文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

在尼泊尔,让私立医疗保健提供者参与发现结核病患者。

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

机构信息

Save the Children International, Bardibas 45701, Nepal.

Sahayog Samittee Nepal, Kalaiya 44412, Nepal.

出版信息

Int J Environ Res Public Health. 2021 Nov 9;18(22):11762. doi: 10.3390/ijerph182211762.


DOI:10.3390/ijerph182211762
PMID:34831519
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8623023/
Abstract

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.

摘要

在尼泊尔,2018 年有 47%的结核病患者未向国家结核病规划报告。大约 60%的结核病患者最初在私营部门寻求治疗。从 2018 年 11 月至 2020 年 1 月,我们在帕尔萨和丹库沙地区针对私营医疗机构实施了一项主动病例发现干预措施。为了评估干预措施的影响,我们报告了干预的初步结果。我们进一步将实施期间的病例报告与基线和对照人群(巴拉和锡拉哈)的报告进行了比较。我们共筛查了 203332 人;11266 人(5.5%)被认为患有疑似结核病,8077 人(71.7%)接受了结核病检测。约有 8%的人被诊断患有结核病,其中 383 人(56.2%)的结核病得到了细菌学证实(Bac+)。共有 653 人(95.7%)在 DOTS 设施开始接受治疗。与基线相比,干预地区的细菌阳性结核病和所有形式的结核病的报告率分别增加了 17%和 10%。相比之下,对照人群的细菌阳性和所有形式结核病的报告变化分别为 4%和-2%。通过与私营部门合作,我们的干预措施使帕尔萨和丹库沙地区的结核病患者数量增加了 10%以上。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b84/8623023/ca5223ea602d/ijerph-18-11762-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b84/8623023/3aed6b3dd1a7/ijerph-18-11762-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b84/8623023/ca5223ea602d/ijerph-18-11762-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b84/8623023/3aed6b3dd1a7/ijerph-18-11762-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b84/8623023/ca5223ea602d/ijerph-18-11762-g002.jpg

相似文献

[1]
Engaging Private Health Care Providers to Identify Individuals with TB in Nepal.

Int J Environ Res Public Health. 2021-11-9

[2]
Successfully Engaging Private Providers to Improve Diagnosis, Notification, and Treatment of TB and Drug-Resistant TB: The EQUIP Public-Private Model in Chennai, India.

Glob Health Sci Pract. 2019-3-29

[3]
[Tuberculosis in Asia].

Kekkaku. 2002-10

[4]
Tapping private health sector for public health program? Findings of a novel intervention to tackle TB in Mumbai, India.

Indian J Tuberc. 2020-4

[5]
Control of tuberculosis in an urban setting in Nepal: public-private partnership.

Bull World Health Organ. 2004-2

[6]
Map, know dynamics and act; a better way to engage private health sector in TB management. A report from Mumbai, India.

Indian J Tuberc. 2020-1

[7]
TB case notification by private health-sector; retrospective study in 13 metro districts of Pakistan.

J Pak Med Assoc. 2018-11

[8]
Public-private mix for TB and TB-HIV care in Lagos, Nigeria.

Int J Tuberc Lung Dis. 2013-9

[9]
A survey to assess the extent of public-private mix DOTS in the management of tuberculosis in Zambia.

Afr J Prim Health Care Fam Med. 2015-3-27

[10]
What would it cost to scale-up private sector engagement efforts for tuberculosis care? Evidence from three pilot programs in India.

PLoS One. 2019-6-5

引用本文的文献

[1]
The Role of Private Doctor and Private-Public Mix Systems in Tuberculosis Detection in Developing Countries: A Systematic Review.

Iran J Public Health. 2025-6

[2]
Improving cascade outcomes for active TB: A global systematic review and meta-analysis of TB interventions.

PLoS Med. 2023-1

本文引用的文献

[1]
Missing men with tuberculosis: the need to address structural influences and implement targeted and multidimensional interventions.

BMJ Glob Health. 2020-5

[2]
Barriers in the access, diagnosis and treatment completion for tuberculosis patients in central and western Nepal: A qualitative study among patients, community members and health care workers.

PLoS One. 2020-1-15

[3]
Sex differences in tuberculosis.

Semin Immunopathol. 2018-10-25

[4]
Tuberculosis and gender - Factors influencing the risk of tuberculosis among men and women by age group.

Pulmonology. 2018

[5]
Finding the Missing Tuberculosis Patients.

J Infect Dis. 2017-11-6

[6]
A pragmatic approach to measuring, monitoring and evaluating interventions for improved tuberculosis case detection.

Int Health. 2014-9

[7]
Insufficient quality of sputum submitted for tuberculosis diagnosis and associated factors, in Klaten district, Indonesia.

BMC Pulm Med. 2009-5-8

[8]
Anti-tuberculosis treatment in private pharmacies, Kathmandu Valley, Nepal.

Int J Tuberc Lung Dis. 2000-8

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索