Treatment Outcome of Patients with Tuberculosis at a Private Healthcare unit of Peshawar, Khyber Pakhtunkhwa under Public-Private Mix Project: A Retrospective Analysis
DOI:
https://doi.org/10.47672/ajhmn.978Keywords:
Tuberculosis, Patients, Private Healthcare, Khyber.Abstract
Background: Pakistan has a large and expanding number of the private health sector and there is growing evidence that increasing numbers of patients with tuberculosis seek care from private health care providers. World Health Organization (WHO) recommends the involvement of all health care providers called public-private mix (PPM) in TB control to promote the use of international standards for TB care in all health sectors and thereby achieve national and global TB control targets. To increase tuberculosis (TB) case detection, Green Star with the National TB Program started Public-Private Mix (PPM DOTS) in private clinics in Peshawar. To effectively control TB, a viable approach is to opt for an increase in the rate of successful treatment outcomes.
Objective: This study aimed to assess the TB treatment outcome in a private health facility in Peshawar district, Khyber Pakhtunkhwa, Pakistan, over 3 years.
Methods: From January 2017 to December 2019, medical records of all the TB patients registered at the study site were gathered. Demographic data, type of TB, category of TB treatment, and treatment outcome of patients were obtained and analyzed statistically.
Results: ifty one % of patients were females, while 49% were male. Out of a total of 222 patients, 122 patients with pulmonary TB, 62 (50.8 %) were smear-positive and 60 (49 %) were smear-negative whereas, 100/222 (45 %) had extra-pulmonary tuberculosis. Amongst the enrolled patients in the current study, 48 (21%) were cured, 159 (71%) completed treatment, 12 (5.4.%) died and 3 (1.35 %) lost to follow up and none (0%) defaulted. The treatment success rate was 92%.
Conclusion: The overall rate of TB treatment success at the study site was up to the mark and had achieved WHO targets. Working under the PPM project, the study site is assumed to play its significant role towards the "End TB Strategy" by WHO and the performance of the private sector in the PPM project is reported to be satisfactory in terms of case detection and treatment outcome with 89 % success rate, which is consistent with the target set by WHO.
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