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Quality of Tuberculosis Care in Private Health Facilities of Addis Ababa, Ethiopia
Ensuring provision of good quality tuberculosis (TB) care, especially in private for profit health facilities, is an important component of TB control strategy to reduce poor medical practice which results in multidrug resistant TB (MDR-TB). The aim of this study was to investigate quality of TB car...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3927565/ https://www.ncbi.nlm.nih.gov/pubmed/24616806 http://dx.doi.org/10.1155/2014/720432 |
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author | Gebrekidan, Gezahegn Tesfaye, Gezahegn Hambisa, Mitiku Teshome Deyessa, Negussie |
author_facet | Gebrekidan, Gezahegn Tesfaye, Gezahegn Hambisa, Mitiku Teshome Deyessa, Negussie |
author_sort | Gebrekidan, Gezahegn |
collection | PubMed |
description | Ensuring provision of good quality tuberculosis (TB) care, especially in private for profit health facilities, is an important component of TB control strategy to reduce poor medical practice which results in multidrug resistant TB (MDR-TB). The aim of this study was to investigate quality of TB care in private health facilities of Addis Ababa. A facility based cross-sectional study was conducted based on Donabedian's structure-process-outcome model of health care quality. Quality of care was determined by adherence to National TB Program guidelines, treatment success rate, and client satisfaction. Exit interview was conducted on 292 patients on the intensive phase of treatment and 384 patient records were reviewed in eight private health facilities. Initial diagnostic AFB test was done for 95.4% of pulmonary TB patients. Most important components of TB care recommended by national guidelines were delivered for a significant proportion of patients. Majority (75%) of the clients were found to be satisfied with each component of TB care. The treatment success rate was 90.9%. The quality of TB care was fairly good. However, only 77.7% of the patients were counseled for HIV testing. Strengthening HIV counseling and testing, tackling shortage of streptomycin and laboratory reagent at private TB clinic is crucial. |
format | Online Article Text |
id | pubmed-3927565 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-39275652014-03-10 Quality of Tuberculosis Care in Private Health Facilities of Addis Ababa, Ethiopia Gebrekidan, Gezahegn Tesfaye, Gezahegn Hambisa, Mitiku Teshome Deyessa, Negussie Tuberc Res Treat Research Article Ensuring provision of good quality tuberculosis (TB) care, especially in private for profit health facilities, is an important component of TB control strategy to reduce poor medical practice which results in multidrug resistant TB (MDR-TB). The aim of this study was to investigate quality of TB care in private health facilities of Addis Ababa. A facility based cross-sectional study was conducted based on Donabedian's structure-process-outcome model of health care quality. Quality of care was determined by adherence to National TB Program guidelines, treatment success rate, and client satisfaction. Exit interview was conducted on 292 patients on the intensive phase of treatment and 384 patient records were reviewed in eight private health facilities. Initial diagnostic AFB test was done for 95.4% of pulmonary TB patients. Most important components of TB care recommended by national guidelines were delivered for a significant proportion of patients. Majority (75%) of the clients were found to be satisfied with each component of TB care. The treatment success rate was 90.9%. The quality of TB care was fairly good. However, only 77.7% of the patients were counseled for HIV testing. Strengthening HIV counseling and testing, tackling shortage of streptomycin and laboratory reagent at private TB clinic is crucial. Hindawi Publishing Corporation 2014 2014-01-29 /pmc/articles/PMC3927565/ /pubmed/24616806 http://dx.doi.org/10.1155/2014/720432 Text en Copyright © 2014 Gezahegn Gebrekidan et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Gebrekidan, Gezahegn Tesfaye, Gezahegn Hambisa, Mitiku Teshome Deyessa, Negussie Quality of Tuberculosis Care in Private Health Facilities of Addis Ababa, Ethiopia |
title | Quality of Tuberculosis Care in Private Health Facilities of Addis Ababa, Ethiopia |
title_full | Quality of Tuberculosis Care in Private Health Facilities of Addis Ababa, Ethiopia |
title_fullStr | Quality of Tuberculosis Care in Private Health Facilities of Addis Ababa, Ethiopia |
title_full_unstemmed | Quality of Tuberculosis Care in Private Health Facilities of Addis Ababa, Ethiopia |
title_short | Quality of Tuberculosis Care in Private Health Facilities of Addis Ababa, Ethiopia |
title_sort | quality of tuberculosis care in private health facilities of addis ababa, ethiopia |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3927565/ https://www.ncbi.nlm.nih.gov/pubmed/24616806 http://dx.doi.org/10.1155/2014/720432 |
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