Reflections on tuberculosis diagnosis and treatment outcomes in Ghana
Identifieur interne : 000566 ( Main/Exploration ); précédent : 000565; suivant : 000567Reflections on tuberculosis diagnosis and treatment outcomes in Ghana
Auteurs : Joshua Amo-Adjei [Ghana] ; Kofi Awusabo-Asare [Ghana]Source :
- Archives of Public Health [ 0778-7367 ] ; 2013.
Abstract
Available evidence in Ghana shows the implementation of tuberculosis (TB) control activities efforts since the beginning of the 1900s. In spite of that, TB continues to be one of the common diseases in the country. In 1994, local and international policy windows opened for renewed strategies for the control of TB. This paper explores some of the approaches which have been in place since 1994 and their implications for treatment outcomes.
The study combines quantitative and qualitative data. The quantitative data consist of treatment outcome from 1997–2010 and the qualitative data are derived from in-depth interviews with some staff of the TB control programme. Poisson regression and inductive coding were applied to the quantitative and qualitative data respectively.
Reported cure rates increased from 43.6% to 87.7% between 1997 and 2010. The data from the in-depth interviews (IDIs) suggested that improvements in diagnosis, community TB care, stigma reduction among community and health workers towards TB patients, the public-private partnership, and the enablers’ package contributed to the improved better treatment outcomes, particularly from 2008.
Lessons learnt include the achievement of objectives with varying strategies and stakeholder interventions. Further studies would be needed to quantify the contributions of the various interventions to help determine those that are cost effective as well as efficient and effective for TB control.
Url:
DOI: 10.1186/2049-3258-71-22
PubMed: 23971675
PubMed Central: 3765431
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Reflections on tuberculosis diagnosis and treatment outcomes in Ghana</title><author><name sortKey="Amo Adjei, Joshua" sort="Amo Adjei, Joshua" uniqKey="Amo Adjei J" first="Joshua" last="Amo-Adjei">Joshua Amo-Adjei</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Population and Health, University of Cape Coast, Cape Coast, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Population and Health, University of Cape Coast, Cape Coast</wicri:regionArea><wicri:noRegion>Cape Coast</wicri:noRegion></affiliation></author><author><name sortKey="Awusabo Asare, Kofi" sort="Awusabo Asare, Kofi" uniqKey="Awusabo Asare K" first="Kofi" last="Awusabo-Asare">Kofi Awusabo-Asare</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Population and Health, University of Cape Coast, Cape Coast, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Population and Health, University of Cape Coast, Cape Coast</wicri:regionArea><wicri:noRegion>Cape Coast</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23971675</idno><idno type="pmc">3765431</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3765431</idno><idno type="RBID">PMC:3765431</idno><idno type="doi">10.1186/2049-3258-71-22</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000256</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000256</idno><idno type="wicri:Area/Pmc/Curation">000255</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000255</idno><idno type="wicri:Area/Pmc/Checkpoint">000282</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000282</idno><idno type="wicri:Area/Ncbi/Merge">000589</idno><idno type="wicri:Area/Ncbi/Curation">000589</idno><idno type="wicri:Area/Ncbi/Checkpoint">000589</idno><idno type="wicri:doubleKey">0778-7367:2013:Amo Adjei J:reflections:on:tuberculosis</idno><idno type="wicri:Area/Main/Merge">000567</idno><idno type="wicri:Area/Main/Curation">000566</idno><idno type="wicri:Area/Main/Exploration">000566</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Reflections on tuberculosis diagnosis and treatment outcomes in Ghana</title><author><name sortKey="Amo Adjei, Joshua" sort="Amo Adjei, Joshua" uniqKey="Amo Adjei J" first="Joshua" last="Amo-Adjei">Joshua Amo-Adjei</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Population and Health, University of Cape Coast, Cape Coast, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Population and Health, University of Cape Coast, Cape Coast</wicri:regionArea><wicri:noRegion>Cape Coast</wicri:noRegion></affiliation></author><author><name sortKey="Awusabo Asare, Kofi" sort="Awusabo Asare, Kofi" uniqKey="Awusabo Asare K" first="Kofi" last="Awusabo-Asare">Kofi Awusabo-Asare</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Population and Health, University of Cape Coast, Cape Coast, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Population and Health, University of Cape Coast, Cape Coast</wicri:regionArea><wicri:noRegion>Cape Coast</wicri:noRegion></affiliation></author></analytic><series><title level="j">Archives of Public Health</title><idno type="ISSN">0778-7367</idno><idno type="eISSN">2049-3258</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Available evidence in Ghana shows the implementation of tuberculosis (TB) control activities efforts since the beginning of the 1900s. In spite of that, TB continues to be one of the common diseases in the country. In 1994, local and international policy windows opened for renewed strategies for the control of TB. This paper explores some of the approaches which have been in place since 1994 and their implications for treatment outcomes.</p></sec><sec><title>Methods</title><p>The study combines quantitative and qualitative data. The quantitative data consist of treatment outcome from 1997–2010 and the qualitative data are derived from in-depth interviews with some staff of the TB control programme. Poisson regression and inductive coding were applied to the quantitative and qualitative data respectively.</p></sec><sec><title>Results</title><p>Reported cure rates increased from 43.6% to 87.7% between 1997 and 2010. The data from the in-depth interviews (IDIs) suggested that improvements in diagnosis, community TB care, stigma reduction among community and health workers towards TB patients, the public-private partnership, and the enablers’ package contributed to the improved better treatment outcomes, particularly from 2008.</p></sec><sec><title>Conclusions</title><p>Lessons learnt include the achievement of objectives with varying strategies and stakeholder interventions. 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sortKey="Hurtig, Ak" uniqKey="Hurtig A">AK Hurtig</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li></country></list><tree><country name="Ghana"><noRegion><name sortKey="Amo Adjei, Joshua" sort="Amo Adjei, Joshua" uniqKey="Amo Adjei J" first="Joshua" last="Amo-Adjei">Joshua Amo-Adjei</name></noRegion><name sortKey="Awusabo Asare, Kofi" sort="Awusabo Asare, Kofi" uniqKey="Awusabo Asare K" first="Kofi" last="Awusabo-Asare">Kofi Awusabo-Asare</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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