Table 5.
Perceived benefits and challenges regarding the current individualized (X) DR TB treatment
Indonesia | Kyrgyzstan | Nigeria | ||
---|---|---|---|---|
Acceptability | Perceived benefits regarding the current ITR |
• Proven efficacy according to WHO • Monitoring and management of AEs covered by health insurance • Enablers and nutrition provided with the regimen |
• Reduced side effects of current ITR compared to the one before • Good completion rates • No resistance yet |
• Use in children possible • Funding for drugs through the Global Fund • Monitoring also funded |
Perceived challenges regarding the current ITR |
• Long duration of treatment • High pill burden • High health worker and health facility workload • Side effects common • Injectables |
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• Difficulty in quantification and forecasting due to individual dosing |
• Limited adherence • Difficulties with treatment monitoring • Difficulties in allocating treatment in children |
• Injectables (resulting in AEs and high HR needs) • Hospitalization • High workload on home visits if home-based care setting • Diagnostic treatment gap due to lack of funding for travel for baseline investigations • Limited adherence • Lack of tests for all examinations for AEs • High cost for monitoring • Difficulty in quantification and forecasting due to individual dosing |
AE adverse event, ITR individualized treatment regimen, HR human resources