{"id":"https://openalex.org/W7224090763","doi":"https://doi.org/10.11604/phcp.2026.6.6.45506","title":"Assessing uptake and completion of tuberculosis prevention therapy among healthcare workers: a cross-sectional health facility based survey in Nyandarua County, Kenya","display_name":"Assessing uptake and completion of tuberculosis prevention therapy among healthcare workers: a cross-sectional health facility based survey in Nyandarua County, Kenya","publication_year":2026,"publication_date":"2026-10-28","ids":{"openalex":"https://openalex.org/W7224090763","doi":"https://doi.org/10.11604/phcp.2026.6.6.45506"},"language":"en","primary_location":{"id":"doi:10.11604/phcp.2026.6.6.45506","doi":"https://doi.org/10.11604/phcp.2026.6.6.45506","is_oa":true,"landing_page_url":"https://doi.org/10.11604/phcp.2026.6.6.45506","pdf_url":null,"source":{"id":"https://openalex.org/S7407064459","display_name":"Primary Health Care Practice Journal","issn_l":"3105-7624","issn":["3105-7624"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Primary Health Care Practice Journal","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.11604/phcp.2026.6.6.45506","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160064384","display_name":"Sylvia Vosevwa Mugamangi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210094393","display_name":"Amref Health Africa","ror":"https://ror.org/00qpv3w06","country_code":"KE","type":"nonprofit","lineage":["https://openalex.org/I4210094393"]},{"id":"https://openalex.org/I4405263046","display_name":"Amref International University","ror":"https://ror.org/01qb5qa49","country_code":"KE","type":"education","lineage":["https://openalex.org/I4405263046"]}],"countries":["KE"],"is_corresponding":false,"raw_author_name":"Sylvia Vosevwa Mugamangi","raw_affiliation_strings":["Department of Community Health, School of Public Health, Amref International University, Nairobi, Kenya"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Community Health, School of Public Health, Amref International University, Nairobi, Kenya","institution_ids":["https://openalex.org/I4210094393","https://openalex.org/I4405263046"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040234426","display_name":"Joseph K. Sitienei","orcid":"https://orcid.org/0000-0001-9140-4630","observed_orcids":["https://orcid.org/0000-0001-9140-4630"]},"institutions":[{"id":"https://openalex.org/I4210094393","display_name":"Amref Health Africa","ror":"https://ror.org/00qpv3w06","country_code":"KE","type":"nonprofit","lineage":["https://openalex.org/I4210094393"]},{"id":"https://openalex.org/I4405263046","display_name":"Amref International University","ror":"https://ror.org/01qb5qa49","country_code":"KE","type":"education","lineage":["https://openalex.org/I4405263046"]}],"countries":["KE"],"is_corresponding":false,"raw_author_name":"Joseph Sitienei","raw_affiliation_strings":["Department of Community Health, School of Public Health, Amref International University, Nairobi, Kenya"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Community Health, School of Public Health, Amref International University, Nairobi, Kenya","institution_ids":["https://openalex.org/I4210094393","https://openalex.org/I4405263046"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5110695925","display_name":"Tom Marwa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210094393","display_name":"Amref Health Africa","ror":"https://ror.org/00qpv3w06","country_code":"KE","type":"nonprofit","lineage":["https://openalex.org/I4210094393"]},{"id":"https://openalex.org/I4405263046","display_name":"Amref International University","ror":"https://ror.org/01qb5qa49","country_code":"KE","type":"education","lineage":["https://openalex.org/I4405263046"]}],"countries":["KE"],"is_corresponding":false,"raw_author_name":"Tom Marwa","raw_affiliation_strings":["Department of Community Health, School of Public Health, Amref International University, Nairobi, Kenya"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Community Health, School of Public Health, Amref International University, Nairobi, Kenya","institution_ids":["https://openalex.org/I4210094393","https://openalex.org/I4405263046"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.8706603,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10038","display_name":"Tuberculosis Research and Epidemiology","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10038","display_name":"Tuberculosis Research and Epidemiology","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13586","display_name":"HIV, TB, and STIs Epidemiology","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3300","display_name":"General Social Sciences"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tuberculosis-preventive-treatment","display_name":"tuberculosis prophylaxis","score":0.9610000252723694},{"id":"https://openalex.org/keywords/healthcare-workers","display_name":"healthcare workers","score":0.9570000171661377},{"id":"https://openalex.org/keywords/occupational-tuberculosis-exposure","display_name":"occupational tuberculosis exposure","score":0.7739999890327454},{"id":"https://openalex.org/keywords/treatment-uptake","display_name":"treatment uptake","score":0.7070000171661377},{"id":"https://openalex.org/keywords/treatment-completion","display_name":"treatment completion","score":0.9729999899864197},{"id":"https://openalex.org/keywords/personal-protective-equipment","display_name":"personal protective equipment","score":0.9769999980926514},{"id":"https://openalex.org/keywords/mask-wearing","display_name":"masking","score":0.593999981880188},{"id":"https://openalex.org/keywords/outpatient-clinics","display_name":"outpatient clinics","score":0.8450000286102295},{"id":"https://openalex.org/keywords/health-facility-level","display_name":"health facility level","score":0.7250000238418579},{"id":"https://openalex.org/keywords/nyandarua-county","display_name":"Nyandarua County","score":0.9829999804496765}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9193000197410583},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.8195000290870667},{"id":"https://openalex.org/C2781069245","wikidata":"https://www.wikidata.org/wiki/Q12204","display_name":"Tuberculosis","level":2,"score":0.7818999886512756},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5641999840736389},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4230000078678131},{"id":"https://openalex.org/C2775949068","wikidata":"https://www.wikidata.org/wiki/Q4260475","display_name":"Health facility","level":4,"score":0.4077000021934509},{"id":"https://openalex.org/C3018077670","wikidata":"https://www.wikidata.org/wiki/Q1189184","display_name":"Tuberculosis prevention","level":3,"score":0.39899998903274536},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3686999976634979},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.35440000891685486},{"id":"https://openalex.org/C2909923361","wikidata":"https://www.wikidata.org/wiki/Q2339584","display_name":"Directly Observed Therapy","level":3,"score":0.32429999113082886},{"id":"https://openalex.org/C3020110884","wikidata":"https://www.wikidata.org/wiki/Q695416","display_name":"Outpatient clinic","level":2,"score":0.3050000071525574},{"id":"https://openalex.org/C124306116","wikidata":"https://www.wikidata.org/wiki/Q2512965","display_name":"Ambulatory care","level":3,"score":0.28999999165534973},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.28299999237060547},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.26989999413490295},{"id":"https://openalex.org/C2780639635","wikidata":"https://www.wikidata.org/wiki/Q4888238","display_name":"Tuberculosis diagnosis","level":4,"score":0.2662000060081482},{"id":"https://openalex.org/C2779318504","wikidata":"https://www.wikidata.org/wiki/Q1438035","display_name":"Research design","level":2,"score":0.25360000133514404},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.2535000145435333},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.2535000145435333},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.2524999976158142}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.11604/phcp.2026.6.6.45506","doi":"https://doi.org/10.11604/phcp.2026.6.6.45506","is_oa":true,"landing_page_url":"https://doi.org/10.11604/phcp.2026.6.6.45506","pdf_url":null,"source":{"id":"https://openalex.org/S7407064459","display_name":"Primary Health Care Practice Journal","issn_l":"3105-7624","issn":["3105-7624"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Primary Health Care Practice Journal","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.11604/phcp.2026.6.6.45506","doi":"https://doi.org/10.11604/phcp.2026.6.6.45506","is_oa":true,"landing_page_url":"https://doi.org/10.11604/phcp.2026.6.6.45506","pdf_url":null,"source":{"id":"https://openalex.org/S7407064459","display_name":"Primary Health Care Practice Journal","issn_l":"3105-7624","issn":["3105-7624"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Primary Health Care Practice Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.48510000109672546,"display_name":"Decent work and economic growth","id":"https://metadata.un.org/sdg/8"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":14,"referenced_works":["https://openalex.org/W2569150805","https://openalex.org/W2621732249","https://openalex.org/W2910876790","https://openalex.org/W2976762840","https://openalex.org/W3094128420","https://openalex.org/W3107948695","https://openalex.org/W4230324828","https://openalex.org/W4280533096","https://openalex.org/W4386278114","https://openalex.org/W4389611745","https://openalex.org/W4401158060","https://openalex.org/W4402878321","https://openalex.org/W4414579463","https://openalex.org/W7151771919"],"related_works":["https://openalex.org/W7212110062","https://openalex.org/W7162876641","https://openalex.org/W3206310621","https://openalex.org/W4413999767","https://openalex.org/W4303021549","https://openalex.org/W4404913384","https://openalex.org/W7129584702","https://openalex.org/W7202182406","https://openalex.org/W3107948695","https://openalex.org/W4224252005"],"abstract_inverted_index":{"Introduction:":[0],"healthcare":[1,56],"workers":[2,57],"(HCWs)":[3],"in":[4,39,58,80,127,147,214],"sub-Saharan":[5],"Africa":[6],"face":[7],"a":[8,63,160,208],"heightened":[9],"risk":[10,137],"of":[11,24,50,72,101,115,138,167,224],"tuberculosis":[12,25,225,239],"(TB)":[13],"due":[14],"to":[15,45,159,235],"occupational":[16],"exposure":[17,158],"and":[18,35,48,94,104,113,145,182,189,203,212,222,233,238],"immune":[19],"vulnerabilities.":[20],"Despite":[21],"the":[22,42,108,120,165],"availability":[23],"preventive":[26],"therapy":[27],"(TPT),":[28],"limited":[29],"data":[30],"exist":[31],"on":[32],"its":[33],"uptake":[34,47,103,221],"completion":[36,49,223],"among":[37,55,107],"HCWs":[38,74],"Kenya.":[40,61],"Aim:":[41],"study":[43,66,228],"aimed":[44],"assess":[46],"Tuberculosis":[51],"Preventive":[52],"Therapy":[53],"(TPT)":[54],"Nyandarua":[59,81],"County,":[60],"Methods:":[62],"quantitative":[64],"cross-sectional":[65],"design":[67],"was":[68,123,177],"employed.":[69],"A":[70],"total":[71],"219":[73],"from":[75],"purposively":[76],"selected":[77],"health":[78,129],"facilities":[79,130],"County":[82],"were":[83],"randomly":[84],"sampled.":[85],"Binary":[86],"logistic":[87,97],"regression":[88,98],"identified":[89],"associations":[90],"between":[91],"explanatory":[92],"variables":[93],"outcomes.":[95],"Multivariable":[96],"determined":[99],"predictors":[100],"TPT":[102,168,175,180,201,237],"completion.":[105],"Results:":[106],"HCWs,":[109],"26%":[110],"initiated":[111,118],"TPT,":[112],"80%":[114],"those":[116],"who":[117],"completed":[119],"regimen.":[121],"Uptake":[122],"associated":[124,178,219],"with":[125,162,179,210,220],"working":[126,146,213],"lower-level":[128],"(OR":[131,140,150,170,184,192],"28.4,":[132],"95%":[133,142,152,172,186,194],"CI":[134,143,153,173,187,195],"2.76-2.91),":[135],"perceived":[136,198],"TB":[139,163,199],"7.2,":[141],"1.14-4.51),":[144],"outpatient":[148,216],"departments":[149],"2.1,":[151],"1.11-4.01).":[154],"Not":[155],"having":[156,207],"prior":[157],"co-worker":[161,209],"reduced":[164],"likelihood":[166],"initiation":[169],"0.27,":[171],"0.14-0.53).":[174],"Completion":[176],"awareness":[181],"training":[183,202],"16.5,":[185],"1.52-1.79)":[188],"wearing":[190,205],"masks":[191],"0.8,":[193],"0.98-1.33).":[196],"Conclusion:":[197],"risk,":[200],"awareness,":[204],"PPE,":[206],"TB,":[211],"an":[215],"department":[217],"are":[218],"therapy.":[226],"The":[227],"recommends":[229],"targeted":[230],"training,":[231],"sensitization,":[232],"support":[234],"sustain":[236],"infection-prevention":[240],"efforts.":[241]},"counts_by_year":[],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2026-10-29T00:00:00"}
