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Engaging Private Health Care Providers to Identify Individuals with TB in Nepal

Author

Listed:
  • Rajesh Sah

    (Save the Children International, Bardibas 45701, Nepal)

  • Upendra Kumar Singh

    (Sahayog Samittee Nepal, Kalaiya 44412, Nepal)

  • Ranju Mainali

    (Sahayog Samittee Nepal, Kalaiya 44412, Nepal)

  • Ataulhaq Sanaie

    (Independent Consultant, London E11 4DP, UK)

  • Tripti Pande

    (McGill Knowledge Management, McGill International TB Center, Montreal, QC H3G 1A4, Canada)

  • Nathaly Aguilera Vasquez

    (McGill Knowledge Management, McGill International TB Center, Montreal, QC H3G 1A4, Canada)

  • Amera Khan

    (Stop TB Partnership, TB REACH—Innovations and Grant Team, 1218 Geneva, Switzerland)

Abstract

In Nepal, 47% of individuals who fell ill with TB were not reported to the National TB Program in 2018. Approximately 60% of persons with TB initially seek care in the private sector. From November 2018 to January 2020, we implemented an active case finding intervention in the Parsa and Dhanusha districts targeting private provider facilities. To evaluate the impact of the intervention, we reported on crude intervention results. We further compared case notification during the implementation to baseline and control population (Bara and Siraha) notifications. We screened 203,332 individuals; 11,266 (5.5%) were identified as presumptive for TB and 8077 (71.7%) were tested for TB. Approximately 8% had a TB diagnosis, of whom 383 (56.2%) were bacteriologically confirmed (Bac+). In total, 653 (95.7%) individuals were initiated on treatment at DOTS facilities. For the intervention districts, there was a 17%increase for bacteriologically positive TB and 10% for all forms TB compared to baseline. In comparison, the change in notifications in the control population were 4% for bacteriologically positive, and −2% all forms. Through engagement of private sector facilities, our intervention was able to increase the number of individuals identified with TB by over 10% in the Parsa and Dhanusha districts.

Suggested Citation

  • Rajesh Sah & Upendra Kumar Singh & Ranju Mainali & Ataulhaq Sanaie & Tripti Pande & Nathaly Aguilera Vasquez & Amera Khan, 2021. "Engaging Private Health Care Providers to Identify Individuals with TB in Nepal," IJERPH, MDPI, vol. 18(22), pages 1-8, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11762-:d:675517
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    References listed on IDEAS

    as
    1. Sujan Babu Marahatta & Rajesh Kumar Yadav & Deena Giri & Sarina Lama & Komal Raj Rijal & Shiva Raj Mishra & Ashish Shrestha & Pramod Raj Bhattrai & Roshan Kumar Mahato & Bipin Adhikari, 2020. "Barriers in the access, diagnosis and treatment completion for tuberculosis patients in central and western Nepal: A qualitative study among patients, community members and health care workers," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-18, January.
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