Private pharmacy and community health worker engagement in the provision of TB services
BACKGROUND Engaging private health providers and community healthcare workers (CHWs) in the provision of TB care services can increase TB case notification and limit community transmission. We determined whether private pharmacy and community engagement could affect access to TB diagnostic and treat...
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| Veröffentlicht in: | The international journal of tuberculosis and lung disease 2024-07, Vol.28 (7), p.343-347 |
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| creator | Semakula, L. Kakai, I. Zawedde-Muyanja, S. Nerima, P. Bayigga, J. Nansereko, M. Aheebwa, S.G. Castelnuovo, B. Okello, A.D. Oundo, C. Ddungu, A. Turyahabwe, S. Laker, E. Sekaggya-Wiltshire, C. |
| description | BACKGROUND Engaging private health providers and community healthcare workers (CHWs) in the provision of TB care services can increase TB case notification and limit community transmission. We determined whether private pharmacy and community
engagement could affect access to TB diagnostic and treatment services in Uganda. METHODS We conducted a cross-sectional study on patients diagnosed with TB through three different pathways; by private pharmacies, CHWs, and public health
facilities. We collected data on patient demographics, time between symptom recognition and TB treatment initiation, and the amount of money spent on TB care seeking. RESULTS We collected data from 325 participants; 65.2% were male, with
a mean age of 35 years (SD 11.50). The time in days between the onset of symptoms and initiation of treatment was significantly different: respectively 149 (IQR 65.5-295), 119 (IQR 51-200), and 106.5 (IQR 60-201) days for CHWs, pharmacies, and public facilities (P
= 0.04). The longest time was between the first contact with a health provider and the TB diagnosis (51 days, IQR 19-104). Participants diagnosed at public health facilities incurred the highest costs. CONCLUSION Although the use
of CHWs and pharmacies did not shorten the TB treatment pathway, the costs incurred were lower than those in private health facilities. |
| doi_str_mv | 10.5588/ijtld.23.0439 |
| format | Article |
| fullrecord | <record><control><sourceid>pubtec_cross</sourceid><recordid>TN_cdi_crossref_primary_10_5588_ijtld_23_0439</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ingid>iuatld/ijtld/2024/00000028/00000007/art00005</ingid><sourcerecordid>iuatld/ijtld/2024/00000028/00000007/art00005</sourcerecordid><originalsourceid>FETCH-LOGICAL-c341t-66469c06debfb1263db62c79b97e890d0020eb18e414ef014bed0ecd97c235803</originalsourceid><addsrcrecordid>eNp1kU1v1DAURSMEoqWwZIsssWGT4dlOYmcJ5VOqRBdFLC3HfpnxkDjFdgZNf32dmSlISHjjtzg-vrqvKF5SWNW1lG_dNg12xfgKKt4-Ks6ppHUpWgaP8wxMlFzQ9qx4FuMWgFFKxdPijMu2oXVNz4sf18HtdEJyu9Fh1GZPtLfETOM4e5f2ZIN6SBvyewo_MRD0a73GEX0izpO0yc_CtHPRTZ5MPbl5TyKGnTMYnxdPej1EfHG6L4rvnz7eXH4pr759_nr57qo0vKKpbJqqaQ00Fru-o6zhtmuYEW3XCpQt2BwZsKMSK1phD7Tq0AIa2wrDeC2BXxRvjt4c5NeMManRRYPDoD1Oc1QcRC2ASagz-vofdDvNwed0mZKUy4aByFR5pEyYYgzYq9vgRh32ioJaGleHxhXjamk8869O1rkb0f6hHyrOwIcj4Pw6F6f__upmvZhOPmCVgsNh8jSAUDqkZVjSX_9PYx5My76Xdasdk14clCAga6sKlMVez0NSSQe1vlOx5vf6d61z</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3081386207</pqid></control><display><type>article</type><title>Private pharmacy and community health worker engagement in the provision of TB services</title><source>MEDLINE</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Semakula, L. ; Kakai, I. ; Zawedde-Muyanja, S. ; Nerima, P. ; Bayigga, J. ; Nansereko, M. ; Aheebwa, S.G. ; Castelnuovo, B. ; Okello, A.D. ; Oundo, C. ; Ddungu, A. ; Turyahabwe, S. ; Laker, E. ; Sekaggya-Wiltshire, C.</creator><creatorcontrib>Semakula, L. ; Kakai, I. ; Zawedde-Muyanja, S. ; Nerima, P. ; Bayigga, J. ; Nansereko, M. ; Aheebwa, S.G. ; Castelnuovo, B. ; Okello, A.D. ; Oundo, C. ; Ddungu, A. ; Turyahabwe, S. ; Laker, E. ; Sekaggya-Wiltshire, C.</creatorcontrib><description>BACKGROUND Engaging private health providers and community healthcare workers (CHWs) in the provision of TB care services can increase TB case notification and limit community transmission. We determined whether private pharmacy and community
engagement could affect access to TB diagnostic and treatment services in Uganda. METHODS We conducted a cross-sectional study on patients diagnosed with TB through three different pathways; by private pharmacies, CHWs, and public health
facilities. We collected data on patient demographics, time between symptom recognition and TB treatment initiation, and the amount of money spent on TB care seeking. RESULTS We collected data from 325 participants; 65.2% were male, with
a mean age of 35 years (SD 11.50). The time in days between the onset of symptoms and initiation of treatment was significantly different: respectively 149 (IQR 65.5-295), 119 (IQR 51-200), and 106.5 (IQR 60-201) days for CHWs, pharmacies, and public facilities (P
= 0.04). The longest time was between the first contact with a health provider and the TB diagnosis (51 days, IQR 19-104). Participants diagnosed at public health facilities incurred the highest costs. CONCLUSION Although the use
of CHWs and pharmacies did not shorten the TB treatment pathway, the costs incurred were lower than those in private health facilities.</description><identifier>ISSN: 1027-3719</identifier><identifier>ISSN: 1815-7920</identifier><identifier>EISSN: 1815-7920</identifier><identifier>DOI: 10.5588/ijtld.23.0439</identifier><identifier>PMID: 38961551</identifier><language>eng</language><publisher>France: International Union Against Tuberculosis and Lung Disease</publisher><subject>Adult ; Chw ; Community health care ; Community Health Workers - organization & administration ; Community involvement ; Community participation ; Community Screening ; Cross-Sectional Studies ; Data collection ; Demographics ; Disease transmission ; Drug stores ; Female ; Health care expenditures ; Health care facilities ; Health facilities ; Health services ; Health Services Accessibility ; Humans ; Male ; Medical personnel ; Middle Aged ; Patient Acceptance of Health Care - statistics & numerical data ; Patients ; Pharmacies ; Pharmacy ; Private Engagement ; Private Sector ; Public health ; Tuberculosis - diagnosis ; Tuberculosis - drug therapy ; Tuberculosis Treatment Pathways ; Uganda ; Young Adult</subject><ispartof>The international journal of tuberculosis and lung disease, 2024-07, Vol.28 (7), p.343-347</ispartof><rights>Copyright International Union against Tuberculosis and Lung Disease (IUATLD) 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38961551$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Semakula, L.</creatorcontrib><creatorcontrib>Kakai, I.</creatorcontrib><creatorcontrib>Zawedde-Muyanja, S.</creatorcontrib><creatorcontrib>Nerima, P.</creatorcontrib><creatorcontrib>Bayigga, J.</creatorcontrib><creatorcontrib>Nansereko, M.</creatorcontrib><creatorcontrib>Aheebwa, S.G.</creatorcontrib><creatorcontrib>Castelnuovo, B.</creatorcontrib><creatorcontrib>Okello, A.D.</creatorcontrib><creatorcontrib>Oundo, C.</creatorcontrib><creatorcontrib>Ddungu, A.</creatorcontrib><creatorcontrib>Turyahabwe, S.</creatorcontrib><creatorcontrib>Laker, E.</creatorcontrib><creatorcontrib>Sekaggya-Wiltshire, C.</creatorcontrib><title>Private pharmacy and community health worker engagement in the provision of TB services</title><title>The international journal of tuberculosis and lung disease</title><addtitle>Int J Tuberc Lung Dis</addtitle><description>BACKGROUND Engaging private health providers and community healthcare workers (CHWs) in the provision of TB care services can increase TB case notification and limit community transmission. We determined whether private pharmacy and community
engagement could affect access to TB diagnostic and treatment services in Uganda. METHODS We conducted a cross-sectional study on patients diagnosed with TB through three different pathways; by private pharmacies, CHWs, and public health
facilities. We collected data on patient demographics, time between symptom recognition and TB treatment initiation, and the amount of money spent on TB care seeking. RESULTS We collected data from 325 participants; 65.2% were male, with
a mean age of 35 years (SD 11.50). The time in days between the onset of symptoms and initiation of treatment was significantly different: respectively 149 (IQR 65.5-295), 119 (IQR 51-200), and 106.5 (IQR 60-201) days for CHWs, pharmacies, and public facilities (P
= 0.04). The longest time was between the first contact with a health provider and the TB diagnosis (51 days, IQR 19-104). Participants diagnosed at public health facilities incurred the highest costs. CONCLUSION Although the use
of CHWs and pharmacies did not shorten the TB treatment pathway, the costs incurred were lower than those in private health facilities.</description><subject>Adult</subject><subject>Chw</subject><subject>Community health care</subject><subject>Community Health Workers - organization & administration</subject><subject>Community involvement</subject><subject>Community participation</subject><subject>Community Screening</subject><subject>Cross-Sectional Studies</subject><subject>Data collection</subject><subject>Demographics</subject><subject>Disease transmission</subject><subject>Drug stores</subject><subject>Female</subject><subject>Health care expenditures</subject><subject>Health care facilities</subject><subject>Health facilities</subject><subject>Health services</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Middle Aged</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Patients</subject><subject>Pharmacies</subject><subject>Pharmacy</subject><subject>Private Engagement</subject><subject>Private Sector</subject><subject>Public health</subject><subject>Tuberculosis - diagnosis</subject><subject>Tuberculosis - drug therapy</subject><subject>Tuberculosis Treatment Pathways</subject><subject>Uganda</subject><subject>Young Adult</subject><issn>1027-3719</issn><issn>1815-7920</issn><issn>1815-7920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v1DAURSMEoqWwZIsssWGT4dlOYmcJ5VOqRBdFLC3HfpnxkDjFdgZNf32dmSlISHjjtzg-vrqvKF5SWNW1lG_dNg12xfgKKt4-Ks6ppHUpWgaP8wxMlFzQ9qx4FuMWgFFKxdPijMu2oXVNz4sf18HtdEJyu9Fh1GZPtLfETOM4e5f2ZIN6SBvyewo_MRD0a73GEX0izpO0yc_CtHPRTZ5MPbl5TyKGnTMYnxdPej1EfHG6L4rvnz7eXH4pr759_nr57qo0vKKpbJqqaQ00Fru-o6zhtmuYEW3XCpQt2BwZsKMSK1phD7Tq0AIa2wrDeC2BXxRvjt4c5NeMManRRYPDoD1Oc1QcRC2ASagz-vofdDvNwed0mZKUy4aByFR5pEyYYgzYq9vgRh32ioJaGleHxhXjamk8869O1rkb0f6hHyrOwIcj4Pw6F6f__upmvZhOPmCVgsNh8jSAUDqkZVjSX_9PYx5My76Xdasdk14clCAga6sKlMVez0NSSQe1vlOx5vf6d61z</recordid><startdate>20240701</startdate><enddate>20240701</enddate><creator>Semakula, L.</creator><creator>Kakai, I.</creator><creator>Zawedde-Muyanja, S.</creator><creator>Nerima, P.</creator><creator>Bayigga, J.</creator><creator>Nansereko, M.</creator><creator>Aheebwa, S.G.</creator><creator>Castelnuovo, B.</creator><creator>Okello, A.D.</creator><creator>Oundo, C.</creator><creator>Ddungu, A.</creator><creator>Turyahabwe, S.</creator><creator>Laker, E.</creator><creator>Sekaggya-Wiltshire, C.</creator><general>International Union Against Tuberculosis and Lung Disease</general><general>International Union against Tuberculosis and Lung Disease (IUATLD)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20240701</creationdate><title>Private pharmacy and community health worker engagement in the provision of TB services</title><author>Semakula, L. ; Kakai, I. ; Zawedde-Muyanja, S. ; Nerima, P. ; Bayigga, J. ; Nansereko, M. ; Aheebwa, S.G. ; Castelnuovo, B. ; Okello, A.D. ; Oundo, C. ; Ddungu, A. ; Turyahabwe, S. ; Laker, E. ; Sekaggya-Wiltshire, C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c341t-66469c06debfb1263db62c79b97e890d0020eb18e414ef014bed0ecd97c235803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Chw</topic><topic>Community health care</topic><topic>Community Health Workers - organization & administration</topic><topic>Community involvement</topic><topic>Community participation</topic><topic>Community Screening</topic><topic>Cross-Sectional Studies</topic><topic>Data collection</topic><topic>Demographics</topic><topic>Disease transmission</topic><topic>Drug stores</topic><topic>Female</topic><topic>Health care expenditures</topic><topic>Health care facilities</topic><topic>Health facilities</topic><topic>Health services</topic><topic>Health Services Accessibility</topic><topic>Humans</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Middle Aged</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Patients</topic><topic>Pharmacies</topic><topic>Pharmacy</topic><topic>Private Engagement</topic><topic>Private Sector</topic><topic>Public health</topic><topic>Tuberculosis - diagnosis</topic><topic>Tuberculosis - drug therapy</topic><topic>Tuberculosis Treatment Pathways</topic><topic>Uganda</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Semakula, L.</creatorcontrib><creatorcontrib>Kakai, I.</creatorcontrib><creatorcontrib>Zawedde-Muyanja, S.</creatorcontrib><creatorcontrib>Nerima, P.</creatorcontrib><creatorcontrib>Bayigga, J.</creatorcontrib><creatorcontrib>Nansereko, M.</creatorcontrib><creatorcontrib>Aheebwa, S.G.</creatorcontrib><creatorcontrib>Castelnuovo, B.</creatorcontrib><creatorcontrib>Okello, A.D.</creatorcontrib><creatorcontrib>Oundo, C.</creatorcontrib><creatorcontrib>Ddungu, A.</creatorcontrib><creatorcontrib>Turyahabwe, S.</creatorcontrib><creatorcontrib>Laker, E.</creatorcontrib><creatorcontrib>Sekaggya-Wiltshire, C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The international journal of tuberculosis and lung disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Semakula, L.</au><au>Kakai, I.</au><au>Zawedde-Muyanja, S.</au><au>Nerima, P.</au><au>Bayigga, J.</au><au>Nansereko, M.</au><au>Aheebwa, S.G.</au><au>Castelnuovo, B.</au><au>Okello, A.D.</au><au>Oundo, C.</au><au>Ddungu, A.</au><au>Turyahabwe, S.</au><au>Laker, E.</au><au>Sekaggya-Wiltshire, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Private pharmacy and community health worker engagement in the provision of TB services</atitle><jtitle>The international journal of tuberculosis and lung disease</jtitle><addtitle>Int J Tuberc Lung Dis</addtitle><date>2024-07-01</date><risdate>2024</risdate><volume>28</volume><issue>7</issue><spage>343</spage><epage>347</epage><pages>343-347</pages><issn>1027-3719</issn><issn>1815-7920</issn><eissn>1815-7920</eissn><abstract>BACKGROUND Engaging private health providers and community healthcare workers (CHWs) in the provision of TB care services can increase TB case notification and limit community transmission. We determined whether private pharmacy and community
engagement could affect access to TB diagnostic and treatment services in Uganda. METHODS We conducted a cross-sectional study on patients diagnosed with TB through three different pathways; by private pharmacies, CHWs, and public health
facilities. We collected data on patient demographics, time between symptom recognition and TB treatment initiation, and the amount of money spent on TB care seeking. RESULTS We collected data from 325 participants; 65.2% were male, with
a mean age of 35 years (SD 11.50). The time in days between the onset of symptoms and initiation of treatment was significantly different: respectively 149 (IQR 65.5-295), 119 (IQR 51-200), and 106.5 (IQR 60-201) days for CHWs, pharmacies, and public facilities (P
= 0.04). The longest time was between the first contact with a health provider and the TB diagnosis (51 days, IQR 19-104). Participants diagnosed at public health facilities incurred the highest costs. CONCLUSION Although the use
of CHWs and pharmacies did not shorten the TB treatment pathway, the costs incurred were lower than those in private health facilities.</abstract><cop>France</cop><pub>International Union Against Tuberculosis and Lung Disease</pub><pmid>38961551</pmid><doi>10.5588/ijtld.23.0439</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Chw Community health care Community Health Workers - organization & administration Community involvement Community participation Community Screening Cross-Sectional Studies Data collection Demographics Disease transmission Drug stores Female Health care expenditures Health care facilities Health facilities Health services Health Services Accessibility Humans Male Medical personnel Middle Aged Patient Acceptance of Health Care - statistics & numerical data Patients Pharmacies Pharmacy Private Engagement Private Sector Public health Tuberculosis - diagnosis Tuberculosis - drug therapy Tuberculosis Treatment Pathways Uganda Young Adult |
| title | Private pharmacy and community health worker engagement in the provision of TB services |
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