How are private medical colleges collaborating with the National TB Control Programme in Nepal, a qualitative study

Abstract

Background: Tuberculosis (TB) is an enduring public health problem in Nepal. This study aimed to uncover the experiences and attitudes of health workers at Private medical colleges (PMCs) towards the National TB Control Programme (NTP). Methods: Strategic and convenience sampling were used to identify health personnel participating in TB care at PMCs affiliated to Kathmandu University. Three focus group interviews were held with 19 participants. Audio recordings of the discussions were transcribed, and thematic analysis was conducted. Results: The PMCs treat many TB patients and regularly refer patients to DOTS clinics for treatment, but the PMCs don’t feel well integrated into the NTP. There are gaps between the NTP programmes/ guidelines and clinical realities, and the PMCs would like to participate in developing national guidelines and the NTP`s monitoring and evaluation initiatives. There is also a lack of communication within and between levels. Clear lines of management and responsibility, and more training of staff at all levels, are wanted. Conclusion: Increased involvement of PMCs in national TB control activities is important to improve TB care. Clearer guidelines from the government about the involvement of PMCs in TB control are also needed, as is better collaboration between the NTP and PMCs.