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Strategic Engagement of private Facilities to Increase public-private mix (PPM) Contribution to Nigeria Tuberculosis Case Notification

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Journal of Tuberculosis Research 2022年第3期10卷 99-110页

作者： Obioma Chijioke-Akaniro Emperor Ubochioma Amos Omoniyi Oluwafunmilayo Omosebi Olawumi Olarewaju Mary Etolue Sunday Asuke Elias Aniwada Anyaele Uwaezuoke Ndubuisi Victor Ombeka Aderonke Agbaje Adebola Lawanson Chukwuma Anyaike National Tuberculosis Leprosy and Buruli Ulcer Control Programme (NTBLCP) FCT Nigeria World Health Organisation (WHO) FCT Nigeria Bingham University Karu Nigeria University of Nigeria Nsukka Nigeria Institute of Human Virology Nigeria FCT Nigeria

Introduction: Finding the missing Tuberculosis (TB) cases remains the single most important priority for TB control in Nigeria. Between 66% - 92% of all cases of respiratory diseases including those with symptoms suggestive of TB are first seen byprivate health providers. Dependable, quality surveillance systems and notification are key roles in health services delivery, particularly as it is related to TB control. However, poor notification has been a challenge. This study was to assess the contribution of the public private mix (PPM) to Nigeria Tuberculosis national case notification. Methods: It was a national cross-sectional study. Data were extracted from the National database and reviewed. private facilities were engaged in 2017 and assessed over 2018-2020. Interventions included: enrolling private practitioners (private-For-Profit, Faith Based Organization, private Medicine Vendors and Community Pharmacists), engaging a private standalone Laboratory for Gene Xpert testing within the network of private facilities, use of Mobile App for easy screening and reporting, instituting a HUB and spoke, and incentives to private providers for participating. Each private provider had a customized approach. Trend analysis was performed using Cochran-Armitage χ2 test for linear trends. Level of significance was at a p value of Results: Total case notification increased from 104,904 cases in 2017 to 138,591 in 2020. There were 2.0% increase in 2018, 13.0% in 2019 and 15.0% in 2020 (p private sector in TB control efforts in Nigeria using a variety of approaches resulting in improved TB notification is possible. The National TB Programme should engage all private practitioners such that each practitioner will practice at least one TB service model.

关键词： Strategic Engagement public-private mix Case Notification Tuberculosis Nigeria

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