Total, Patient and System Diagnostic Delays for Pulmonary Bacilliferous Tuberculosis in the Six Diagnostic and Treatment Centers in the Five Health Districts of the Central Region, Burkina Faso, 2018

Yanogo, Pauline Kiswendsida; Balima, Clarisse; Méda, Nicolas

doi:10.1007/s44197-021-00027-z

Cited by 2 publications

(2 citation statements)

References 33 publications

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“…To reduce the global burden of TB, the WHO recommends a key next step of prioritizing interventions for early detection and diagnosis (3). However, TB is usually asymptomatic or presents with non-specific symptoms in the early stages (4). Most countries adopt passive case finding as the predominant pathway to TB case detection (3), meaning that the disease may have progressed for weeks when patients first visit a health facility.…”

Section: Introductionmentioning

confidence: 99%

Assessing heterogeneity of patient and health system delay among TB in a population with internal migrants in China

Sun,

Wu,

Zhang

et al. 2024

Front. Public Health

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BackgroundsThe diagnostic delay of tuberculosis (TB) contributes to further transmission and impedes the implementation of the End TB Strategy. Therefore, we aimed to describe the characteristics of patient delay, health system delay, and total delay among TB patients in Shanghai, identify areas at high risk for delay, and explore the potential factors of long delay at individual and spatial levels.MethodThe study included TB patients among migrants and residents in Shanghai between January 2010 and December 2018. Patient and health system delays exceeding 14 days and total delays exceeding 28 days were defined as long delays. Time trends of long delays were evaluated by Joinpoint regression. Multivariable logistic regression analysis was employed to analyze influencing factors of long delays. Spatial analysis of delays was conducted using ArcGIS, and the hierarchical Bayesian spatial model was utilized to explore associated spatial factors.ResultsOverall, 61,050 TB patients were notified during the study period. Median patient, health system, and total delays were 12 days (IQR: 3–26), 9 days (IQR: 4–18), and 27 days (IQR: 15–43), respectively. Migrants, females, older adults, symptomatic visits to TB-designated facilities, and pathogen-positive were associated with longer patient delays, while pathogen-negative, active case findings and symptomatic visits to non-TB-designated facilities were associated with long health system delays (LHD). Spatial analysis revealed Chongming Island was a hotspot for patient delay, while western areas of Shanghai, with a high proportion of internal migrants and industrial parks, were at high risk for LHD. The application of rapid molecular diagnostic methods was associated with reduced health system delays.ConclusionDespite a relatively shorter diagnostic delay of TB than in the other regions in China, there was vital social-demographic and spatial heterogeneity in the occurrence of long delays in Shanghai. While the active case finding and rapid molecular diagnosis reduced the delay, novel targeted interventions are still required to address the challenges of TB diagnosis among both migrants and residents in this urban setting.

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Section: Introductionmentioning

confidence: 99%

Assessing heterogeneity of patient and health system delay among TB in a population with internal migrants in China

Sun,

Wu,

Zhang

et al. 2024

Front. Public Health

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“…In Africa, an estimated 60 million cases of HBV were reported in 2020 [3]. Some local communities have reported diverse prevalence among pregnant women in West African countries including Ghana (6%) [4], Nigeria (8%) [5], and Burkina Faso (11.94%) [6]. In an African community, evidence of a decline in awareness and knowledge about HBV has been reported.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Hepatitis B Viral Infection in Pregnant Women at the Suhum Municipality, Ghana

Boachie,

Pidah,

Eshun

et al. 2024

Journal of Pregnancy

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Background. Global prevalence of chronic hepatitis B virus (HBV) infection was estimated between 257 and 291 million since 2020, posing a great public health challenge. In Africa, an estimated 60 million cases of HBV were reported in the same year. Pregnant women might be susceptible to HBV infection dependent on their level of awareness and knowledge about the causes, transmission, and prevention of HBV. The aim of the study was to assess the awareness and prevalence of HBV infection and prolonged bleeding risk among pregnant women at the Suhum Municipality of Ghana. Methods. The study was a cross-sectional design involving pregnant women who were sampled following their visit to the antenatal unit at the Suhum Government Hospital. Sociodemographics including history of HBV screening and vaccinations were obtained from consented individuals using pretested questionnaires. Also, venous blood samples were obtained for platelet count, whereas bleeding time assay was performed to assess functional platelet disorders. Results. Hepatitis B prevalence was 4.4%, with 14.1% prevalence of mild thrombocytopenia and 1.5% prevalence of prolonged bleeding time. Pregnant women who had tertiary education and previous screening were about 8 times (AOR=7.78, 95% CI: 1.50-40.50) and 14 times (AOR=13.66, 95% CI: 1.72-108.75) more likely to have knowledge of hepatitis B than those without tertiary education and previous screening, respectively. Conclusion. The prevalence of HBV was 4.4%. Education status and previous screening were associated with demonstration of knowledge about HBV; therefore, intensification of education and screening are recommended.

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Total, Patient and System Diagnostic Delays for Pulmonary Bacilliferous Tuberculosis in the Six Diagnostic and Treatment Centers in the Five Health Districts of the Central Region, Burkina Faso, 2018

Cited by 2 publications

References 33 publications

Assessing heterogeneity of patient and health system delay among TB in a population with internal migrants in China

Assessing heterogeneity of patient and health system delay among TB in a population with internal migrants in China

Prevalence of Hepatitis B Viral Infection in Pregnant Women at the Suhum Municipality, Ghana

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