PMID- 12757048
OWN - NLM
STAT- MEDLINE
DCOM- 20030819
LR  - 20220408
IS  - 1027-3719 (Print)
IS  - 1027-3719 (Linking)
VI  - 7
IP  - 5
DP  - 2003 May
TI  - Public-private mix for improved TB control in Ho Chi Minh City, Vietnam: an 
      assessment of its impact on case detection.
PG  - 464-71
AB  - SETTING: Ho Chi Minh City (HCMC), Vietnam. OBJECTIVE: To assess the impact on 
      case detection of a public-private mix (PPM) project linking private providers 
      (PPs) to the National Tuberculosis Programme (NTP). METHOD: Nine-month monitoring 
      of referral and diagnostic data recorded in new referral forms and treatment 
      cards for PPs and upgraded NTP registers. RESULTS: A total of 1549 TB suspects 
      were referred, of whom 1090 (70%) actually went to the NTP for sputum 
      examination. A total of 569 cases were detected through referrals or 
      notification, of whom 45% were new sputum smear-positive cases. The case 
      detection of new sputum smear-positive cases in PPM districts increased by 18% 
      (21/100,000, 95%CI 0-42) compared to the previous year, while a slight decrease 
      occurred in control districts. In HCMC as a whole, case detection increased by 7% 
      (7/100,000, 95%CI 2-11/100,000). Among sputum smear-positive cases detected in 
      NTP through referrals from PPs, 58% defaulted before initiating treatment. 
      CONCLUSIONS: The tendency towards increased case detection associated with this 
      PPM indicates a potential for utilising PPs to improve case detection. However, 
      the NTP and PPs should jointly address the problem of initial default before 
      considering expansion of this PPM model.
FAU - Quy, H T
AU  - Quy HT
AD  - Pham Ngoc Thach TB and Lung Disease Center, Ho Chi Minh City, Vietnam.
FAU - Lan, N T N
AU  - Lan NT
FAU - Lonnroth, K
AU  - Lonnroth K
FAU - Buu, T N
AU  - Buu TN
FAU - Dieu, T T N
AU  - Dieu TT
FAU - Hai, L T
AU  - Hai LT
LA  - eng
PT  - Journal Article
PL  - France
TA  - Int J Tuberc Lung Dis
JT  - The international journal of tuberculosis and lung disease : the official journal 
      of the International Union against Tuberculosis and Lung Disease
JID - 9706389
SB  - IM
MH  - Disease Notification
MH  - Humans
MH  - Private Practice
MH  - *Referral and Consultation
MH  - Sputum/microbiology
MH  - Tuberculosis/*prevention & control
MH  - Vietnam
EDAT- 2003/05/22 05:00
MHDA- 2003/08/20 05:00
CRDT- 2003/05/22 05:00
PHST- 2003/05/22 05:00 [pubmed]
PHST- 2003/08/20 05:00 [medline]
PHST- 2003/05/22 05:00 [entrez]
PST - ppublish
SO  - Int J Tuberc Lung Dis. 2003 May;7(5):464-71.