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), 2020. Published by Science Publishing Group |
Change Management, Health Service Reform, Public Private Partnership, SDG 3, Tuberculosis, GeneXpert, Decentralised Service System
[1] | Kanabus, Annabel (2017) “Genexpert Test – TB Diagnosis and Resistance Testing” TBFACTS Information about Tuberculosis, accessed at https://www.tbfacts.org/xpert-tb-test/, 27 December 2017. |
[2] | Creswell, Jacob; Falzon, Dennis; Getahun, Haileyesus; Gilpin, Chris; Glaziou, Philippe; Grzemska, Malgorzata; de Dieu Iragena, Jean; Lienhardt, Christian; Lonnroth, Knut; Mirzayev, Fuad; Ottmani, Salah; Pantoja, Andrea; Sculier, Delphine; Suvanand, Sahu; Uplekar, Mukund; van Gemert, Wayne; Wares, Fraser and Weyer, Karin (2011) “Rapid Implementation of the Xpert MTB/RIF diagnostic test: Technical and Operational ‘How-to’ Practical considerations”, World Health Organisation, accessed at http://apps.who.int/iris/bitstream/10665/44593/1/9789241501569_eng.pdf, 28 December 2017. |
[3] | Abdurrahman, Saddiq; Mbanaso, Omezikam; Lawson, Lovett; Oladimeji, Olanrewaju; Blakiston, Matthew; Obasanya, Joshua; Dacombe, Russell; Adams, Emily; Emenyonu, Nnamdi; Sahu, Suvanand; Creswell, Jacob; and Cuevas, Luis (2015) “Testing Pooled Sputum with Xpert MTB/RIF for Diagnosis of Pulmonary Tuberculosis To Increase Affordability in Low-Income Countries”, Journal of Clinical Microbiology; 53 (8): 2502-2508. |
[4] | Adejumo, Olusola; Daniel, Olusoji; Abdur-Razzaq, Husseine; Shogbamimu, Yeside; Femi-Adebayo, Toriola; Adepoju, Victor; Adebayo, Bisola and Sodipo, Oluwajimi (2017) “Trend of tuberculosis case notification and treatment outcome in Lagos State, Nigeria: a 5-year retrospective study”, Trans R Soc Trop Med Hyg; 00: 1–8, doi: 10.1093/trstmh/trx060. |
[5] | Small, Peter and Pai, Madhukar (2010) “Tuberculosis Diagnosis — Time for a Game Change” New England Journal of Medicine, 363 (11): 1070-1071. |
[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. |
[9] | Willems, Tom and Van Dooren, Wouter (2011) “Lost in diffusion? How collaborative arrangements lead to an accountability paradox”, International Review of Administrative Sciences; 77 (3) 505–530. |
[10] | Shaoul, Jean; Stafford, Anne and Stapleton, Pamela (2012) “Accountability and corporate governance of public private partnerships”, Critical Perspectives on Accounting; 23: 213– 229. |
[11] | Ahadzi, Marcus And Bowles, Graeme (2004) “Public–private partnerships and contract negotiations: an empirical study”, Construction Management and Economics; 22: 967–978. |
[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. |
[15] | McIvor, Ronan; McCracken, Martin and McHugh, Marie (2011) “Creating outsourced shared services arrangements: Lessons from the public sector”, European Management Journal, 29: 448–461. |
[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. |
[19] | Anderson, Stuart (2012) “Public, private, neither, both? Publicness theory and the analysis of healthcare organisations”, Social Science & Medicine; 74: 313-322. |
[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. |
[26] | Dalberg (2017) “UNITAID end-of-project evaluation: TB GeneXpert – Scaling up access to contemporary diagnostics for TB” UNITAID, January-March, accessed at https://unitaid.eu/assets/TB-Xpert-Evaluation_Report-_Final.pdf, 29 December 2017. |
[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. |
[29] | Andre, E.; Isaacs, C.; Affolabi, D.; Alagna, R.; Brockmann, D.; de Jong, B.; Cambau, E.; Churchyard, G.; Cohen, T.; Delmee, M.; Delvenne, J; Farhat, M.; Habib, A.; Holme, P.; Keshavjee, S.; Khan, A.; Lightfoot, P.; Moore, D.; Moreno, Y.; Mundade, Y.; Pai, M.; Patel, S.; Nyaruhirira, A.; Rocha, L.; Takle, J.; Tr´ebucq, A.; Creswell, J. and Boehme, C. (2016) “Connectivity of diagnostic technologies: improving surveillance and accelerating tuberculosis elimination”, Int J Tuberc Lung Dis, 20 (8): 999-1003. |
[30] | Onyebuchi, Ogbonna (2015) “Tuberculosis and Leprosy Control Policy in Nigeria, 1985-2015”, Elixir Pharmacy, 88: 36313-36315. |
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
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
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
@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} }
TY - JOUR T1 - Implementing a New Technology in Diagnostic Services for Tuberculosis in Nigeria AU - Amos Oluwasayo Akinremi Y1 - 2020/12/25 PY - 2020 N1 - https://doi.org/10.11648/j.cajph.20200606.17 DO - 10.11648/j.cajph.20200606.17 T2 - Central African Journal of Public Health JF - Central African Journal of Public Health JO - Central African Journal of Public Health SP - 358 EP - 364 PB - Science Publishing Group SN - 2575-5781 UR - https://doi.org/10.11648/j.cajph.20200606.17 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. VL - 6 IS - 6 ER -