for childhood tuberculosis diagnosis at district hospital level in six high tuberculosis burden and resources limited countries.
dc.title.alternativeTrop Med Int Healthen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1111/tmi.14053en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed39488906en_US
bordeaux.journalTropical Medicine and International Healthen_US
bordeaux.page979-989en_US
bordeaux.volume29en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue11en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamGHIGS_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDInstitut de Recherche pour le Développementen_US
bordeaux.import.sourcepubmed
hal.identifierhal-04794030
hal.version1
hal.date.transferred2024-11-20T15:15:03Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
workflow.import.sourcepubmed
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Tropical%20Medicine%20and%20International%20Health&rft.date=2024-11-01&rft.volume=29&rft.issue=11&rft.spage=979-989&rft.epage=979-989&rft.eissn=1365-3156&rft.issn=1365-3156&rft.au=MELINGUI,%20Bernard%20Fortune&BASANT,%20Joshi&TAGUEBUE,%20Jean%20Voisin&MASSOM,%20Douglas%20Mbang&LEROY%20TERQUEM,%20Etienne&rft.genre=article


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