Loss-to-follow-up and delay to treatment initiation in Pakistan’s National Tuberculosis Control Programme
| Autor: | Aamna Rashid, Farah Naureen, Irum Fatima, Muhammad Aamir Khan, Kerri Viney, Arif Noor, Javariya Aamir, Naveed Anjum, Muhammad Ishaq, Syed Mustafa Ali, Ghulam Rasool Haider |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Tuberculosis Referral 030231 tropical medicine Time-to-Treatment 03 medical and health sciences 0302 clinical medicine Health care Epidemiology medicine Humans Pakistan 030212 general & internal medicine Registries Tuberculosis Pulmonary Retrospective Studies business.industry lcsh:Public aspects of medicine Public health Public Health Environmental and Occupational Health Sputum lcsh:RA1-1270 Treatment delay medicine.disease Pre-treatment loss to follow up Lost to follow-up during diagnosis Female Lost to Follow-Up Pakistan’s TB control program Biostatistics medicine.symptom business Cohort study Research Article |
| Zdroj: | Ali, S M 2018, ' Loss-to-follow-up and delay to treatment initiation in Pakistan’s National Tuberculosis Control Programme ', BMC Public Health . https://doi.org/10.1186/s12889-018-5222-2 BMC Public Health BMC Public Health, Vol 18, Iss 1, Pp 1-7 (2018) |
| DOI: | 10.1186/s12889-018-5222-2 |
| Popis: | Background Researchers and policy-makers have identified loss to follow-up as a major programmatic problem. Therefore, the objective of this study is to quantify TB related pre-treatment loss to follow up and treatment delay in private sector health care facilities in Pakistan. Methods This was a retrospective, descriptive cohort study using routinely collected programmatic data from TB referral, diagnosis and treatment registers. Data from 48 private healthcare facilities were collected using an online questionnaire prepared in ODK Collect, for the period October 2015 to March 2016. Data were analysed using SPSS. We calculated the: (1) number and proportion of patients who were lost to follow-up during the diagnostic period, (2) number and proportion of patients with pre-treatment loss to follow-up, and (3) the number of days between diagnosis and initiation of treatment. Results One thousand five hundred ninety-six persons with presumptive TB were referred to the laboratory. Of these, 96% (n = 1538) submitted an on-the-spot sputum sample. Of the 1538 people, 1462 (95%) people subsequently visited the laboratory to submit the early morning (i.e. the second) sample. Hence, loss to follow-up during the diagnostic process was 8% overall (n = 134). Of the 1462 people who submitted both sputum samples, 243 (17%) were diagnosed with sputum smear-positive pulmonary TB and 231 were registered for anti-TB treatment, hence, loss in the pre-treatment phase was 4.9% (n = 12). 152 persons with TB (66%) initiated TB treatment either on the day of TB diagnosis or the next day. A further 79 persons with TB (34%) commenced TB treatment within a mean time of 7 days (range 2 to 64 days). Conclusion Concentrated efforts should be made by the National TB Control Programme to retain TB patients and innovative methods such as text reminders and behavior change communication may need to be used and tested. Electronic supplementary material The online version of this article (10.1186/s12889-018-5222-2) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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