Public and/or private health care: Tuberculosis patients' perspectives in Myanmar

Saw, Saw; Manderson, Lenore Hilda; Bandyopadhyay, Mridula; Sein, Than Tun; Mon, Myo Myo; Maung, Win

doi:10.1186/1478-4505-7-19

Cited by 23 publications

(21 citation statements)

References 7 publications

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“…As Saw Saw et al 15 in his study found most patients viewed the public health sector as a place to obtain free treatment and the private sector as a feepaying, convenient and better place to seek treatment. Since in our study most of the patients belonged to low socio-economic class hence most of them took AKT from DOTS center and those didn't get shifted to AKT-4 after proper counseling and guidance.…”

Section: Observation and Resultsmentioning

confidence: 99%

“…Losing wages were one of the risk factors for patients partially adhering to the DOTS treatment as seen in Gopi et al 14 series. Saw Saw et al 15 described that most of the patient seek free treatment for tuberculosis and refer to public sector due to costing of the drugs and its duration Most common site of involvement was spine. 7,15,16 Sandher et al 17 study also showed that among osteoarticular tuberculosis, spine was the site most commonly affected (44.3%).…”

Section: Observation and Resultsmentioning

confidence: 99%

“…Saw Saw et al 15 described that most of the patient seek free treatment for tuberculosis and refer to public sector due to costing of the drugs and its duration Most common site of involvement was spine. 7,15,16 Sandher et al 17 study also showed that among osteoarticular tuberculosis, spine was the site most commonly affected (44.3%). It can be said, if infection in spine is suspected one must rule out Pott's spine as earlier mentioned by Shaw and Thomas et al 20 In our study out of total 34 cases of spine involvement, we had cervical (n=3), cervicodorsal (n=0), dorsal (n=13), dorsolumbar (n=3), lumbar (n=13), lumbosacral (n=2).…”

Section: Observation and Resultsmentioning

confidence: 99%

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Evaluation of pattern and treatment of osteoarticular tuberculosis in central India

Naik¹,

Dulani²,

Khan³

et al. 2020

IJOS

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Introduction: Tuberculosis the global epidemic continues to be a major health problem despite availability of effective chemotherapy. The main aim of the study was to analyse the pattern, clinical findings, diagnosis, and treatment options for osteoarticular tuberculosis at Tertiary care hospital so that proper treatment guidelines can be formulated for the patient. Materials and Methods: A prospective study was performed in the tertiary care. Patients clinically diagnosed as osteoarticular tuberculosis, all the patients who were regular on anti-tubercular treatment and follow-up and all the patients with radiological evidence matching with clinical profile were included in the study. All the patients who showed histopathological evidence in favor of osteoarticular tuberculosis were also included. The patients with only pulmonary tuberculosis, with extra pulmonary involvement, with no osteoarticular involvement were excluded from the study. Observation and Results: The age group of patient ranged from 1-80 years, mean age was 38.11 in males and 34.5 years in females with a total mean age of 36.96 years. Sex predominance was seen in males with 68%. The distribution of the patient according to occupation farmer category showed a maximum of 56%. Socio-economic class distribution according to modified kuppuswamy classification showed most patient belonged to Upper-Lower (IV) 82% and 18% belonged to lower-middle (III) category. Conclusion: Tuberculosis of the spine is still the most preferred site of osteoarticular tuberculosis. Spine patient usually require early surgical intervention especially those with neurological deficits. Outcomes may be maximized through early detection and treatment, although adequate results can still be achieved with salvage procedures in patients presenting with late stages of disease.

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Section: Observation and Resultsmentioning

confidence: 99%

Section: Observation and Resultsmentioning

confidence: 99%

Section: Observation and Resultsmentioning

confidence: 99%

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Evaluation of pattern and treatment of osteoarticular tuberculosis in central India

Naik¹,

Dulani²,

Khan³

et al. 2020

IJOS

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“…Maximum efforts are required to meet these challenges and approaches like PPM can help achieve the global TB control targets [14,15]. In this context, the health care provided by the private sector has special significance in resource-poor countries because much of the population in these countries seeks health care from individual or institutional private health care providers [8].…”

Section: Discussionmentioning

confidence: 99%

410 Promoting public–private mix for TB-DOTS: a multicountry study from the WHO Eastern Mediterranean Region

Haq¹,

Khan²,

Seita³

2012

East Mediterr Health J

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This study was carried out to document the implementation status of public-private mix (PPM) in 6 member countries of the World Health Organization Eastern Mediterranean Region, with a particular focus on advocacy, communication and social mobilization (ACSM) specific to PPM. Interviews and focus group discussions were held with staff of national tuberculosis control programmes and partners. Four PPM models were being practised. For all models, ACSM specific to PPM was at the elementary stage. Participants perceived that promoting private partners was difficult, specific policy guidelines were deficient and human resources and capacity for both initiatives were lacking across the region. Building ACSM capacity is required along with the development of guidelines and the implementation of country-specific communication plans to carry out local-level advocacy, strategic communication and effective social mobilization to maximize the benefits of PPM. RÉSUMÉ La présente étude a été menée pour documenter le statut de mise en oeuvre du partenariat public-privé dans six pays membres de la Région OMS de la Méditerranée orientale, avec une attention particulière pour la sensibilisation, la communication et la mobilisation sociale (SCMS) propres au partenariat. Des entretiens et des groupes de discussion thématiques ont été organisés avec le personnel des programmes nationaux de lutte contre la tuberculose et les partenaires. Quatre modèles de partenariat public-privé ont été mis en pratique. Pour tous les modèles, les activités de SCMS spécifiques au partenariat étaient à un stade élémentaire. Les participants percevaient la promotion des partenariats privés comme difficile, les directives politiques spécifiques comme déficientes et les ressources humaines et les capacités pour les deux initiatives comme insuffisantes dans l'ensemble de la Région. Le renforcement des capacités en matière de SCMS est requis ainsi que l'élaboration de directives et la mise en oeuvre de plans de communication spécifiques aux pays pour mener à bien la sensibilisation, la communication stratégique et une mobilisation sociale efficace au niveau local et optimiser les bénéfices du partenariat public-privé.‫املتوسط‬ ‫لرشق‬ ‫الصحية‬ ‫املجلة‬ ‫عرش‬ ‫الثامن‬ ‫املجلد‬ ‫اخلامس‬ ‫العدد‬ 411

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“…The government has a well-managed TB treatment program with 85% treatment success rate, however it only identifies an estimated 70% of all new cases. a Geographic access to government care limits utilization of national program centers, and there is a patient preference for private treatment, which is viewed as both more accessible, and of higher quality than government services [14]. In response to this a number of initiatives have been created to engage private practitioners in TB identification, referral, and treatment [12].…”

Section: Introductionmentioning

confidence: 99%

Equity and the Sun Quality Health Private Provider Social Franchise: comparative analysis of patient survey data and a nationally representative TB prevalence survey

Montagu

Sudhinaraset

Lwin

et al. 2013

International Journal for Equity in Health

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IntroductionSince 2004, the Sun Quality Health (SQH) franchise network has provided TB care in Myanmar through a network of established private medical clinics. This study compares the wealth distribution of the TB patients to non-TB patients to determine if TB is most common among the poor, and compares the wealth of all TB patients to SQH TB patients to assess whether the franchise achieves its goal of serving the poor.MethodsThe study uses data from two sources: 1) Myanmar’s first nationally representative TB prevalence study conducted in 2009, and 2) client exit interviews from TB patients from SQH clinics. In total, 1,114 TB-positive individuals were included in the study, including 739 from the national sample and 375 from the SQH sample.ResultsTB patients at SQH clinics were poorer than TB-positive individuals in the overall population, though not at a statistically significant level (p > 0.05). After stratification we found that in urban areas, TB patients at SQH clinics were more likely to be in the poorest quartile compared to general TB positive population (16.8% vs. 8.6%, respectively; p < 0.05). In rural areas, there was no statistically significant difference between the wealth distribution of SQH clinic patients and general TB positive individuals (p > 0.05).ConclusionFranchised clinics in Myanmar are reaching poor populations of TB patients in urban areas; more efforts are needed in order to reach the most vulnerable in rural areas.

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Public and/or private health care: Tuberculosis patients' perspectives in Myanmar

Cited by 23 publications

References 7 publications

Evaluation of pattern and treatment of osteoarticular tuberculosis in central India

Evaluation of pattern and treatment of osteoarticular tuberculosis in central India

410 Promoting public–private mix for TB-DOTS: a multicountry study from the WHO Eastern Mediterranean Region

Equity and the Sun Quality Health Private Provider Social Franchise: comparative analysis of patient survey data and a nationally representative TB prevalence survey

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