Quantitative Evaluation of Public-Private Mix (PPM) Plan for Tuberculosis Combat Program in Iran

نویسندگان

  • A Rezaianzadeh Full Professor, Biostatistics and Epidemiology Department, Shiraz University of Medical Sciences, Shiraz, Iran
  • E Ghaderi Associated Professor, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
  • F Mazooji Diseases Control Expert, Health Deputy, Alborz University of Medical Sciences, Karaj, Iran
  • H Barati General Practitioner and MPH, Health Deputy, Alborz University of Medical Sciences, Karaj, Iran
  • J Hassanzadeh Full Professor, Biostatistics and Epidemiology Department, Shiraz University of Medical Sciences, Shiraz, Iran
  • M Ghorbanian Diseases Control Expert, Health Deputy, Alborz University of Medical Sciences, Karaj, Iran
  • M Nasehi Associated Professor, Epidemiology Department, Iran University of Medical Sciences, Tehran, Iran
  • MR Bazrafshan Diseases Control Expert, Health Deputy, Alborz University of Medical Sciences, Karaj, Iran
  • N Ghavidel Research Assistant, Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
  • S Razi Diseases Control Expert, Health Deputy, Alborz University of Medical Sciences, Karaj, Iran
چکیده مقاله:

Background and Objectives: A great number of tuberculosis (TB) patients present to the private sector to receive care; therefore, integrating TB control programs into private sector activities can enhance the control of TB. The Public-Private Mix (PPM) program is suggested by the World Health Organization to engage the private sector in TB control programs. In this study, a plan designed for PPM was piloted Karaj, Alborz Province, Iran.   Methods: In this community trial, pre-intervention assessment covered 18 months prior to the study. The intervention was a PPM package that was integrated into the health system by Karaj County Health Center. Then, three-month post-intervention data were collected. Analysis was performed with the SPSS 16 software using chi-square test.   Results: After the intervention, there was an increase of 40.7% in suspected cases of TB per month and an increase of 101.7% in smear positive TB cases diagnosed by Karaj laboratories. The ratio of smear positive cases to all suspected TB patients was 4.57% before and 6.56% after the intervention. The percentage of three sputum sample positive patients was 75.5% and 89.9% before and after the intervention, respectively.   Conclusion: The developed PPM program markedly improved the case detection; therefore, it is suggested to fix the potential defects of the program and implement it in all parts of the country.

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عنوان ژورنال

دوره 16  شماره 3

صفحات  181- 191

تاریخ انتشار 2020-11

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