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. 2023 Aug 30;4:107. doi: 10.1186/s43058-023-00490-8

Table 3.

Facilitators to implementing TB preventive therapy into a comprehensive TB program in a rural setting by CFIR domain and construct

Facilitators Construct
Intervention characteristics
 Start with people who are easy to access and who should already be getting TPT—including people who are living with HIV and pregnant women Design quality and packaging
 De-centralized medication collection points such as the Central Chronic Medicines Dispensing and Distribution (CCMDD) models Design quality and packing/networks
 Utilizing existing medication pre-packaging programs to decrease congestion at hospitals and clinics Design quality
Inner setting
 Clinics are enthusiastic to engage and follow guidelines Readiness for implementation
 Dedicated nursing staff exist to focus on TB at the hospital Readiness for implementation
 WhatsApp groups and other communication channels among clinical teams already exist to communicate about stock supply, scheduling, patient linkage, etc Implementation readiness/networks and communications
 Access to communities and households via existing ward-based outreach teams and CHWs Implementation readiness, available resources
 Existing triage processes within clinics where individuals are supposed to be screened for TB and asked about contacts Readiness for implementation
 Existing journal clubs at hospital to discuss guidelines, implementation, and evidence Access to knowledge
 Existing partnerships between the clinics and hospital; including medical officers visiting clinics regularly for complex patients Networks and communication
Process
 Household champions are easy to identify in the community (i.e., grandmothers) Champions
 The ability of identified community members, including chiefs to organize and inform the masses Champions