PMID- 28299038
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200929
IS  - 2038-9922 (Print)
IS  - 2038-9930 (Electronic)
IS  - 2038-9922 (Linking)
VI  - 1
IP  - 1
DP  - 2010 Sep 1
TI  - Assessment of the health system to support tuberculosis and AIDS care. A study of 
      three rural health districts of Burkina Faso.
PG  - e4
LID - 10.4081/jphia.2010.e4 [doi]
LID - e4
AB  - There is increasing evidence demonstrating the importance of healthcare systems 
      for improvement of chronic illness care. The aims of this study were to develop a 
      comprehensive assessment of the health services capacity to provide tuberculosis 
      (TB) and human immunodeficiency virus (HIV) care but also to enhance patient 
      empowerment, social network and community support. A cross-sectional study was 
      conducted from 1 to 31 of August 2007 in 3 districts of Burkina Faso. We used a 
      step-by-step model and the assessment of chronic illness care (ACIC) scale to 
      assess capacities of 24 first line health centres (FLHC) and 3 district hospitals 
      (DH) for providing TB and HIV/AIDS care. Data for the step-by-step model were 
      extracted from medical records of 75 TB and 66 HIV patients. The ACIC scale was 
      completed by health professionals, 6 medical doctors and 18 nurses, working at 
      the DH level and at the FLHC level, respectively. The biological test for 
      confirmation was free of charge for all the TB patients but only for 10.6% (7/66) 
      HIV cases. Up to the time of the survey, 5 TB (6.6%) and 18 HIV(+) patients 
      (27.3%) have been hospitalised for care at least once, 64 TB (85.3%) had been 
      declared cured and 38 HIV (54.5%) were under antiretroviral treatment. Health 
      care process organisation for TB and HIV care had distinct areas of weaknesses. 
      From a maximum ACIC score of 11, the overall score for TB care ranged between 1.9 
      and 4.9 with a median of 3.7 and for HIV care between 2.1 and 6.7 with a median 
      of 4.1. This study provides an illustration of assessing the HIV and TB care 
      combining data from the routine information system and from the chronic illness 
      care assessment tool, to encompass both disease control and patient health 
      perspective. It provides to health managers arguments for clear conclusions and 
      sufficient data for action.
FAU - Drabo, Koine Maxime
AU  - Drabo KM
AD  - Institut de Recherche en Sciences de la Sante Bobo Dioulasso, Burkina Faso.
FAU - Konfe, Salifou
AU  - Konfe S
AD  - Direction Regionale de la Sante du Plateau Central, Burkina Faso.
FAU - Macq, Jean
AU  - Macq J
AD  - Institut de Recherche Sante et Societe (IRSS) -Universite Catholique de Louvain 
      (UCL), Brussels, Belgium.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20100819
PL  - Italy
TA  - J Public Health Afr
JT  - Journal of public health in Africa
JID - 101586943
PMC - PMC5345395
OTO - NOTNLM
OT  - care system assessment.
OT  - immunodeficiency virus/AIDS
OT  - tuberculosis
EDAT- 2010/08/19 00:00
MHDA- 2010/08/19 00:01
PMCR- 2010/08/19
CRDT- 2017/03/17 06:00
PHST- 2010/02/19 00:00 [received]
PHST- 2010/05/13 00:00 [revised]
PHST- 2017/03/17 06:00 [entrez]
PHST- 2010/08/19 00:00 [pubmed]
PHST- 2010/08/19 00:01 [medline]
PHST- 2010/08/19 00:00 [pmc-release]
AID - jphia.2010.e4 [pii]
AID - 10.4081/jphia.2010.e4 [doi]
PST - epublish
SO  - J Public Health Afr. 2010 Aug 19;1(1):e4. doi: 10.4081/jphia.2010.e4. eCollection 
      2010 Sep 1.