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|Title: ||Public-Private Mix in Tuberculosis Control: An Assessment of Level of Implementation in Jos, Plateau State|
|Authors: ||Daboer, J.C.|
|Keywords: ||Private Medical Practitioners|
|Issue Date: ||Dec-2013|
|Publisher: ||The Nigerian Postgraduate Medical Journal|
|Series/Report no.: ||Vol. 20;Iss. 4: Pp 282- 285|
|Abstract: ||Aims and Objectives: After the initial gains in Tuberculosis case detection and
cure rates, progress became stunted by persisting constraints and challenges in
the implementation of the Directly Observed Treatment Short course strategy.
This prompted the Stop Tuberculosis partners in 2006 to adopt innovative
approaches including the Public-Private Mix, to improve access to and quality
of care. This paper assesses the level of Public-Private Mix in Tuberculosis control
in Jos, Plateau State.
Materials and Methods: This was a facility-based, cross sectional study where
data from all consenting private health care facilities owned by medically trained
personnel and private medical practitioners in Jos North and Jos South Local
Government Areas was collected using structured questionnaires.
Results: Eight (47.1%) of all 17 facilities assessed gave anti Tuberculosis drugs
on clinical suspicion of Tuberculosis, 5(29.4%) required Acid Fast Bacillus
result and 3(17.6%) referred elsewhere for the Tuberculosis management. Only 6
facilities (35.3%) were microscopy, treatment centres, or both. Ten (58.8%) of
the facilities had the Directly Observed Treatment Short course guidelines, but
these could be sighted in only 5 (29.4%), while six (35.3%) had Tuberculosis
record and referral forms. In 13 (76.5%) of the facilities, no local government
Tuberculosis and Leprosy supervisors had ever visited them. Only 30 (57.7%)
medical practitioners had access to the Directly Observed Treatment Short course.
Thirty two (61.5%) respondents treated Tuberculosis according to the Directly
Observed Treatment Short course strategy, but 19 (36.5%) still used the
conventional method. Only 22(42.3%) practitioners had ever received any
training on the Directly Observed Treatment Short course strategy.
Conclusion: The level of Public-Private Mix in Tuberculosis control in Jos is
|Appears in Collections:||Community Medicine|
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