Process Evaluation of Quality in the Diagnosis and Treatment of Tuberculosis in Public Health Facilies of Southwes Ethiopia: Cross Sectional Study
Journal Title: Journal of Microbiology and Infectious Diseases - Year 2016, Vol 6, Issue 4
Abstract
Background: Even though Ethiopia has implemented the Directly Observed Treatment Short (DOTS) service for a long time, the national targets of Tuberculosis (TB) control were not achieved yet. Like the country wide, the Kersa district shares the same problem, and also TB control program have never been evaluated in this district. Methods: Process evaluation was conducted based on Donabedian’s structure-process-outcome model of health care quality. Facility based cross-sectional study design was employed. Four, tuberculosis directly observed short course therapy providing health centers were selected. Medical records of TB suspects and patients were reviewed. Ongoing laboratory practice and patient provider interaction was observed. Results: The resources recommended by national tuberculosis control program for diagnosis and treatment were available, except a shortage of paediatric dose of TB drug and Acid Fast Bacilli (AFB) reagents. Only 64.8% of TB suspects received sputum smear laboratory examination, and 52.7% of TB patients received the right doses of treatment. Conclusion: The shortage of drugs and reagents and, low uptake of microscopic AFB examination service was the main constraints of service. Adequate and continuous resource supply and regular and continuous monitoring of diagnosis and treatment process should be considered. J Microbiol Infect Dis 2016;6(4): 156-162
Authors and Affiliations
Desalegn Dabaro Dangiso, Dawit Hawaria Logita
Keywords
Related Articles
- EP ID EP412719
- DOI 10.5799/jmid.vi.328861
- Views 95
- Downloads 0
Tüberküloz menenjiti için Cobas Amplicor MTB ve Rotorgene Real Time PCR’ın tanı değeri: 6 yıllık retrospektif çalışma
Amaç: Tüberküloz menejiti (TBM), tüberkülozun (TB) en şiddetli ve öldürücü formudur. TBM’nin bakteriyolojik tanısı zor ve zaman alıcıdır. Bu nedenle, hastaların çoğu sadece klinik ve beyin omurilik sıvısı (BOS)’nın özell...
A Rare Cause of Rapidly Progressive Fournier’s Gangrene: Staphylococcus lungdunensis
Fournier’s gangrene is a polymicrobial infection of perineal and scrotal regions that manifests as a rapidly progressive necrotizing fasciitis. Because of the importance of targeted antibiotic therapy, awareness of the s...
A nosocomial outbreak of Crimean-Congo hemorrhagic fever
Objectives: An outbreak of nosocomial Crimean-Congo Hemorrhagic Fever (CCHF) occurred in a university hospital in May 2014. The index case was hospitalized with a preliminary diagnosis of intoxication, liver failure and...
Impact of appropriate antimicrobial therapy on survival in patients with Acinetobacter baumannii-associated infections
Objective: To assess the impact of inappropriate antimicrobial treatment on the 30-day mortality in patients with Acinetobacter baumannii associated infections. Methods: 87 patients with nosocomial infections caused by...
Pakistan’da bir üçüncü basamak hastanede metisilin dirençli Staphylococcus aureus’a karşı in-vitro linezolid duyarlılığı
Amaç: Metisilin dirençli Staphylococcus aureus belirgin morbidite ve mortaliteye neden olan önemli bir nozokomiyal patojendir. Bu çalışmanın amacı, metisilin dirençli S. aureus’a karşı linezolidin in vitro etkinliğini de...