A survey of TB services in hospitals in seven large cities in Asia and North Africa

Chen Yuan Chiang, A. Trébucq, N. Billo, P. Khortwong, E. Elmoghazy, V. Begum, T. Y. Aditama, A. Ansari, S. C. Baral, R. G. Vianzon

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

SETTING: Hospitals in Bangkok, Cairo, Dhaka, Jakarta, Karachi, Kathmandu and Manila. OBJECTIVES: To evaluate tuberculosis (TB) services provided in public and private hospitals in big cities. DESIGN: A survey on TB services in hospitals was carried out in 2005 by visiting hospitals and face-to-face interviews. Selection criteria were determined for each city. All hospitals were included if feasible. RESULTS: The number of hospitals included in the survey ranged from 52 in Bangkok to 106 in Jakarta. The proportion of private hospitals with access to a National Tuberculosis Programme (NTP) manual ranged from 8% in Jakarta to 89% in Bangkok. Private hospitals rarely functioned as a basic management unit (BMU) of the NTP, except in Bangkok. TB treatment was not always free of charge in BMU hospitals. The proportion of non-BMU hospitals that never referred/reported TB patients to the NTP was substantial in Bangkok, Dhaka, Jakarta, Karachi and Manila. Non-BMU hospitals did not routinely use standard NTP regimens, especially in Jakarta, Karachi and Manila. In non-BMU hospitals, patient tracing mechanisms were generally lacking and treatment outcome was not known. CONCLUSION: TB services provided in non-BMU hospitals were not satisfactory. NTPs need to involve non-BMU hospitals in TB control.

Original languageEnglish
Pages (from-to)739-746
Number of pages8
JournalInternational Journal of Tuberculosis and Lung Disease
Volume11
Issue number7
Publication statusPublished - Jul 2007
Externally publishedYes

Keywords

  • City
  • Hospital
  • TB

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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    Chiang, C. Y., Trébucq, A., Billo, N., Khortwong, P., Elmoghazy, E., Begum, V., Aditama, T. Y., Ansari, A., Baral, S. C., & Vianzon, R. G. (2007). A survey of TB services in hospitals in seven large cities in Asia and North Africa. International Journal of Tuberculosis and Lung Disease, 11(7), 739-746.