Public–private mix for tuberculosis care and control: a systematic review

Lei, Xun; Liu, Qin; Escobar, Erin; Philogene, Johane; Zhu, Hongbo; Wang, Yan; Tang, Shenglan

doi:10.1016/j.ijid.2015.02.015

Cited by 83 publications

(97 citation statements)

References 44 publications

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“…The CDR is determined by the number of new AFB-positive smears [1], and Indonesia still has a low detection rate for AFB-positive smears, likely due to the low sensitivity of the current microbiological detection tools. CDR is a strategic indicator because the achievement of a 70% CDR, followed by cure rate at 85% or higher, will decrease the annual TB incidence rate by 7–12% [1,6]. Indonesia implemented the PPM in 2003 by recruiting public and private hospitals; the system is known as Hospital DOTS Linkage (HDL).…”

Section: Introductionmentioning

confidence: 99%

The dynamic of tuberculosis case finding in the era of the public–private mix strategy for tuberculosis control in Central Java, Indonesia

Reviono

Setianingsih²,

Damayanti

et al. 2017

Global Health Action

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Background: The public–private mix (PPM) strategy has strengthened tuberculosis care and control in many countries. Indonesia, a country with a high tuberculosis burden, has a low tuberculosis case detection rate (CDR), despite PPM implementation in 2003. The PPM in Indonesia involves primary healthcare centers, hospitals, and specialized chest clinics. The long-term impact of the strategy is unknown. Objective: We aimed to explore the case detection achievements of the tuberculosis program since PPM implementation in Central Java in 2003. Methods: This retrospective cohort study covered the period 1 January 2000 to 31 December 2014. The data from tuberculosis patients treated in all health facilities in Central Java implementing directly observed treatment short-course, recorded via a standardized form, were analyzed after being validated by the Office of Health of Central Java Province. We evaluated the CDR, case notification rate, and total number of cases, using linear regression to analyze the temporal trends of those indicators in the phases of PPM implementation. Results: The CDR increased during the initial phase (2000–2005), decreased during the mid-phase (2006–2009), and increased slightly during the late phase (2010–2014), ranging from 13 to 61.72. These trends were observed despite a steady increase in the number of participating healthcare facilities. The regression analysis showed that the CDR of referral institutions contributed the most to the total CDR of Central Java Province. Many of the smear-negative tuberculosis cases recorded at primary healthcare centers may have been smear positive; this probable misclassification could have been partially avoided if more specific and sensitive diagnostic tools were available. Conclusions: The CDR remains below the national target (70%). Early awareness of a negative trend in certain program indicators is important to ensure program sustainability. Careful observation of the indicator pattern will secure the long-term success of the program.

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Section: Introductionmentioning

confidence: 99%

The dynamic of tuberculosis case finding in the era of the public–private mix strategy for tuberculosis control in Central Java, Indonesia

Reviono

Setianingsih²,

Damayanti

et al. 2017

Global Health Action

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“…According to the findings of this study, healthcare providers working in government institution are more aware of how to transport infectious substances and practice betters when compare with those working in private sector. This was also supported by studies conducted in Africa, China, but in some countries in Asia particularly the private institutions they practice better than governmental institutions [22][23][24][25].…”

Section: Discussionmentioning

confidence: 63%

Knowledge and Practice about Transportation of Infectious Substance among Healthcare Providers, Khartoum State

Adam¹,

Faroug²,

Sayed³

et al. 2019

ujph

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Proper shipping of infectious materials is an important practice to prevent healthcare workers (HCWs), other people and environment from spread of biological threats. The main purpose of this study was to determine healthcare providers' knowledge, and practices about transportation of infectious substances. A self-administered designed questionnaire was used to collect relevant data from study respondents. Primary data were double entered and analyzed by using statistical package for social sciences (IBM SPSS statistics 20). Descriptive, in addition to the effects of predictors on dependent variables were applied. Multiple logistic regression model was used to assess the association between dependent variables and predictors. It has been found that; the overall mean percentage of knowledge was 57.1 (95 CI: 54.1, 60.2), while mean percentage of practice was 68.9 (CI: 95% 66.7 -71.1). Response reliability scale was 89.0% based on Cronbach's alpha. The highest knowledge regarding transportation of infectious substances was observed among laboratory specialist (33.9%) and doctors (25.4%) respectively. High percentage of practice was observed among laboratory specialist was (34.6%) and low percentage was among public health officers and doctors (15.9%). Majority of study respondents did not receive training in transportation of infectious substances (70.9%). Knowledge and practice on transportation of infectious substances among health care providers are low. More efforts are needed to fill the gap in knowledge and practice by applying effective training programs that can lead to increase skills and awareness of health care providers.

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“…A strength of this study is the randomised controlled trial design. Despite the abundance of literature describing PPM programmes, robust empirical evidence of their effectiveness on programme outcomes is limited and encompassing mostly cross‐sectional or longitudinal studies, many without controls and apparently none with a randomised design . The intervention was designed from evidence gathered in the field, refined in consultation with stakeholders and was well integrated into the NTP, assuring sustainability.…”

Section: Discussionmentioning

confidence: 99%

Involving private practitioners in the Indian tuberculosis programme: a randomised trial

Yellappa

Battaglioli

Gurum

et al. 2018

Tropical Med Int Health

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Public–private mix for tuberculosis care and control: a systematic review

Cited by 83 publications

References 44 publications

The dynamic of tuberculosis case finding in the era of the public–private mix strategy for tuberculosis control in Central Java, Indonesia

The dynamic of tuberculosis case finding in the era of the public–private mix strategy for tuberculosis control in Central Java, Indonesia

Knowledge and Practice about Transportation of Infectious Substance among Healthcare Providers, Khartoum State

Involving private practitioners in the Indian tuberculosis programme: a randomised trial

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