The feasibility of a public-private mix program on pulmonary tuberculosis screening in Penang: A pilot study

• Published in: Malaysian family physician Vol. 16; no. 1; pp. 75 - 83
• Main Authors: Tang, Wei Shuong, Chan, Mei Wai, Kow, Fei Ping, Ambigapathy, Ranjini, Wong, Justen Han Wei, Thiruvengadam, Vasantha, Abd Kadir, Umarazina, Jain, Anita, Pararajasingam Pillai, Ramesvari
• Format: Journal Article
• Language: English
• Published: Malaysia Academy of Family Physicians of Malaysia 25.03.2021; Academy of Family Physician of Malaysia
• Subjects: Collaboration; Feasibility studies; feasibility study; Health care; Health facilities; Laboratories; Medical diagnosis; Medical referrals; Original; Patients; Population; Public health; pulmonary tuberculosis; Questionnaires; Researchers; Tuberculosis; Penang Malaysia; Malaysia; pulmonary tuberculosis; feasibility study
• ISSN: 1985-207X; 1985-2274; 1985-2274
• DOI: 10.51866/oa1096

The low detection rate of tuberculosis (TB) cases in Malaysia remains a challenge in the effort to end TB by 2030. The collaboration between private and public health care facilities is essential in addressing this issue. As of now, no private-public health care collaborative program in pulmonary tuberculosis (PTB) screening exists in Malaysia. To determine the feasibility of a collaborative program between private general practitioners (GPs) and the public primary health clinics in PTB screening and to assess the yield of smear-positive PTB from this program. A prospective cohort study using convenient sampling was conducted involving GPs and public health clinics in the North-East District, Penang, from March 2018 to May 2019. In this study, GPs could direct all suspected PTB patients to perform a sputum acid fast bacilli (AFB) direct smear in any of the dedicated public primary health clinics. The satisfaction level of both the GPs and their patients were assessed using a self-administered client satisfaction questionnaire. IBM SPSS Statistical Software was used to analyze the data. Out of a total of 31 patients who underwent the sputum investigation for PTB, one (3.2%) was diagnosed to have smear-positive PTB. Most of the patients (>90%) and GPs (66.7%) agreed to continue with this program in the future. Furthermore, most of the patients (>90%) were satisfied with the program structure. It is potentially feasible to involve GPs in combating TB. However, a more structured program addressing the identified issues is needed to make the collaborative program a success.