A survey of TB services in hospitals in seven large cities in Asia and North Africa.
Int J Tuberc Lung Dis
; 11(7): 739-46, 2007 Jul.
Article
em En
| MEDLINE
| ID: mdl-17609048
ABSTRACT
SETTING:
Hospitals in Bangkok, Cairo, Dhaka, Jakarta, Karachi, Kathmandu and Manila.OBJECTIVES:
To evaluate tuberculosis (TB) services provided in public and private hospitals in big cities.DESIGN:
A survey on TB services in hospitals was carried out in 2005 by visiting hospitals and face-to-face interviews. Selection criteria were determined for each city. All hospitals were included if feasible.RESULTS:
The number of hospitals included in the survey ranged from 52 in Bangkok to 106 in Jakarta. The proportion of private hospitals with access to a National Tuberculosis Programme (NTP) manual ranged from 8% in Jakarta to 89% in Bangkok. Private hospitals rarely functioned as a basic management unit (BMU) of the NTP, except in Bangkok. TB treatment was not always free of charge in BMU hospitals. The proportion of non-BMU hospitals that never referred/reported TB patients to the NTP was substantial in Bangkok, Dhaka, Jakarta, Karachi and Manila. Non-BMU hospitals did not routinely use standard NTP regimens, especially in Jakarta, Karachi and Manila. In non-BMU hospitals, patient tracing mechanisms were generally lacking and treatment outcome was not known.CONCLUSION:
TB services provided in non-BMU hospitals were not satisfactory. NTPs need to involve non-BMU hospitals in TB control.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tuberculose
/
Hospitais Urbanos
/
Controle de Doenças Transmissíveis
/
Serviços Urbanos de Saúde
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Qualitative_research
Aspecto:
Determinantes_sociais_saude
Limite:
Female
/
Humans
/
Male
País/Região como assunto:
Africa
/
Asia
Idioma:
En
Revista:
Int J Tuberc Lung Dis
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
França