{"@context":"http://iiif.io/api/presentation/2/context.json","@type":"sc:Manifest","@id":"https://iiif.quartexcollections.com/berry/iiif/12eaf665-2e73-42c1-9ac9-bfe95e6a74fe/manifest","label":"HughesMiriam_2026_Honors","metadata":[{"label":"Identifier","value":"HughesMiriam_2026_Honors"},{"label":"Title","value":"Search, Treat, and Prevent: Healthcare Worker Perspectives on TB Treatment Successes and Barriers in Peru and Kenya"},{"label":"Creator","value":["Miriam Miller Hughes"]},{"label":"Date (Filter)","value":"D:27 M:04 Y:2026"},{"label":"Date","value":"April 27 2026"},{"label":"Description","value":"Tuberculosis (TB) remains the leading infectious disease killer worldwide, with 10.7 million new\ncases and 1.23 million deaths reported in 2024. Despite decades of effective treatment, progress\ntoward global eradication has been slowed by structural, social, and economic barriers,\nparticularly in low- and middle-income countries. This convergent parallel mixed-methods study\nexamined healthcare worker perspectives on the successes and barriers of TB treatment in two\nWorld Health Organization-identified high-burden countries: Kenya and Peru. Structured\nKnowledge, Attitudes, and Practices (KAP) surveys were administered to 27 healthcare\nproviders in Siaya County, Kenya, and 30 providers affiliated with Socios en Salud in Lima,\nPeru, between November 2025 and February 2026. Filmed in-depth interviews supplemented\nquantitative findings to capture contextual challenges in TB diagnosis, adherence, and policy\nimplementation. Quantitative findings revealed substantial differences in treatment model\nadoption (67% Search, Treat, and Prevent [STP] in Peru vs. 26% in Kenya) and reported patient\ndropout rates (76% of Peruvian providers reported less than 10% dropout vs. 74% of Kenyan\nproviders reporting dropout above 11%). Funding adequacy was rated lowest of all health system\ndomains in both countries (Kenya M=2.81; Peru M=2.43 on 5-point scale). Misinformation\nemerged as the most-cited barrier in both settings (63% Kenya; 67% Peru), and providers in both\ncountries identified months 2-3 as the highest-risk window for treatment discontinuation.\nFindings suggest that STP adoption is associated with stronger treatment retention but that\nfunding constraints remain the primary universal bottleneck to TB eradication efforts. Targeted\ninvestment in community-based STP infrastructure, particularly during the mid-treatment period,\nmay accelerate progress toward End TB Strategy goals."},{"label":"Format","value":["application/pdf"]},{"label":"Language","value":["English"]},{"label":"Language (DLG)","value":["eng"]},{"label":"Publisher","value":["Berry College"]},{"label":"Medium","value":["theses"]},{"label":"Extent","value":"44 pages"},{"label":"Holding Institution","value":["Berry College"]},{"label":"Type","value":["Text"]},{"label":"Decade","value":["2020s"]},{"label":"Rights","value":["In Copyright"]},{"label":"Rights Link","value":"<a href=\"https://rightsstatements.org/page/InC/1.0/?language=en\" target=\"_blank\"> In Copyright</a>"},{"label":"Rightsholder","value":["Miriam Miller Hughes"]},{"label":"Access Restrictions","value":["immediate unrestricted access"]},{"label":"Subject","value":["Tuberculosis--Treatment"]},{"label":"School","value":["Charter School of Education and Human Sciences"]},{"label":"Department","value":["Nursing"]},{"label":"Author","value":["Miriam Miller Hughes"]},{"label":"Author Supplied Keywords","value":"tuberculosis, global health, treatment adherence, Search Treat and Prevent (STP) model, Directly Observed Therapy (DOT), Kenya, Peru"},{"label":"Research Funding","value":["Richards Scholar Grant"]},{"label":"Research Funding Link","value":"Learn more about <a href=\"https://berry.edu/academics/faculty-resources/undergraduate-research/student-grants\" target=\"_blank\">student grants.</a>"},{"label":"Project Type","value":["Thesis"]},{"label":"Degree","value":["Bachelor of Science"]},{"label":"Committee Chair","value":["Carolyn Reilly"]},{"label":"Faculty Advisor","value":["Christopher Hall"]},{"label":"Major","value":["Nursing"]}],"description":"Search, Treat, and Prevent: Healthcare Worker Perspectives on TB Treatment Successes and Barriers in Peru and 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