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Free Content A survey of TB services in hospitals in seven large cities in Asia and North Africa

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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.
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Keywords: TB; city; hospital

Document Type: Regular Paper

Affiliations: 1: International Union Against Tuberculosis and Lung Disease, Paris, France 2: Department of Disease Control, Ministry of Public Health, Bangkok, Thailand 3: National Tuberculosis Programme and Department of Chest Diseases, Ministry of Health, Cairo, Egypt 4: National TB Control Programme, Directorate General of Health Services, Dhaka, Bangladesh 5: Tuberculosis Control Pakistan (World Health Organization), Karachi, Pakistan 6: Nuffield Centre for International Health and Development, University of Leeds, Leeds, UK; and Health Research and Social Development Forum, Kathmandu, Nepal 7: National Tuberculosis Programme, Department of Health, Manila, The Philippines

Publication date: July 1, 2007

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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