Priority Issues Research Articles

Risk management in humanitarian supply chain based on FMEA and grey relational analysis

The COVID-19 pandemic has disrupted the humanitarian supply chain management (HSCM) necessary for delivering emergency items during the disaster. The combined effects of climate change and the pandemic uncover the vulnerabilities of humanitarian supply chain operations and highlight the importance of risk management. This study aimed to identify priority risk factors and proposed mitigating risk strategies of a local government that is at the forefront of relief operations. It used Grey Relational Analysis (GRA) method to validate the Failure Mode and Effect Analysis (FMEA) approach in identifying priority issues relating to the supply chain risks. This paper reveals that the results of FMEA and GRA are almost similar.

Advancing the partnership between Japan and Thailand on global health and UHC: "new normal" approach during COVID-19 pandemic.

Partnerships, particularly, South-South and Triangular Cooperation play an important role in the 2030 Agenda for Sustainable Development. The Partnership Project for Global Health and Universal Health Coverage (UHC) between Japan and Thailand (the Project) was launched in 2016 as a four-year flagship project for Triangular Cooperation and continued to the second phase in 2020. Participating countries include Asian and African countries who are striving to drive global health and to move towards UHC. However, the COVID-19 pandemic has made coordination of partnerships more difficult. The Project needed to find a "new normal" approach to conduct our collaborative work. Struggling with public health and social measures for COVID-19 has made us more resilient and has increased opportunities to collaborate more closely. In the past year and a half, during the COVID-19 pandemic, the Project successfully conducted a number of online activities between Thailand and Japan and with other countries on global health and UHC. Our "new normal" approach led continuing dialogue of networking both at the project implementation and policy levels, focusing on desk-based activities regarding the targets and the objectives of the project and creating a golden opportunity for pursuing a timely second phase. Our lessons learned include as follows: i) Closer prior consultation is required to hold satisfactory online meetings; ii) Effective "new normal" approaches include emphasizing practical and interactive discussions on each countrys priority issues and expanding target participants; iii) Commitment, trust, teamwork, and sharing common goals can enhance and sustain partnerships, especially amid the pandemic.

Six Sigma Method for Improving the Quality of a Flat LM Type. An Evidence-Based Case Study of a PT. SPM

PT. SPM is a steel cutting manufacturing company. PT. SPM encountered difficulties during the manufacturing process as a result of the large number of production products classified as defective, particularly flat steel products of the Flat LM type. The company will undoubtedly suffer a loss as a result of the high number of defective products. To reduce the number of defects in manufactured products and to minimize company losses, a study was conducted using the six sigma DMAIC method to ascertain the primary causes of defects and possible improvements. According to the results of the DMAIC analysis, the most prevalent types of defects were dimensional defects that did not match the percentage of 58 percent; non-elbow defects that did not match the percentage of 24 percent; and scratch defects that did not match the percentage of 17 percent. The value of the company's process capability remains less than one (0.776), and the sigma level remains less than six (3.88). There are numerous factors that contribute to defects, including operator negligence, suboptimal machine performance, and an unsupportive work environment. Numerous improvement proposals were made in response to priority issues, including developing SOPs for worker training, developing OPL for the cutting process, and developing machine maintenance checksheets.

Rural tourism entrepreneurship success factors for sustainable tourism village: Evidence from Indonesia

This study aims to examine the success factors and build the framework of rural tourism entrepreneurship for a sustainable tourism village. This is an important research topic, as 44.28% population in the world live in rural areas; specifically 44.02% population in Indonesia resides in a rural area which indicates how important rural areas are for future development. This study used a purposive sampling technique to determine the priority issues of the sustainability of the tourism village. The data was gathered from semi-structured interviews with actors’ influential in the success of tourism villages. This study was conducted with a qualitative approach and a case study design. This study uses content analysis in describing the findings from the collected data to better understand the case study. It focuses on a case of six tourism villages in Indonesia that have received awards as sustainable tourism villages, as it might be adopted by the other tourism villages. The results revealed ten factors for creating successful sustainable tourism village through rural tourism entrepreneurship. Those factors are income management, business unit development, economic growth, mutual cooperation, collaboration, innovation, creativity, environmental awareness, resource management, and visitor management. These 10 factors are further grouped into three dimensions (economic, social, and environmental sustainability). The study makes new framework of rural tourism entrepreneurship and useful for the strategy and decision-making process.

Environment in Veterinary Education.

Environmental concerns have become priority issues over the last third of the 20th century. The EU's common agricultural policy (CAP) has gone from rules which supported the farming sector after years of famine to being oriented towards looking at environmental aspects. Therefore, it has evolved not only to react to a changing market and consumer demands but also to respond to climate change and the need for sustainable development. Environmental education is an important pillar for responding and adapting to climate change. The CAP policies oriented towards optimizing the use of natural resources, residue management, antimicrobial use reduction, the decrease of greenhouse gas emissions (GHG), and animal welfare need linked educational programs. In this context, veterinarians, being experts in animal production, welfare, and food safety and its technology and public health under the One Health concept, are scarcely informed in environmental aspects, which would help them to understand and face the consequences of climate change in the rural world. Future veterinarians must be able to quantify the effects of animal production on the environment, optimizing the use of natural resources, minimizing GHG emissions, and managing the risks associated with climate change by using different analysis tools that need to be included in their learning programs.

A CLUSTERING OPTIMIZATION FOR ENERGY EFFICIENCY IN WIRELESS SENSOR NETWORK USING K-MEANS ALGORITHM

The limitation of sensors energy make energy efficiency still a priority issue in Wireless Sensor Network (WSN) technology. One effort that can be done to overcome this problem is to design the right data transmission path (or better known as routing). Low Energy Adaptive Clustering Hierarchy (LEACH) is one of the most widely used cluster-based routing protocols because it is considered capable of minimizing the amount of energy consumption through the formation of clusters or groups of nodes. Unfortunately, this protocol will experience a significant decrease in energy as the amount of data transmission increases. This is partly due to the clustering process which is carried out randomly and causes an imbalance in the distribution of the number of nodes between clusters. This study proposed a method to optimize the clustering process in the LEACH protocol by integrating the K-Means algorithm, which is called LEACH-KMe. A simulation was conducted to determine the effectiveness of the proposed method by considering 4 main parameters, namely total energy consumption, number of alive nodes, number of dead nodes, and residual energy. The test results proved that the LEACH-KMe protocol provides better performance than the conventional LEACH protocol (more even distribution of nodes, less total energy consumption and number of dead nodes, as well as a larger number of alive nodes and residual energy).

Prioritizing India’s landscapes for biodiversity, ecosystem services and human well-being

Biodiversity conservation and human well-being are tightly interlinked. Yet, mismatches in the scale at which these two priority issues are planned and implemented have exacerbated biodiversity loss, erosion of ecosystem services and declining human quality of life. India houses the second largest human population on the planet, while < 5% of the country’s land area is effectively protected for conservation. This warrants landscape-level conservation planning through a judicious mix of land-sharing and land-sparing approaches combined with the co-production of ecosystem services. Through a multifaceted assessment, we prioritize spatial extents of land parcels that, in the face of anthropogenic threats, can safeguard conservation landscapes across India’s biogeographic zones. We found that only a fraction (~15%) of the priority areas identified here are encompassed under India’s extant Protected Area network, and furthermore, that several landscapes of high importance were omitted from all previous global-scale assessments. We then examined the spatial congruence of priority areas with administrative units earmarked for economic development by the Indian government and propose management zoning through state-driven and participatory approaches. Our spatially explicit insights can help meet the twin goals of biodiversity conservation and sustainable development in India and other countries across the Global South. Biodiversity conservation is critical for promoting ecosystem services and human well-being, but current conservation efforts fail to protect most high priority zones. A mix of land-sparing and land-sharing is needed to safeguard critical ecosystems in India and across the Global South.

Trends in assault-related hospitalizations during the SARS-CoV-2 pandemic

IntroductionViolence remains a priority issue in the United States (US) requiring public health input to discern the magnitude and impact of violence on the health system. Concerns over violence and the injuries resulting from violence have increased following the SARS-CoV-2 pandemic which exacerbated an array of individual and economic stressors related to violence including increased unemployment, alcohol intake, social isolation, anxiety and panic and decreased access to health services. The aim of this study was to analyze the trends in violence-related injuries in the state of Illinois during the SARS-CoV-2 lockdown periods and post-lockdown in order to inform future public health policy. Material and methodsOutpatient and inpatient assault related injuries treated in Illinois hospitals from 2016 through March 2022 were analyzed. Segmented regression models evaluating change in time trends were adjusted for seasonality, serial correlation, overall trend and economic variables. ResultsThe annual rate of assault related hospitalizations per one million Illinois residents decreased from 3857.8 pre-pandemic to 3458.7 pandemic period. However, during the pandemic there was an increase in deaths and in the proportion of injuries involving open wounds, internal injuries, and fractures, while there was a reduction in less serious injuries. Segmented regression time series models demonstrated significant increase in firearm violence in all four pandemic periods examined. Firearm violence increased particularly in subgroups including African-American victims, 15–34-year-olds, and Chicago residents. ConclusionDuring SARS-CoV-2, we saw an overall reduction in assault related hospitalization, however, findings demonstrated an increase in serious injuries which may be associated with social and economic stressors of the pandemic, increased gun-violence while decrease in less serious injuries may be linked to hospital avoidance for non-lethal injuries during the peak waves of the pandemic. Our findings have implications for ongoing surveillance, service planning and management of the increased gunshot and penetrating assault cases and further demonstrate the need for public health input into the violence epidemic in the US.

ASSESSMENTS OF U.S. COVID-19 VACCINE DIPLOMACY AND BENEFITS FOR VIETNAM

The COVID-19 pandemic originated in Wuhan, China in December 2019. Since then, it has rapidly widespread in almost every country around the world and has become a new global public health crisis. Since then, the demand for coronavirus vaccines and the supply of vaccine production becomes the most urgent strategic priority issues globally. Many governments have participated in the race of coronavirus vaccine production and distribution typically as the United States, China, Russia, and Australia. The United States marks as the leading vaccine supplier in this race. This country has delivered more than 682 million COVID-19 vaccine doses, all donated free of charge, to 116 countries - more doses than any other nation. The objective of the article is to analyze the vaccine diplomacy of the US base on the vaccine donation dataset, the location where the vaccine was given. The article indicates that the US has taken the lead in the race to produce and supply vaccination to the world. Vietnam, as a comprehensive partner of the US, has benefited from the US vaccine diplomacy policy. The paper has shown that the US. has given a significant amount of medical support and vaccines to Vietnam. These contribute significantly meaning for Vietnam's COVID-19 fighting.

Pre-Treatment of Separately Collected Biowaste as a Way to Increase Methane Production and Digestate Stability

To produce a valuable final product from anaerobic digestion (AD), one of the preferred methods of organic recycling, high quality feedstock must be ensured. In this study, separately collected real biowaste (B) was used, consisting of 90% food waste and 10% green waste. The priority issues of AD are both high methane production (MP) and high organics removal efficiency (as organic matter, OM and dissolved organics, and DCOD), which may be improved after pre-treatment. In this study, the effect of hydrothermal pre-treatment (BHT) and enzymatic additives (BE) on MP and organics removal from biowaste in mesophilic (37 °C) conditions was analyzed. To assess the adequacy of pre-treatment application, biowaste without treatment (BWT) was used. Pre-treatment of biowaste prior to AD affected the maximal MP, the removal effectiveness of both OM and DCOD, and the kinetic parameters of these processes. For BWT, the maximal cumulative MP reached 239.40 ± 1.27 NL/kg OM; the kinetic coefficient of MP (kCH4) and the initial MP rate (rCH4) were 0.32 ± 0.02 d−1 and 76.80 ± 1.10 NL/(kg OM·d), respectively. After hydrothermal pre-treatment, the MP of BHT (253.60 ± 1.83 NL/kg OM) was 6.3% higher than BWT. However, the highest MP was found for BE, 268.20 ± 1.37 NL/kg OM; to compare, it increased by 12.1% and 5.5% with BWT and BHT, respectively. However, the kinetic parameters of MP were highest with BHT:kCH4 0.56 ± 0.02 d−1 vs. 0.32 ± 0.02 d−1 (BWT) and 0.34 ± 0.02 d−1 (BE); rCH4 141.80 ± 0.02 NL/(kg OM·d) (BHT) vs. 76.80 ± 1.10 NL/(kg OM·d) (BWT) and 89.80 ± 0.50 NL/(kg OM·d) (BE). The effectiveness of OM removal was highest with BE, similarly to the MP with the use of an enzymatic additive. The kinetics of OM removal (rOM, kOM) were highest with BHT, similarly to the kinetics of MP (rCH4, kCH4). The highest effectiveness of OM and, consequently, its lowest final content obtained with BE means that the organics were used most efficiently, which, in turn, may result in obtaining a more stable digestive system.

Cross-Cultural Adaptation and Psychometric Properties of the Spanish Version of the OPQOL-Brief.

Ageing and its consequences on quality of life is one of the main issues to be addressed by public organizations; therefore the development of tools for its evaluation is a priority issue to orientate lines of action. Therefore, the objective of this research is to carry out cross-cultural adaptation and present the psychometric properties of the Spanish version of the Older People's Quality of Life Questionnaire-Brief (OPQOL-Brief). a cross-cultural adaptation was carried out together with a process of translation and back-translation of the scale. The OPQOL-Brief and a sociodemographic questionnaire were administered to 120 older adults aged over 65 from a healthcare setting in the region of Extremadura. the exploratory analysis revealed a factor structure through a matrix of polychoric correlations divided in two intercorrelated factors, consisting of 12 items and with excellent sample adequacy indices (KMO = 0.846'; Bartlett test = 1268.1; p = 0.000). Then, the confirmatory factor analysis established the definitive model with exceptional goodness-of-fit indices (NNFI = 0.99; CFI = 0.99; CMIN/DF = 0.96; Ρ (χ2) = 0.22; RMSEA = 0.037 and RMSR = 0.040). Finally, Cronbach's alpha and McDonald's omega for internal consistency reported good values of 0.830 and 0.851, respectively. our findings show that the OPQOL-Brief exhibits a solution with 12 elements and related constructs, providing stable goodness-of-fit indicators as well as good and remarkable consistency ratings.

Ageing with HIV: Medicine Optimisation Challenges and Support Needs for Older People Living with HIV: A Systematic Review.

Older people living with HIV (PLWH) are at increased risks of co-morbidities and polypharmacy. However, little is known about factors affecting their needs and concerns about medicines. This systematic review aims to describe these and to identify interventions to improve medicine optimisation outcomes in older PLWH. Multiple databases and grey literature were searched from inception to February 2022 including MEDLINE, CINAHL, PsycInfo, PsychArticles, the Cochrane Database of Systematic Reviews and the Cochrane Controlled Register of Trials, Abstracts in Social Gerontology, and Academic Search Complete. Studies reporting interventions/issues affecting older PLWH (sample populations with mean/median age ≥ 50 years; any aspect of medicine optimisation, or concerns). Quality assessments were completed by means of critical appraisal checklists for each study design. Title and abstract screening was led by one reviewer and a sample reviewed independently by two reviewers. Full-paper reviews were completed by one author and a 20% sample was reviewed independently by two reviewers. Data were extracted by three independent reviewers using standardised data extraction forms and synthesised according to outcomes or interventions reported. Data were summarised to include key themes, outcomes or concerns, and summary of intervention. Seventy-nine (n=79) studies met the eligibility criteria, most of which originated from the USA (n=36). A few studies originated from Australia (n=5), Canada (n=5), Spain (n=9), and the UK (n=5). Ten studies originated from Sub-Saharan Africa (Kenya n=1, South Africa n=6, Tanzania n=1, Uganda n=1, Zimbabwe n=1). The rest of the studies were from China (n=1), France (n=1), Germany (n=1), Italy (n=1), the Netherlands (n=1), Pakistan (n=1), Switzerland (n=1), Saudi Arabia (n=1) and Ukraine (n=1). Publication dates ranged from 2002 to 2022. Sample sizes ranged from 10 to 15,602 across studies. The factors affecting older PLWH's experience of and issues with medicines were co-morbidities, health-related quality of life, polypharmacy, drug interactions, adverse drug reactions, adherence, medicine burden, treatment burden, stigma, social support, and patient-healthcare provider relationships. Nine interventions were identified to target older persons, five aimed at improving medication adherence, two to reduce drug interactions, and two for medicine self-management initiatives. Further in-depth research is needed to understand older PLWH's experiences of medicines and their priority issues. Adherence-focused interventions are predominant, but there is a scarcity of interventions aimed at improving medicine experiences for this population. Multi-faceted interventions are needed to achieve medicine optimisation outcomes for PLWH. This study is registered with PROSPERO registration number: CRD42020188448.

Proposal for Didactic Innovation through the Monitoring of Threatened Biodiversity

Biodiversity Conservation is a priority issue for the scientific community, and a main subject in the Biology and Geology curriculum at secondary school level in Spanish Educational System. In the present didactic proposal, we use the demographic monitoring of an endangered plant species to illustrate a research tool for estimates of biodiversity loos in nature, the local endemic Astragalus tremolsianus Pau. The aim of the proposal is to bring students closer to a real experience, which brings together knowledge of Biology, Algebra and Trigonometry, through Information and Communication Technologies (ICTs). Showing a census to monitor the populations of a threatened high mountain flora species into the classroom is an innovative teaching activity that combines and uses knowledge from different disciplines, as well as demonstrating a real application of the knowledge acquired. The use of mathematical tools encompasses a number of skills that require the application of mathematical principles and processes in the scientific context. The introduction of the structure of scientific texts is another positive aspect of this didactic experience.

On the Traditional Carpets of Kyrgyzstan Southern Regions

This article examines the woven carpet as an excellent resource for studying trends in material culture. Technological aspects of carpet making, and the semiotic significance of decorative complexes are among the priority issues for research. As an inseparable part of traditional material and spiritual culture, folk-decorative applied art, which is connected with the applied and at the same time aesthetic development of the objective world, occupies a leading place. Carpet weaving is noted as a form of artistic expression of ethnic groups in applied arts. Analysis of the processes and phenomena occurring in each individual cultural component is a necessary condition for restoring a unified picture of the development trend and state of the culture of the society as a whole.

Coastal benthic habitat mapping and monitoring by integrating aerial and water surface low-cost drones

Accurate data on community structure is a priority issue in studying coastal habitats facing human pressures. The recent development of remote sensing tools has offered a ground-breaking way to collect ecological information at a very fine scale, especially using low-cost aerial photogrammetry. Although coastal mapping is carried out using Unmanned Aerial Vehicles (UAVs or drones), they can provide limited information regarding underwater benthic habitats. To achieve a precise characterisation of underwater habitat types and species assemblages, new imagery acquisition instruments become necessary to support accurate mapping programmes. Therefore, this study aims to evaluate an integrated approach based on Structure from Motion (SfM) photogrammetric acquisition using low-cost Unmanned Aerial (UAV) and Surface (USV) Vehicles to finely map shallow benthic communities, which determine the high complexity of coastal environments. The photogrammetric outputs, including both UAV-based high (sub-meter) and USV-based ultra-high (sub-centimetre) raster products such as orthophoto mosaics and Digital Surface Models (DSMs), were classified using Object-Based Image Analysis (OBIA) approach. The application of a supervised learning method based on Support Vector Machines (SVM) classification resulted in good overall classification accuracies &amp;gt; 70%, proving to be a practical and feasible tool for analysing both aerial and underwater ultra-high spatial resolution imagery. The detected seabed cover classes included above and below-water key coastal features of ecological interest such as seagrass beds, “banquettes” deposits and hard bottoms. Using USV-based imagery can considerably improve the identification of specific organisms with a critical role in benthic communities, such as photophilous macroalgal beds. We conclude that the integrated use of low-cost unmanned aerial and surface vehicles and GIS processing is an effective strategy for allowing fully remote detailed data on shallow water benthic communities.

Exploring the framings of water scarcity in Palestinian textbooks

ABSTRACT Water scarcity in Palestine is a top national priority issue. Extensive research has analysed the causes of water scarcity in Palestine, focusing on negotiations, the occupation, climate change, environmental conditions, the role of international donors and funders, and mismanagement. Nevertheless, how these representations are reflected in Palestinian textbooks has not been investigated. However, textbooks are key because they reflect the governmental position and dominant discourses and forge future generations’ understandings of water issues. This paper takes textbooks as a case study to analyse the dominant discourses of water scarcity in Palestine.

Modernization of quality assurance system in higher education of Azerbaijan

Today, one of the long-term development goals of Azerbaijan is to train competitive human capital in higher education in the 21st century in accordance with the modern requirements of the labour market. In this context, the modernisation of the quality assurance system in higher education in Azerbaijan is one of the priority issues. The article analyses the issues of quality assurance in the legal framework of Azerbaijan, the Standards and Guidelines for Quality Assurance in the European Higher Education Area and current legislation and makes relevant recommendations to improve regulations. The modernisation of quality assurance at foreign universities is one of the current focus areas. In order to transform university graduates into internationally competitive human capital, to eliminate the difference between the professional qualifications offered by universities and the specialisations sought, the article offers theoretical and practical suggestions to universities to modernise quality assurance.

Tobler’s first law in the digital economy based on the Internet of Everything: Priority issues

Introduction. W. Tobler, an American researcher, worded the first law of geographyby linking the location with the interaction among economic agents. This produced spatial analysis and shaped spatial interactions in the pre-Internet era. However, the development of information and communication technologies doubted the significance of location and spatial distance in the emerging digital economy based on the Internet of People. Scientific discussions concerning this issue and empirical studies established that the modern digital economy, including the one derived from the Internet of Things, partially depends on the actual geographical space. In the next decade, further development of technologiescould lead to a digital economy based on the Internet of Everything. Currently, there is no data about how spatially distributed economic agents will interact in the future digital world. Purpose. The article formulates the questions concerningthe Tobler’s first law with their future answers to confirm or refute the hypothesis about the spatial interactions in the digital economy based on the Internet of Everything. Results. To achieve this goal, the Tobler’s first law is examined for the first time in the Russian scientific literature. Key implications and ambiguities of this law are formulated. The spatial interaction concept is clarified. The Internet of Things and the Internet of Everything are briefly described. The future digital economy is outlined, and the key questions are formulated.Conclusion. Seven questions are given with their answers to assist us in identifying spatial interactions from different perspectives by machine-to-machine interaction, coverage of all types of economic activity, geographical proximity to the end user, gravitational interaction, economic-geographical location, economic regionalization, and spatial autocorrelation.

Каспийский регион: новые процессы

The Caspian region has entered a new stage of its development. The geopolitical rivalry over the choice of routes for the export of hydrocarbon resources to foreign markets, as well as the fierce negotiation process in light of the preparation of the Convention on the international legal status of the Caspian Sea have overshadowed the issues of economic cooperation between the countries of the region. Implementation of transport projects, expansion of shipping, and growth of mutual trade turnover became priority issues in the policies of the Caspian littoral states and countries that are not members of the Caspian Five. These processes give Russia new opportunities to strengthen its position in the Caspian Sea and at the same time require it to take new approaches to realization of its national interests.

Drug-Resistant Tuberculosis Stigma Among HealthCare Workers Toward the Development of a Stigma-Reduction Strategy: A Scoping Review.

Drug-resistant tuberculosis (DRTB) is a growing concern worldwide. The poor rate of service delivery exacerbates the severity, leading to an increase in community transmission, which is further amplified by stigma. Health care workers (HCWs) are at the forefront lines of service delivery; their efforts are suspected of resulting in stigmatization, negatively impacting patient-centered care. However, little is known about DRTB-related stigma among these HCWs, and interventions are limited. Our scoping review is significant because it provides an overview of the DRTB stigma confronting HCWs and informs subsequent stigma-reduction initiatives. Utilizing Arksey and O'Malley framework, we exhaustively searched electronic databases for relevant English-language studies published from 2010 to 2022, identifying the drivers and facilitators of DRTB-related stigma among HCWs from high-TB and -DRTB burden countries, and compiling recommendations that could reduce DRTB stigma. From 443 de-duplicated papers, 11 articles on HCWs' DRTB-related stigma were reviewed and synthesized. Fear was mentioned across included articles as a stigma driver. Other reported stigma drivers identified included feelings of discrimination, isolation, danger, lack of support, shame, and stress. Poor infection control (IC) was the leading stigma facilitator. Other stigma facilitators identified were differing IC interpretations, workforce culture, and workplace inequality facilitating to stigmatization of HCWs. Three key recommendations identified were addressing infection control issues; increase the competence of healthcare workers; and provide psychosocial assistance, emphasizing HCW safety during DRTB activities. DRTB stigma among HCWs is multifaceted, largely driven by fear and facilitated by varying implementation or interpretations of policies within the workplace. Making HCWs feel safe while conducting DRTB activities is a priority issue that should be addressed by improving IC, training and psychosocial support. More studies investigating country-specific and multilevel DRTB-related stigma among HCWs are required to inform the development of an effective stigma intervention strategy.