Tb Case Notification by Private Health-sector; Retrospective Study in 13 Metro Districts of Pakistan. | [Journal of Pakistan Medical Association • 2018]

Author(s):

1. Sobia Faisal: Greenstar Social Marketing, Islamabad, Pakistan

2. Azadar Abbas: Greenstar Social Marketing, Islamabad, Pakistan

3. Ghulam Haider: Greenstar Social Marketing, Islamabad, Pakistan

4. Khalid Farough: Greenstar Social Marketing, Islamabad, Pakistan

5. AzizurRab: Greenstar Social Marketing, Islamabad, Pakistan

Abstract:

Objective: To evaluate the impact of structured engagement of private providers in tuberculosis case notification and to investigate demographic profile, disease pattern and treatment outcome of tuberculosis patients seeking care from private care providers. Methods: This retrospective study was carried out in 13 districts of Pakistan with the data of tuberculosis patients registered and diagnosed from July 2015 to June 2016 at directly observed treatment, short-course trained private providers. These facilities in collaboration with Greenstar Social Marketing Pakistan, a private organisation and the National Tuberculosis Control Programme, Pakistan, provided free anti-tuberculosis drugs and sputum smear microscopy. Study variables included socio-demographic character, disease patterns and treatment outcomes of patients along with details of the registering facility. Data was analysed using SPSS 23. Results:There were 1317 directly observed treatment, short-course trained private health facilities and 123 private laboratories. Of the health facilities, 880(67%) reported 13769 tuberculosis patients. Of them, 7388(53.65%) were females and 6381(46.34%) were males. Overall, 10232(74.31%) were diagnosed with pulmonary tuberculosis and 3537(25.68%) were extra pulmonary tuberculosis patients. Among the pulmonary patients, 4195(41%) were diagnosed through sputum smear microscopy as bacteriologically confirmed (B+ve), while the remaining 6037(59%) were diagnosed through X-ray or other tests. Out of all the diagnosed patients 13218(96%) were treated successfully. Conclusion: Private healthcare sector has great potential of supporting tuberculosis control. Gender and age had critical implications in service utilisation.

Page(s): 1666-1671

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 68, Issue: 11, Year: 2018

Keywords:

Private facilities , Public private mix , Successfully treated , Directly observed treatment short course

References:

[1] WHO. Tuberculosis Fact Sheet [internet]. 2017 [Cited 2017 Feb 20]. Available from: URL: http://www.who.int/mediacentre/factsheets/ fs104/en/.

[2] WHO. Pakistan Tuberculosis Profile [Online] 2017 [Cited 2017 Dec 17]. Available from: URL: https://extranet.who.int/sree/Reports? op=Replet&name=/WHO_HQ_Reports/G2/PROD/EXT/TBCountr yProfile&ISO2=PK&outtype=html

[3] WHO. Tuberculosis key facts [Online] 2017 [Cited 2017 Aug 15]. Available from: URL: http://www.who.int/mediacentre/factsheets/ fs104/en

[4] JavaidA, 2015.Tuberculosis control in Pakistan,Pak J Chest Med 16 1 -7

[5] Wells WA, Uplekar M, Pai M. Achieving systemic and scalable private sector engagement in tuberculosis care and prevention in Asia PLoS Med. 2015; 12:e1001842

[6] FaisalS,AhmadQ,MahmmoodH,Rifaq F, 2014.Socio-demographic factors affecting tuberculosis diagnostic test seeking behaviour in Pakistan: a review,Punjab Univ J Zool 29 91 -6

[7] ShaikhBT,HatcherJ, 2004.Health seeking behaviour and health service utilisation in Pakistan: challenging the policy makers,J Public Health (Oxf) 27 49 -54

[8] National TB Control Program Pakistan, 2015.ON_TB_CASE_MANAGEMENT_ REV_JAN_,National Guidelines for Diagnosis and Management of Tuberculosis in Pakistan [Online] 2015 [Cited 2018 May 14 -

[9] UdwadiaZF,PintoLM,UplekarMW, 2010.Tuberculosis management by private practitioners in Mumbai, India: has anything changed in two decades,PloSOne 5 e12023 -

[10] DewanPK,LalSS,LonnrothK,WaresF,UplekarM,SahuS, 2006.Improving tuberculosis control through public-private collaboration in India: literature review,BMJ 332 574 -8

[11] Mantala MJ, 2003.Public-private mix DOTS in the Philippines,Tuberculosis 83 173 -6

[12] MalmborgR,MannG,ThomsonR,SquireSB, 2006.Can public-private collaboration promote tuberculosis case detection among the poor and vulnerable?,Bull World Health Organ 84 752 -8

[13] National TB Control Program Pakistan, .,Annual Report 2015 [Online] 2016 [Cited 2017 December 15 -

[14] QureshiRN,SheikhS,KhowajaAR,HoodbhoyZ,ZaidiS,SawchuckD, 2016.Health care seeking behaviours in pregnancy in rural Sindh, Pakistan: a qualitative study,Reprod Health 13 34 -

[15] RizviN,KhanKS,ShaikhBT, 2014.Gender: shaping personality, lives and health of women in Pakistan. BMC women's health, 14 53 -

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