Operational performance of GeneXpert for tuberculosis diagnosis in West Java province, Indonesia: a public health evaluation.
BMC health services research·
- DOI
- 10.1186/s12913-026-14658-0
- PMID
- 42121171
- PMCID
- —
- OpenAlex
- W4409218748
- Study type
- Journal article
- Publisher
- Publisher unavailable
- Article type
- journal-article
- Integrity
- current
Why this research matters now
Addressing these operational gaps requires coordinated multi-agency strategies and practical adjustments to diagnostic rollout processes to sustain tuberculosis control efforts.
Structured evidence summary
Research question
The investigation assesses how effectively GeneXpert technology functions within routine tuberculosis testing workflows and identifies systemic barriers affecting its deployment.
Study design
Researchers performed a cross-sectional facility assessment supplemented by structured interviews with clinical and administrative personnel.
Population and setting
Data collection occurred across forty community health centers situated in West Java province, Indonesia, engaging nursing staff, laboratory technicians, and program administrators.
Main findings
Implementation outcomes demonstrated considerable variation, with notably low performance metrics regarding staff training completion, private sector sample referrals, rapid specimen transport, high testing volumes, minimal technical errors, uninterrupted reagent supplies, equipment reliability, and scheduled maintenance. Operational obstacles involved workforce shortages, remote locations, and inadequate digital networks, while effective stakeholder dialogue and preliminary deployment reviews supported better system adoption.
Public-health relevance
Addressing these operational gaps requires coordinated multi-agency strategies and practical adjustments to diagnostic rollout processes to sustain tuberculosis control efforts.
Important limitations
The analysis relies on a single-province cross-sectional assessment, which restricts broader geographic applicability and prevents longitudinal tracking of performance changes over time.
GIDS interpretation
This publication offers retrospective contextual information regarding diagnostic infrastructure capacity in a defined Indonesian jurisdiction, providing background reference rather than indicating current epidemiological shifts or active monitoring alerts.
Related GIDS surveillance
Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.
Evidence relationships
This article has 6 auditable classifier relationships to diseases, places, topics, and study design.