• A workshop in Chennai, India, involving SEAR countries' TB program managers and experts, highlighted key challenges in implementing TPT (TB Preventive Treatment). 

• The data on TPT guidelines, target groups, diagnostic tests, regimens, adherence mechanisms, and information systems were collected via a questionnaire and presented during the workshop using e-posters.

• Participants identified several challenges, including:

1. Poor demand and acceptance among beneficiaries

2. Low provider confidence

3. Difficulties in ruling out active TB

4. Supply chain issues

5. Inadequate support systems

• The workshop emphasized the need for robust community mobilization, provider capacity building, and improved diagnostic access.

• Strategies such as the use of chest radiography, better supply chain management, and strong advocacy plans were recommended to enhance TPT delivery.

• Research priorities included developing comprehensive intervention strategies, improving access to diagnostics, and integrating TPT into real-time TB management systems. 

• The workshop concluded that effective implementation requires collaboration among stakeholders, sustained training, and addressing logistical challenges to maximize the benefits of TB preventive therapy.

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