Quality of tuberculosis care in the private health sector

Stallworthy, Guy; Dias, Hannah Monica; Pai, Madhukar

doi:10.1016/j.jctube.2020.100171

Cited by 49 publications

(55 citation statements)

References 15 publications

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“…Although, the private sector is often the first point of care for TB patients in many high-burden countries, their oversight and regulation frequently fall outside the purview of National TB programs. Not surprising, countries with a very large private sector were responsible for the largest gaps in TB case notification in 2018 ( Stallworthy et al, 2020 , WHO, 2019 , WHO, 2018 ). As countries continue to fight the COVID-19 pandemic, integrating public and private sector care for TB has become even more critical.…”

Section: Introductionmentioning

confidence: 99%

TB and COVID – Public and private health sectors adapt to a new reality

Klinton¹,

Oga‐Omenka²,

Heitkamp³

2020

Journal of Clinical Tuberculosis and Other Mycobacterial Diseas

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Health systems across the world have been baffled by the COVID19 pandemic. Tuberculosis (TB) care and prevention especially in high burden countries has faced disruption to their routine services. Though these setbacks were predicted by many modelling studies, reports and surveys from the field convey the hard reality faced by the TB services. However, health systems have not given up and have become resilient by adapting interesting strategies to overcome these obstacles. The private health sector has also stepped up to the occasion by supporting national TB programs through innovative approaches. The scientific community has laid down several evidence-based recommendations to help TB programs get back on track. Its time to unite these forces to not just overcome the challenge posed by the pandemic but also to build a more resilient health system.

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Section: Introductionmentioning

confidence: 99%

TB and COVID – Public and private health sectors adapt to a new reality

Klinton¹,

Oga‐Omenka²,

Heitkamp³

2020

Journal of Clinical Tuberculosis and Other Mycobacterial Diseas

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“…Despite the aforementioned challenges and limitations, studies examining provider attitudes towards mobile or telehealth technologies are sparse. The findings from our study are relatively specific to private health care in Viet Nam; however, this information is still very relevant to other high-TB burden countries with a large proportion of patients seeking care in the private sector [ 54 ]. As such, we believe these results have further elucidated the inherent potential of this technology and may inform its potential to improve quality of care across all stakeholders in TB care and prevention.…”

Section: Discussionmentioning

confidence: 99%

Assessing private provider perceptions and the acceptability of video observed treatment technology for tuberculosis treatment adherence in three cities across Viet Nam

Nguyen¹,

Tran²,

Dam³

et al. 2021

PLoS ONE

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Background The World Health Organization recently recommended Video Observed Therapy (VOT) as one option for monitoring tuberculosis (TB) treatment adherence. There is evidence that private sector TB treatment has substandard treatment follow-up, which could be improved using VOT. However, acceptability of VOT in the private sector has not yet been evaluated. Methods We conducted a cross-sectional survey employing a theoretical framework for healthcare intervention acceptability to measure private provider perceptions of VOT across seven constructs in three cities of Viet Nam: Ha Noi, Ho Chi Minh City, and Hai Phong. We investigated the differences in private providers’ attitudes and perceptions of VOT using mixed ordinal models to test for significant differences in responses between groups of providers stratified by their willingness to use VOT. Results A total of 79 private providers completed the survey. Sixty-two providers (75%) indicated they would use VOT if given the opportunity. Between private providers who would and would not use VOT, there were statistically significant differences (p≤0.001) in the providers’ beliefs that VOT would help identify side effects faster and in their confidence to monitor treatment and provide differentiated care with VOT. There were also significant differences in providers’ beliefs that VOT would save them time and money, address problems faced by their patients, benefit their practice and patients, and be relevant for all their patients. Conclusion Private providers who completed the survey have positive views towards using VOT and specific subpopulations acknowledge the value of integrating VOT into their practice. Future VOT implementation in the private sector should focus on emphasizing the benefits and relevance of VOT during recruitment and provide programmatic support for implementing differentiated care with the technology.

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“…28 In particular, engagement of the private health sector is critical for TB as nearly half of India’s TB cases are managed by private providers. 29 30 Without leveraging both sectors, India cannot meet the surging health needs of over 1.3 billion people.…”

Section: How Can India Tackle the Syndemic Of Tb And Covid-19?mentioning

confidence: 99%