SETTING: Referral hospitals and primary health care (PHC) facilities in Khartoum, Red Sea and Gadaref States. OBJECTIVES: To measure the effect of the decentralisation of the tuberculosis (TB) services on the clinical profile and treatment outcome of tuberculosis. DESIGN: A cohort study of case detection and treatment outcome using information routinely collected comparing patients attending PHC facilities and referral hospitals in selected locations in Sudan. RESULTS: Two-thirds of all TB patients were diagnosed in referral hospitals and one-third in PHC facilities. In PHC facilities, women represented 46% of notified cases, compared to 37.9% in referral hospitals (OR 1.398, 95%CI 1.343-1.455). Older age groups were more likely to prefer PHC facilities to referral hospitals. In referral hospitals, 38% were cured, 29.3% completed treatment without smear examination and 17.3% defaulted, while in PHC facilities 58% were cured, 17.8% completed treatment without smear examination and 11.6% defaulted. CONCLUSION: PHC facilities provide care for a higher proportion of women and older age groups of tuberculosis patients, suggesting a higher level of accessibility for these groups. A higher cure rate and a lower default rate were noted in PHC facilities, possibly reflecting better conditions for directly observed treatment and follow-up.
SETTING: Referral hospitals and primary health care (PHC) facilities in Khartoum, Red Sea and Gadaref States. OBJECTIVES: To measure the effect of the decentralisation of the tuberculosis (TB) services on the clinical profile and treatment outcome of tuberculosis. DESIGN: A cohort study of case detection and treatment outcome using information routinely collected comparing patients attending PHC facilities and referral hospitals in selected locations in Sudan. RESULTS: Two-thirds of all TB patients were diagnosed in referral hospitals and one-third in PHC facilities. In PHC facilities, women represented 46% of notified cases, compared to 37.9% in referral hospitals (OR 1.398, 95%CI 1.343-1.455). Older age groups were more likely to prefer PHC facilities to referral hospitals. In referral hospitals, 38% were cured, 29.3% completed treatment without smear examination and 17.3% defaulted, while in PHC facilities 58% were cured, 17.8% completed treatment without smear examination and 11.6% defaulted. CONCLUSION: PHC facilities provide care for a higher proportion of women and older age groups of tuberculosispatients, suggesting a higher level of accessibility for these groups. A higher cure rate and a lower default rate were noted in PHC facilities, possibly reflecting better conditions for directly observed treatment and follow-up.
Authors: Daniel Cobos Muñoz; Paloma Merino Amador; Laura Monzon Llamas; David Martinez Hernandez; Juana Maria Santos Sancho Journal: Int J Public Health Date: 2016-08-29 Impact factor: 3.380
Authors: E L N Maciel; J E Golub; R L Peres; D J Hadad; J L Fávero; L P Molino; J W Bae; C M Moreira; V do V Detoni; S A Vinhas; M Palaci; R Dietze Journal: Int J Tuberc Lung Dis Date: 2010-11 Impact factor: 2.373
Authors: Xiaolin Wei; Guanyang Zou; Hui Zhang; Renzhong Li; John D Walley; Shiwen Jiang; Jia Yin; Shuigao Jin; You Li; Qiang Sun; James N Newell; Sian Griffiths; Lixia Wang Journal: BMC Public Health Date: 2011-02-15 Impact factor: 3.295
Authors: Susan Elden; Timothy Lawes; Søren Kudsk-Iversen; Joris Vandelanotte; Sabelo Nkawanyana; William Welfare; John Walley; John Wright Journal: BMC Health Serv Res Date: 2011-05-23 Impact factor: 2.655
Authors: Ghada S Sharaf Eldin; Imad Fadl-Elmula; Mohammed S Ali; Ahmed B Ali; Abdel Latif Ga Salih; Kim Mallard; Christian Bottomley; Ruth McNerney Journal: BMC Infect Dis Date: 2011-08-16 Impact factor: 3.090