Impact of the COVID-19 pandemic on quality of tuberculosis care in private facilities in Bandung, Indonesia: a repeated cross-sectional standardized patients study

Autor: Angelina Sassi, Bony Wiem Lestari, Kuuni Ulfah Naila El Muna, Charity Oga-Omenka, Nur Afifah, Rodiah Widarna, Lavanya Huria, Nathaly Aguilera Vasquez, Andrea Benedetti, Panji Fortuna Hadisoemarto, Benjamin Daniels, Jishnu Das, Madhukar Pai, Bachti Alisjahbana
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMC Public Health, Vol 24, Iss 1, Pp 1-18 (2024)
Druh dokumentu: article
ISSN: 1471-2458
DOI: 10.1186/s12889-023-17001-y
Popis: Abstract Background Indonesia has the second highest incidence of tuberculosis in the world. While 74% of people with tuberculosis in Indonesia first accessed the private health sector when seeking care for their symptoms, only 18% of tuberculosis notifications originate in the private sector. Little is known about the impact of the COVID-19 pandemic on the private sector. Using unannounced standardized patient visits to private providers, we aimed to measure quality of tuberculosis care during the COVID-19 pandemic. Methods A cross-sectional study was conducted using standardized patients in Bandung City, West Java, Indonesia. Ten standardized patients completed 292 visits with private providers between 9 July 2021 and 21 January 2022, wherein standardized patients presented a presumptive tuberculosis case. Results were compared to standardized patients surveys conducted in the same geographical area before the onset of COVID-19. Results Overall, 35% (95% confidence interval (CI): 29.2–40.4%) of visits were managed correctly according to national tuberculosis guidelines. There were no significant differences in the clinical management of presumptive tuberculosis patients before and during the COVID-19 pandemic, apart from an increase in temperature checks (adjusted odds ratio (aOR): 8.05, 95% CI: 2.96–21.9, p
Databáze: Directory of Open Access Journals
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