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Open Access Investigation of presumptive tuberculosis cases by private health providers: lessons learnt from a survey in Pakistan

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Pakistan's National Tuberculosis Control Programme (NTP) is missing data on many tuberculosis (TB) cases who visit private providers. A survey on the incidence and under-reporting of TB in Pakistan provided a database for exploring the investigation and referral of presumptive TB cases by private health providers. The survey showed that private health providers requested both sputum smear and X-ray for diagnostic investigations. Of 2161 presumptive TB cases referred, 1189 (55%) were sent for investigations to a district NTP TB centre, of whom only 314 (26.4%) were registered. This indicates an urgent need to strengthen the link between private health providers and NTP to enhance TB notification.
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Keywords: case detection; diagnoses; referral; tuberculosis

Document Type: Research Article

Affiliations: 1: National Tuberculosis Control Programme Pakistan, Islamabad, Pakistan 2: International Union Against Tuberculosis and Lung Disease, Paris, France 3: University of Bergen, Bergen, Norway 4: Public Health England, London, UK 5: World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt, Medical Research Institute, Alexandria University, Alexandria, Egypt.

Publication date: 2014-06-21

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  • Public Health Action (PHA), The Union's quarterly open access on-line journal, provides a platform for its mission 'Health solutions for the poor'. PHA addresses the need for show-casing operational research that addresses issues in health systems and services. It publishes high-quality scientific research that provides new knowledge to improve access, equity, quality and efficiency of health systems and services.

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