Changes in utilization of TB health services in Nepal [Short Communication, Notes from the Field]
OBJECTIVE: To assess the impact of community mobilization and health worker training on tuberculosis (TB) health services utilization.
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.
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: 2005-09-01
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