Estimation of the contribution of private providers in tuberculosis case notification and treatment outcome in Pakistan
Estimation of the contribution of private providers in tuberculosis case notification and treatment outcome in Pakistan
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DOI：
10.26719/2013.19.3.213
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发表时间：
2013-03-01
影响因子：
2.1
通讯作者：
Memon, I. A.
中科院分区：
文献类型：
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作者：
Chughtai, A. A.;Qadeer, E.;Memon, I. A.
为了加强私营部门对巴基斯坦国家结核病方案的参与，在2004至2009年间设立了各种公私混合项目。对数据进行了回顾分析，以研究巴基斯坦6种不同的公私混合结核病控制模式，并估计各种私营提供者对结核病病例通知和治疗结果的贡献。经私营部门呈报的结核病个案数目由2004年的77宗大幅增加至2009年的37 656宗。在这些模式中，非政府组织模式对病例通知的贡献最大(58.3%)，其次是以医院为基础的模式(18.9%)。地区主导模式的治疗成功率最高(94.1%)，而以医院为基础的模式最低(74.2%)。私营部门通过各种公私混合项目为国家数据作出了重要贡献。讨论了可持续性问题和缺乏治疗支持者的问题，认为这是一些项目不成功的原因。
To improve involvement of the private sector in the national tuberculosis (TB) programme in Pakistan various public-private mix projects were set up between 2004 and 2009. A retrospective analysis of data was made to study 6 different public-private mix models for TB control in Pakistan and estimate the contribution of the various private providers to TB case notification and treatment outcome. The number of TB cases notified through the private sector increased significantly from 77 cases in 2004 to 37 656 in 2009. Among the models, the nongovernmental organization model made the greatest contribution to case notification (58.3%), followed by the hospital-based model (18.9%). Treatment success was highest for the district-led model (94.1%) and lowest for the hospital-based model (74.2%). The private sector made an important contribution to the national data through the various public-private mix projects. Issues of sustainability and the lack of treatment supporters are discussed as reasons for lack of success of some projects.