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Changes in utilization of TB health services in Nepal [Short Communication, Notes from the Field]

Authors: Mohan, C. I.1; Bishai, D.1; Kumar, S.2; ten Asbroek, G.3; Niessen, L.3

Source: The International Journal of Tuberculosis and Lung Disease, Volume 9, Number 9, September 2005 , pp. 1054-1056(3)

Publisher: International Union Against Tuberculosis and Lung Disease

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OBJECTIVE: To assess the impact of community mobilization and health worker training on tuberculosis (TB) health services utilization.

DESIGN: Questionnaire.

METHODS: The Japan International Cooperation Agency and the Nepal Ministry of Health launched a set of interventions to increase awareness and availability of treatment at government facilities. In 2001 and 2003, a questionnaire was administered to TB patients.

RESULTS: In 2001–2002, 77.3% of women and 80.0% of men with TB symptoms consulted at government facilities, compared to 30% of men and 32% of women in 1997–1999.

CONCLUSION: In the absence of any secular causes, this change can be attributed to the increasing community awareness of availability and quality of DOTS.

Keywords: delay; tuberculosis; utilization

Document Type: Short Communication

Affiliations: 1: Population and Family Health Sciences, Johns Hopkins University, Baltimore, Maryland, USA 2: Medicine, Tribhuvan University, Katmandu, Nepal 3: Institute for Medical Technology Assessment, Erasmus MC, University Medical Centre Rotterdam, The Netherlands

Publication date: September 1, 2005

More about this publication?
  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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