Tuberculosis Case Management and Treatment Outcome: Assessment of the Effectiveness of Public - Private Mix of Tuberculosis Programme in Kaduna State, Nigeria
Background: In an effort to increase tuberculosis (TB) case detection, the Kaduna State TB program in Nigeria started Public-Private Mix (PPM DOTS) in 2002. This study assessed and compared the TB case management practices and treatment outcomes of the public and private health facilities involved i...
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Published in | Annals of African medicine Vol. 8; no. 1; pp. 25 - 31 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
Nigeria
Annals of African Medicine Society
01.01.2009
Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd |
Subjects | |
Online Access | Get full text |
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Summary: | Background: In an effort to increase tuberculosis (TB) case
detection, the Kaduna State TB program in Nigeria started
Public-Private Mix (PPM DOTS) in 2002. This study assessed and compared
the TB case management practices and treatment outcomes of the public
and private health facilities involved in the TB program. Methods: A
comparative cross-sectional descriptive study was carried out in 5
private and 10 public health facilities providing TB services for at
least two years in the four Local Governments Areas in Kaduna State
where both public and private health facilities are involved in the TB
program. The heads of the health facilities were interviewed and case
notes of all the 492 TB patients registered in these facilities between
January 2003 and December 2004 reviewed. Results: Except for the
lower use of sputum microscopy for diagnosis, adherence to national TB
treatment guidelines was high in both private and public health
facilities. The private health facilities significantly saw more TB
patients, an average of 51 patients per health facility compared to 23
patients in the public health facilities. There was better completion
of records in the public health facilities while patient contact
screening was very low in both public and private health facilities,
13.1% and 12.2% respectively. The treatment success rate was higher
among patients managed in the private health facilities (83.7%)
compared to 78.6% in the public health facilities. Conclusion:
Private health facilities adhere to national guidelines had higher TB
patient case load and better treatment outcome than public health
facilities in Kaduna State. PPM-DOTS should be scaled-up and
consolidated. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 1596-3519 0975-5764 |
DOI: | 10.4103/1596-3519.55760 |