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Implementing a New Technology in Diagnostic Services for Tuberculosis in Nigeria

Received: 3 December 2020    Accepted: 10 December 2020    Published: 25 December 2020
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Abstract

This article analyses the experience of the Federal Ministry of Health (FMOH), Nigeria in its partnership arrangement with some international organisations to introduce a new technology to its diagnostic services for tuberculosis (TB) by adopting the use of GeneXpert test in line with the recommendation of World Health Organisation (WHO). It was a major health service reform targeted at achieving the third sustainable development goal. Therefore, the objective of this article was to review the literature on management issues and problems of change surrounding the implementation of GeneXpert as a new technology in the diagnostic services for TB in Nigeria, and provide learning opportunities for health service administrators in resource-limited settings that might be considering such arrangement. A literature survey of articles published between 2008 and 2018 was conducted; using Google Scholar, ScienceDirect and Scopus; to identify and review articles that analyse the change management process in the introduction of GeneXpert test for TB diagnosis in Nigeria. Consequently, a total of 10 articles were critically analysed. The review showed a paucity of articles that examined how change process in the introduction of GeneXpert test for TB diagnosis was managed in Nigeria. The literature survey identified several challenges in the change process such as human resource and capacity building especially because the use of GeneXpert requires a certain level of computer literacy. In conclusion, this review highlighted the fact that the reform might be sustainable because of the adoption of decentralised service system in the implementation process.

Published in Central African Journal of Public Health (Volume 6, Issue 6)
DOI 10.11648/j.cajph.20200606.17
Page(s) 358-364
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Change Management, Health Service Reform, Public Private Partnership, SDG 3, Tuberculosis, GeneXpert, Decentralised Service System

References
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[6] Vassall, Anna and Mustapha, Gidado (2015) “Post 2015 development agenda; Nigeria perspectives: tuberculosis”, Copenhagen Consensus Center, 15 May, accessed at http://www.copenhagenconsensus.com/sites/default/files/nigeria_tb_resource_packet_0.pdf, 5 January 2018.
[7] Akanbi, Maxwell; Achenbach, Chad; Taiwo, Babafemi; Idoko, John; Ani, Agatha; Isa, Yetunde; Agbaji, Oche; Ukoli, Christiana; Akande, Patrick; Maiga, Mamoudou and Murphy, Robert (2017) “Evaluation of gene xpert for routine diagnosis of HIV-associated tuberculosis in Nigeria: A prospective cohort study”, BMC Pulmonary Medicine; 17: 87-97.
[8] FMOH (2010) “National Tuberculosis and Leprosy Control Programme (NTBLCP)”, Workers’ Manual Revised 5th Edition, Federal Ministry of Health Nigeria.
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[10] Shaoul, Jean; Stafford, Anne and Stapleton, Pamela (2012) “Accountability and corporate governance of public private partnerships”, Critical Perspectives on Accounting; 23: 213– 229.
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[12] Poole, Brian; Akanbi, Maxwell and Achenbach, Chad (2015) “GeneXpert Implementation for diagnosing TB in HIV patients in Jos, Nigeria”, Global Health, 22 September, accessed at http://globalhealth.northwestern.edu/docs/GeneXpertPoster.pdf, 26 December 2017.
[13] Fowkes, Freya; Draper, Bridget; Hellard, Margaret and Stoové, Mark (2016) “Achieving development goals for HIV, tuberculosis and malaria in sub-Saharan Africa through integrated antenatal care: barriers and challenges”, BMC Medicine; 14 (1): 202-211.
[14] Armenakis, Achilles; Harris, Stanley; and Mossholder, Kevin (1993) “Creating Readiness for Organizational Change”, Human Relations, 46 (6): 681-703.
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[16] de Cuevas, Rachel; Lawson, Lovett; Al-Sonboli, Najla; Al-Aghbari, Nasher; Arbide, Isabel; Sherchand, Jeevan; Nnamdi, Emenyonu; Aseffa, Abraham; Yassin, Mohammed; Abdurrahman, Saddiq; Obasanya, Joshua; Olanrewaju, Oladimeji; Datiko, Daniel; Theobald, Sally; Ramsay, Andrew; Squire, Bertel; and Cuevas, Luis (2016) “Patients direct costs to undergo TB diagnosis”, Infectious Diseases of Poverty; 5: 24-32.
[17] John, Peter (2003) “Is There Life After Policy Streams, Advocacy Coalitions, and Punctuations: Using Evolutionary Theory to Explain Policy Change?” The Policy Studies Journal, 31 (4): 481-498.
[18] Ridde, Valery (2009) “Policy Implementation in an African State: An Extension of Kingdon's Multiple-Streams Approach”, Public Administration; 87 (4): 938–954.
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[20] Wilson D and Game C, 2011, Local government in the United Kingdom, 5thedn, Basingstoke: Palgrave Macmillan.
[21] Boehme, Catharina; Nicol, Mark; Nabeta, Pamela; Michael, Joy; Gotuzzo, Eduardo; Tahirli, Rasim; Gler, Tarcela; Blakemore, Robert; Worodria, William; Gray, Christen; Huang, Laurence; Caceres, Tatiana; Mehdiyev, Rafail; Raymond, Lawrence; Whitelaw, Andrew; Sagadevan, Kalaiselvan; Alexander, Heather; Albert, Heidi; Cobelens, Frank; Cox, Helen; Alland, David and Perkins, Mark (2011) “Feasibility, diagnostic accuracy, and effectiveness of decentralised use of the Xpert MTB/RIF test for diagnosis of tuberculosis and multidrug resistance: a multicentre implementation study” The Lancet, 377 (9776): 1495–1505.
[22] Sachdeva, K. (2013) “Experience with implementation of Xpert MTB/RIF in India”, Government of India, 16 April, accessed at http://www.stoptb.org/wg/gli/assets/html/GLI5/Experience%20with%20implementation%20of%20Xpert%20MTBRIF%20in%20India_16April12013.pdf, 28 December 2017.
[23] Nickols, Fred (2016) “Four Strategies for Managing Change” Distance Consulting, accessed at http://www.nickols.us/four_strategies.pdf, 30 December 2017.
[24] van Kampen, Sanne; van Cleeff, Maarten; van Gorkom, Jeroen and Rehr, Manuela (2013) “TB CARE I Core project: Intensified implementation of GeneXpert MTB/RIF in 3 Countries”, TB CARE, July, accessed at http://www.tbcare1.org/publications/toolbox/tools/lab/TB_CARE_I_GeneXpert_Core_Project_Final_Report.pdf, 29 December 2017.
[25] Rehr, Manuela (2013) “Roll-out of Xpert MTB/RIF” STOP TB: 5th GLI Meeting, 16 April, accessed at http://www.stoptb.org/wg/gli/assets/html/GLI5/Rehr_Xpert_TB%20CARE%20I_final_no%20animations_w%20annex.pdf, 29 December 2017.
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[27] WHO (2013) Monitoring of Xpert MTB/RIF roll-out in Nigeria: Country/partner reported procurement and plans, STOP TB, 2 July, accessed at http://www.stoptb.org/wg/gli/assets/documents/map/2/Pdf_files/NGA.pdf, 29 December, 2017.
[28] Walker, Damian (2001) “Economic analysis of tuberculosis diagnostic tests in disease control: how can it be modelled and what additional information is needed?”, INT J TUBERC LUNG DIS, 5 (12): 1099–1108.
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Cite This Article
  • APA Style

    Amos Oluwasayo Akinremi. (2020). Implementing a New Technology in Diagnostic Services for Tuberculosis in Nigeria. Central African Journal of Public Health, 6(6), 358-364. https://doi.org/10.11648/j.cajph.20200606.17

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    ACS Style

    Amos Oluwasayo Akinremi. Implementing a New Technology in Diagnostic Services for Tuberculosis in Nigeria. Cent. Afr. J. Public Health 2020, 6(6), 358-364. doi: 10.11648/j.cajph.20200606.17

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    AMA Style

    Amos Oluwasayo Akinremi. Implementing a New Technology in Diagnostic Services for Tuberculosis in Nigeria. Cent Afr J Public Health. 2020;6(6):358-364. doi: 10.11648/j.cajph.20200606.17

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  • @article{10.11648/j.cajph.20200606.17,
      author = {Amos Oluwasayo Akinremi},
      title = {Implementing a New Technology in Diagnostic Services for Tuberculosis in Nigeria},
      journal = {Central African Journal of Public Health},
      volume = {6},
      number = {6},
      pages = {358-364},
      doi = {10.11648/j.cajph.20200606.17},
      url = {https://doi.org/10.11648/j.cajph.20200606.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20200606.17},
      abstract = {This article analyses the experience of the Federal Ministry of Health (FMOH), Nigeria in its partnership arrangement with some international organisations to introduce a new technology to its diagnostic services for tuberculosis (TB) by adopting the use of GeneXpert test in line with the recommendation of World Health Organisation (WHO). It was a major health service reform targeted at achieving the third sustainable development goal. Therefore, the objective of this article was to review the literature on management issues and problems of change surrounding the implementation of GeneXpert as a new technology in the diagnostic services for TB in Nigeria, and provide learning opportunities for health service administrators in resource-limited settings that might be considering such arrangement. A literature survey of articles published between 2008 and 2018 was conducted; using Google Scholar, ScienceDirect and Scopus; to identify and review articles that analyse the change management process in the introduction of GeneXpert test for TB diagnosis in Nigeria. Consequently, a total of 10 articles were critically analysed. The review showed a paucity of articles that examined how change process in the introduction of GeneXpert test for TB diagnosis was managed in Nigeria. The literature survey identified several challenges in the change process such as human resource and capacity building especially because the use of GeneXpert requires a certain level of computer literacy. In conclusion, this review highlighted the fact that the reform might be sustainable because of the adoption of decentralised service system in the implementation process.},
     year = {2020}
    }
    

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    T1  - Implementing a New Technology in Diagnostic Services for Tuberculosis in Nigeria
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    JO  - Central African Journal of Public Health
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    AB  - This article analyses the experience of the Federal Ministry of Health (FMOH), Nigeria in its partnership arrangement with some international organisations to introduce a new technology to its diagnostic services for tuberculosis (TB) by adopting the use of GeneXpert test in line with the recommendation of World Health Organisation (WHO). It was a major health service reform targeted at achieving the third sustainable development goal. Therefore, the objective of this article was to review the literature on management issues and problems of change surrounding the implementation of GeneXpert as a new technology in the diagnostic services for TB in Nigeria, and provide learning opportunities for health service administrators in resource-limited settings that might be considering such arrangement. A literature survey of articles published between 2008 and 2018 was conducted; using Google Scholar, ScienceDirect and Scopus; to identify and review articles that analyse the change management process in the introduction of GeneXpert test for TB diagnosis in Nigeria. Consequently, a total of 10 articles were critically analysed. The review showed a paucity of articles that examined how change process in the introduction of GeneXpert test for TB diagnosis was managed in Nigeria. The literature survey identified several challenges in the change process such as human resource and capacity building especially because the use of GeneXpert requires a certain level of computer literacy. In conclusion, this review highlighted the fact that the reform might be sustainable because of the adoption of decentralised service system in the implementation process.
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Author Information
  • Department of Planning, Research and Statistics, Ogun State Health Insurance Agency, Abeokuta, Nigeria

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