SETTING: Tuberculosis (TB) control in rural China is of high priority in health policy making. OBJECTIVE: To investigate treatment success among rural TB patients and the determinants of patient and case management and to explore the current status of DOTS implementation in rural China. METHODS: A patient-based study was conducted in six counties of Shandong Province, China. Study sites were selected by multi-stage random sampling. Subjects were rural smear-positive pulmonary TB patients registered with the county TB dispensaries at study sites who completed treatment during the period October 2006 to September 2007. RESULTS: This study observed a success rate of 74.5% among 501 participants. The cure rate, of 50.5%, was much lower than the national level. There was a difference in treatment success rates across counties. Factors independently affecting treatment success were patient income, study site, and home visits and supervision by town and village health workers. CONCLUSIONS: Enhancing financial resources for TB control and effective involvement of human resources are crucial to achieving success with the DOTS strategy in rural China.
SETTING:Tuberculosis (TB) control in rural China is of high priority in health policy making. OBJECTIVE: To investigate treatment success among rural TBpatients and the determinants of patient and case management and to explore the current status of DOTS implementation in rural China. METHODS: A patient-based study was conducted in six counties of Shandong Province, China. Study sites were selected by multi-stage random sampling. Subjects were rural smear-positive pulmonary TB patients registered with the county TB dispensaries at study sites who completed treatment during the period October 2006 to September 2007. RESULTS: This study observed a success rate of 74.5% among 501 participants. The cure rate, of 50.5%, was much lower than the national level. There was a difference in treatment success rates across counties. Factors independently affecting treatment success were patient income, study site, and home visits and supervision by town and village health workers. CONCLUSIONS: Enhancing financial resources for TB control and effective involvement of human resources are crucial to achieving success with the DOTS strategy in rural China.
Authors: Mohanarani Suhadev; Beena E Thomas; M Raja Sakthivel; P Murugesan; V Chandrasekaran; Niruparani Charles; R Durga; M Auxilia; Trini A Mathew; Fraser Wares Journal: PLoS One Date: 2011-05-17 Impact factor: 3.240
Authors: Gerard de Vries; Svetla Tsolova; Laura F Anderson; Agnes C Gebhard; Einar Heldal; Vahur Hollo; Laura Sánchez-Cambronero Cejudo; Daniela Schmid; Bert Schreuder; Tonka Varleva; Marieke J van der Werf Journal: BMC Public Health Date: 2017-04-19 Impact factor: 3.295
Authors: Karl Peltzer; Julia Louw; Gugu McHunu; Pamela Naidoo; Gladys Matseke; Bomkazi Tutshana Journal: Int J Environ Res Public Health Date: 2012-09-05 Impact factor: 3.390
Authors: Rajpal S Kashyap; Amit R Nayak; Aliabbas A Husain; Seema D Shekhawat; Ashish R Satav; Ruchika K Jain; Dhananjay V Raje; Hatim F Daginawala; Girdhar M Taori Journal: Lung India Date: 2016 Jul-Aug