Chukwuogo O, Daniel O, Ihesie A, Eneogu R, Odume B, Agbaje A, Nongo D, Kuye J, Oyelaran O, Van Gemert W, Mupfumi L, Akpanowo E, Asuke S, D'auvergne C, Chijioke-Akaniro O, Anyaike C, Olarewaju S
KNCV, Abuja, Nigeria.
IHVN, Abuja, Nigeria.
Public Health Action. 2025 Sep 3;15(3):113-117. doi: 10.5588/pha.24.0044. eCollection 2025 Sep.
As part of its TB control efforts, the Nigeria National TB Program has prioritised implementation of TB preventive treatment (TPT) especially among all contacts of TB patients. This study aims to assess knowledge, perceived enablers, and barriers to TPT among health care workers (HCWs) in Nigeria.
This was a cross-sectional descriptive study using mixed methods. Quantitative data were collected from 434 HCWs and analysed using SPSS version 25, and in-depth interviews were conducted on 36 purposely selected HCWs with thematic analysis.
More than half of the respondents (55.7%) had good knowledge of TPT. Nurses, doctors, and other HCWs working in public tertiary institutions had better knowledge compared with other cadres. Adequate knowledge of types of TPT regimens and belief in their effectiveness were elicited as enablers, whereas barriers included suboptimal contact tracing system, TPT stock-outs, long duration of TPT, unavailability of TB infection testing before TPT, absence of transport logistics support for patients to receive TPT, and poor HCW capacity.
HCWs in public tertiary settings had better knowledge of TPT. Successful scale-up of TPT services requires competency building for other cadres and interventions addressing other identifiable barriers.
作为其结核病控制工作的一部分，尼日利亚国家结核病规划已将结核病预防性治疗（TPT）的实施列为优先事项，尤其是在所有结核病患者的接触者中。本研究旨在评估尼日利亚医护人员对TPT的知识、感知到的促进因素和障碍。
这是一项采用混合方法的横断面描述性研究。从434名医护人员中收集定量数据，并使用SPSS 25版进行分析，对36名经过有目的选择的医护人员进行深入访谈并进行主题分析。
超过一半的受访者（55.7%）对TPT有良好的了解。与其他类别人员相比，在公立三级医疗机构工作的护士、医生和其他医护人员有更好的了解。对TPT方案类型的充分了解以及对其有效性的信念被认为是促进因素，而障碍包括接触者追踪系统欠佳、TPT缺货、TPT疗程长、TPT前无法进行结核感染检测、缺乏患者接受TPT的运输后勤支持以及医护人员能力不足。
公立三级医疗机构的医护人员对TPT有更好的了解。成功扩大TPT服务需要对其他类别人员进行能力建设，并采取措施解决其他可识别的障碍。
