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Engaging community pharmacy in tuberculosis case detection (ENHANCE): a study protocol for an implementation study in
Ivan Surya Pradipta1,2, Carla Florencia3,4, Cut Ainul Mardhiyyah3,4,5
1Rational Use of Medicine in Tuberculosis (RUNNERS) Research Group, Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Bandung, Indonesia. ivanpradipta@unpad.ac.id.
Summary
This study implements and evaluates a community pharmacy program to improve tuberculosis (TB) case finding. The program aims to enhance TB detection by engaging pharmacists in screening and referral, addressing a gap in global TB control efforts.
Area of Science:
- Public Health
- Implementation Science
- Pharmaceutical Sciences
Background:
- Globally, a significant number of tuberculosis (TB) cases remain undiagnosed.
- Pharmacies represent a crucial first point of contact for individuals with potential TB.
- Current TB detection practices within pharmacies are underdeveloped, necessitating structured interventions.
Purpose of the Study:
- To implement and evaluate a systematic community pharmacy program for tuberculosis case finding.
- To enhance the capacity of pharmacy personnel in screening, educating, and referring individuals with suspected TB.
- To address the gap in TB detection at the primary point of care through a structured approach.
Main Methods:
- A pilot implementation study in Bandung City, Indonesia, involving 20 pharmacies and 4 community health centers (CHCs).
- Utilizing a mixed-methods approach (quantitative and qualitative) following the Consolidated Framework for Implementation Research.
- Sequential activities include coalition building, program development, socialization, intervention, and evaluation, with descriptive and thematic analyses.
Main Results:
- Development of a conceptual program for TB case finding in community pharmacies.
- Enhanced capacity of pharmacy personnel and availability of practice aids for TB screening and referral.
- Comprehensive analysis of program effectiveness through integrated quantitative and qualitative data.
Conclusions:
- The community pharmacy program demonstrates potential for improving tuberculosis case finding through systematic screening and referral.
- Effective implementation relies on strong partnerships, capacity building, and integrated data analysis.
- This structured approach offers a scalable model to enhance early TB detection within community pharmacy settings.
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