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

Fingerprint

Northern Africa
Tuberculosis
Hospital Units
Private Hospitals
Chronic Disease Hospitals
Surveys and Questionnaires
Public Hospitals
Patient Selection
Interviews

Keywords

  • City
  • Hospital
  • TB

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Chiang, C. Y., Trébucq, A., Billo, N., Khortwong, P., Elmoghazy, E., Begum, V., ... 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.

A survey of TB services in hospitals in seven large cities in Asia and North Africa. / Chiang, Chen Yuan; Trébucq, A.; Billo, N.; Khortwong, P.; Elmoghazy, E.; Begum, V.; Aditama, T. Y.; Ansari, A.; Baral, S. C.; Vianzon, R. G.

In: International Journal of Tuberculosis and Lung Disease, Vol. 11, No. 7, 07.2007, p. 739-746.

Research output: Contribution to journalArticle

Chiang, CY, Trébucq, A, Billo, N, Khortwong, P, Elmoghazy, E, Begum, V, Aditama, TY, Ansari, A, Baral, SC & Vianzon, RG 2007, 'A survey of TB services in hospitals in seven large cities in Asia and North Africa', International Journal of Tuberculosis and Lung Disease, vol. 11, no. 7, pp. 739-746.
Chiang, Chen Yuan ; Trébucq, A. ; Billo, N. ; Khortwong, P. ; Elmoghazy, E. ; Begum, V. ; Aditama, T. Y. ; Ansari, A. ; Baral, S. C. ; Vianzon, R. G. / A survey of TB services in hospitals in seven large cities in Asia and North Africa. In: International Journal of Tuberculosis and Lung Disease. 2007 ; Vol. 11, No. 7. pp. 739-746.
@article{a829f47734ba40018219064753edd92f,
title = "A survey of TB services in hospitals in seven large cities in Asia and North Africa",
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.",
keywords = "City, Hospital, TB",
author = "Chiang, {Chen Yuan} and A. Tr{\'e}bucq and N. Billo and P. Khortwong and E. Elmoghazy and V. Begum and Aditama, {T. Y.} and A. Ansari and Baral, {S. C.} and Vianzon, {R. G.}",
year = "2007",
month = "7",
language = "English",
volume = "11",
pages = "739--746",
journal = "International Journal of Tuberculosis and Lung Disease",
issn = "1027-3719",
publisher = "International Union against Tubercul. and Lung Dis.",
number = "7",

}

TY - JOUR

T1 - A survey of TB services in hospitals in seven large cities in Asia and North Africa

AU - Chiang, Chen Yuan

AU - Trébucq, A.

AU - Billo, N.

AU - Khortwong, P.

AU - Elmoghazy, E.

AU - Begum, V.

AU - Aditama, T. Y.

AU - Ansari, A.

AU - Baral, S. C.

AU - Vianzon, R. G.

PY - 2007/7

Y1 - 2007/7

N2 - 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.

AB - 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.

KW - City

KW - Hospital

KW - TB

UR - http://www.scopus.com/inward/record.url?scp=34447332503&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34447332503&partnerID=8YFLogxK

M3 - Article

VL - 11

SP - 739

EP - 746

JO - International Journal of Tuberculosis and Lung Disease

JF - International Journal of Tuberculosis and Lung Disease

SN - 1027-3719

IS - 7

ER -