Poor symptomatic tuberculosis screening practices in a quarter of health centres in Amhara Region, Ethiopia.

Autor:	Gebregergs GB; Amhara National Regional State Health Bureau, Bahir Dar, Ethiopia ; Bahir Dar University, College of Medicine and Health Sciences, Bahir Dar, Ethiopia., Alemneh M; Bahir Dar Regional Health Research Laboratory Center, Bahir Dar, Ethiopia., Koye DN; Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Kassie Y; Management Sciences for Health/HealTB, Addis Ababa, Ethiopia., Assefa M; Private Health Sector Program (PHSP), Abt Associates Inc, Addis Ababa, Ethiopia., Ayalew W; Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia., Temesgen C; I-TECH, Addis Ababa, Ethiopia., Klinkenberg E; KNCV Tuberculosis Foundation, The Hague, The Netherlands ; Department of Global Health, Academic Medical Center, University of Amsterdam, Amsterdam Institute for Global Health and Development, Amsterdam, The Netherlands., Tadesse T; Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Jazyk:	angličtina
Zdroj:	Public health action [Public Health Action] 2014 Dec 21; Vol. 4 (Suppl 3), pp. S8-S12.
DOI:	10.5588/pha.14.0053
Abstrakt:	Setting: In 2011, Ethiopia introduced a strategy of symptomatic tuberculosis (TB) screening for patients attending out-patient services to increase identification of presumptive TB. Objective: To assess implementation and factors affecting symptomatic TB screening at out-patient departments in health centres in the Amhara Region, Ethiopia. Design: Using a cross-sectional study design, 86 randomly selected public health centres providing DOTS were included in the study. Data were captured by reviewing TB registers and interviewing key informants at out-patient services. Results: Of 86 health centres, 24 (28%) had poor symptomatic TB screening practices, defined as screening <80% of attending out-patients. Having an actively functioning multidisciplinary health centre team to assess TB services (aOR 2.29, 95%CI 2.23-30.80) and partner support for TB activities (aOR 4.84, 95%CI 1.05-22.40) were associated with higher TB screening rates, whereas availability of antiretroviral therapy was negatively associated. In all health centres combined, 1.6% of out-patient department attendees were identified as having presumptive TB. Conclusion: A quarter of health centres had poor symptomatic TB screening practices in the out-patient services in this study. Strengthening multidisciplinary teams and expanding partner support are recommended to improve TB screening practices at out-patient services in Ethiopia.
Databáze:	MEDLINE
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