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Childhood tuberculosis deskguide and monitoring: An intervention to improve case management in Pakistan
BACKGROUND: Childhood tuberculosis (TB) has been a neglected area in national TB control programme (NTCP) in high burden countries. The NTP Pakistan adapted the global approaches by developing and piloting its policy guideline on childhood TB in ten districts of the country. We developed an interven...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3162501/ https://www.ncbi.nlm.nih.gov/pubmed/21831308 http://dx.doi.org/10.1186/1472-6963-11-187 |
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author | Safdar, Nauman Hinderaker, Sven Gudmund Baloch, Noor Ahmed Enarson, Donald A Khan, Muhammad Amir Morkve, Odd |
author_facet | Safdar, Nauman Hinderaker, Sven Gudmund Baloch, Noor Ahmed Enarson, Donald A Khan, Muhammad Amir Morkve, Odd |
author_sort | Safdar, Nauman |
collection | PubMed |
description | BACKGROUND: Childhood tuberculosis (TB) has been a neglected area in national TB control programme (NTCP) in high burden countries. The NTP Pakistan adapted the global approaches by developing and piloting its policy guideline on childhood TB in ten districts of the country. We developed an intervention package including a deskguide and a monitoring tool and tested with the ongoing childhood TB care in a district. The objective of our study was to measure effectiveness of intervention package with deskguide and monitoring tool by comparing TB case finding and treatment outcomes among districts in 2008, and performance assessment in intervention district. METHOD: An intervention study with cohort design within a routine TB control programme comparing case findings and treatment outcomes before and after the intervention, and in districts with and without intervention. We enrolled all children below 15 years registered at all nine public sector hospitals in three districts of Pakistan. The data was collected from hospital TB records. RESULTS: In eight months during 2007 there were 164 childhood TB cases notified, and after intervention in 2008 a total of 194 cases were notified. In intervention district case finding doubled (110% increase) and correct treatment practice significantly increased in eight months. Successful outcomes were significantly higher in intervention district (37,100%) compared to control district A (18, 18%, p < 0.05) and control district B (41, 72%, p < 0.05). CONCLUSION: Childhood TB deskguide and structured monitoring was associated with improved case management and it augmented NTP policy. More development and implementation in all health services of the district are indicated. |
format | Online Article Text |
id | pubmed-3162501 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-31625012011-08-27 Childhood tuberculosis deskguide and monitoring: An intervention to improve case management in Pakistan Safdar, Nauman Hinderaker, Sven Gudmund Baloch, Noor Ahmed Enarson, Donald A Khan, Muhammad Amir Morkve, Odd BMC Health Serv Res Research Article BACKGROUND: Childhood tuberculosis (TB) has been a neglected area in national TB control programme (NTCP) in high burden countries. The NTP Pakistan adapted the global approaches by developing and piloting its policy guideline on childhood TB in ten districts of the country. We developed an intervention package including a deskguide and a monitoring tool and tested with the ongoing childhood TB care in a district. The objective of our study was to measure effectiveness of intervention package with deskguide and monitoring tool by comparing TB case finding and treatment outcomes among districts in 2008, and performance assessment in intervention district. METHOD: An intervention study with cohort design within a routine TB control programme comparing case findings and treatment outcomes before and after the intervention, and in districts with and without intervention. We enrolled all children below 15 years registered at all nine public sector hospitals in three districts of Pakistan. The data was collected from hospital TB records. RESULTS: In eight months during 2007 there were 164 childhood TB cases notified, and after intervention in 2008 a total of 194 cases were notified. In intervention district case finding doubled (110% increase) and correct treatment practice significantly increased in eight months. Successful outcomes were significantly higher in intervention district (37,100%) compared to control district A (18, 18%, p < 0.05) and control district B (41, 72%, p < 0.05). CONCLUSION: Childhood TB deskguide and structured monitoring was associated with improved case management and it augmented NTP policy. More development and implementation in all health services of the district are indicated. BioMed Central 2011-08-10 /pmc/articles/PMC3162501/ /pubmed/21831308 http://dx.doi.org/10.1186/1472-6963-11-187 Text en Copyright ©2011 Safdar et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Safdar, Nauman Hinderaker, Sven Gudmund Baloch, Noor Ahmed Enarson, Donald A Khan, Muhammad Amir Morkve, Odd Childhood tuberculosis deskguide and monitoring: An intervention to improve case management in Pakistan |
title | Childhood tuberculosis deskguide and monitoring: An intervention to improve case management in Pakistan |
title_full | Childhood tuberculosis deskguide and monitoring: An intervention to improve case management in Pakistan |
title_fullStr | Childhood tuberculosis deskguide and monitoring: An intervention to improve case management in Pakistan |
title_full_unstemmed | Childhood tuberculosis deskguide and monitoring: An intervention to improve case management in Pakistan |
title_short | Childhood tuberculosis deskguide and monitoring: An intervention to improve case management in Pakistan |
title_sort | childhood tuberculosis deskguide and monitoring: an intervention to improve case management in pakistan |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3162501/ https://www.ncbi.nlm.nih.gov/pubmed/21831308 http://dx.doi.org/10.1186/1472-6963-11-187 |
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