Engaging Private Health Care Providers to Identify Individuals with TB in Nepal

In Nepal, 47% of individuals who fell ill with TB were not reported to the National TB Program in 2018. Approximately 60% of persons with TB initially seek care in the private sector. From November 2018 to January 2020, we implemented an active case finding intervention in the Parsa and Dhanusha dis...

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Autores principales:	Rajesh Sah, Upendra Kumar Singh, Ranju Mainali, Ataulhaq Sanaie, Tripti Pande, Nathaly Aguilera Vasquez, Amera Khan
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	tuberculosis private health care providers public private mix Medicine R
Acceso en línea:	https://doaj.org/article/24a27318fff14eecb85fde6b9d3302b3
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id	oai:doaj.org-article:24a27318fff14eecb85fde6b9d3302b3
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spelling	oai:doaj.org-article:24a27318fff14eecb85fde6b9d3302b32021-11-25T17:48:07ZEngaging Private Health Care Providers to Identify Individuals with TB in Nepal10.3390/ijerph1822117621660-46011661-7827https://doaj.org/article/24a27318fff14eecb85fde6b9d3302b32021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11762https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601In Nepal, 47% of individuals who fell ill with TB were not reported to the National TB Program in 2018. Approximately 60% of persons with TB initially seek care in the private sector. From November 2018 to January 2020, we implemented an active case finding intervention in the Parsa and Dhanusha districts targeting private provider facilities. To evaluate the impact of the intervention, we reported on crude intervention results. We further compared case notification during the implementation to baseline and control population (Bara and Siraha) notifications. We screened 203,332 individuals; 11,266 (5.5%) were identified as presumptive for TB and 8077 (71.7%) were tested for TB. Approximately 8% had a TB diagnosis, of whom 383 (56.2%) were bacteriologically confirmed (Bac+). In total, 653 (95.7%) individuals were initiated on treatment at DOTS facilities. For the intervention districts, there was a 17%increase for bacteriologically positive TB and 10% for all forms TB compared to baseline. In comparison, the change in notifications in the control population were 4% for bacteriologically positive, and −2% all forms. Through engagement of private sector facilities, our intervention was able to increase the number of individuals identified with TB by over 10% in the Parsa and Dhanusha districts.Rajesh SahUpendra Kumar SinghRanju MainaliAtaulhaq SanaieTripti PandeNathaly Aguilera VasquezAmera KhanMDPI AGarticletuberculosisprivate health care providerspublic private mixMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11762, p 11762 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	tuberculosis private health care providers public private mix Medicine R
spellingShingle	tuberculosis private health care providers public private mix Medicine R Rajesh Sah Upendra Kumar Singh Ranju Mainali Ataulhaq Sanaie Tripti Pande Nathaly Aguilera Vasquez Amera Khan Engaging Private Health Care Providers to Identify Individuals with TB in Nepal
description	In Nepal, 47% of individuals who fell ill with TB were not reported to the National TB Program in 2018. Approximately 60% of persons with TB initially seek care in the private sector. From November 2018 to January 2020, we implemented an active case finding intervention in the Parsa and Dhanusha districts targeting private provider facilities. To evaluate the impact of the intervention, we reported on crude intervention results. We further compared case notification during the implementation to baseline and control population (Bara and Siraha) notifications. We screened 203,332 individuals; 11,266 (5.5%) were identified as presumptive for TB and 8077 (71.7%) were tested for TB. Approximately 8% had a TB diagnosis, of whom 383 (56.2%) were bacteriologically confirmed (Bac+). In total, 653 (95.7%) individuals were initiated on treatment at DOTS facilities. For the intervention districts, there was a 17%increase for bacteriologically positive TB and 10% for all forms TB compared to baseline. In comparison, the change in notifications in the control population were 4% for bacteriologically positive, and −2% all forms. Through engagement of private sector facilities, our intervention was able to increase the number of individuals identified with TB by over 10% in the Parsa and Dhanusha districts.
format	article
author	Rajesh Sah Upendra Kumar Singh Ranju Mainali Ataulhaq Sanaie Tripti Pande Nathaly Aguilera Vasquez Amera Khan
author_facet	Rajesh Sah Upendra Kumar Singh Ranju Mainali Ataulhaq Sanaie Tripti Pande Nathaly Aguilera Vasquez Amera Khan
author_sort	Rajesh Sah
title	Engaging Private Health Care Providers to Identify Individuals with TB in Nepal
title_short	Engaging Private Health Care Providers to Identify Individuals with TB in Nepal
title_full	Engaging Private Health Care Providers to Identify Individuals with TB in Nepal
title_fullStr	Engaging Private Health Care Providers to Identify Individuals with TB in Nepal
title_full_unstemmed	Engaging Private Health Care Providers to Identify Individuals with TB in Nepal
title_sort	engaging private health care providers to identify individuals with tb in nepal
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/24a27318fff14eecb85fde6b9d3302b3
work_keys_str_mv	AT rajeshsah engagingprivatehealthcareproviderstoidentifyindividualswithtbinnepal AT upendrakumarsingh engagingprivatehealthcareproviderstoidentifyindividualswithtbinnepal AT ranjumainali engagingprivatehealthcareproviderstoidentifyindividualswithtbinnepal AT ataulhaqsanaie engagingprivatehealthcareproviderstoidentifyindividualswithtbinnepal AT triptipande engagingprivatehealthcareproviderstoidentifyindividualswithtbinnepal AT nathalyaguileravasquez engagingprivatehealthcareproviderstoidentifyindividualswithtbinnepal AT amerakhan engagingprivatehealthcareproviderstoidentifyindividualswithtbinnepal
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Engaging Private Health Care Providers to Identify Individuals with TB in Nepal

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