Quality of care for tuberculosis patients in public health facilities of Debre Tabor town, Northwest Ethiopia

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From: PLoS ONE(Vol. 15, Issue 6)
Publisher: Public Library of Science
Document Type: Report
Length: 4,241 words
Lexile Measure: 1580L

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Author(s): Chalachew Genet 1,*, Tesfaye Andualem 2, Addisu Melese 1, Wondemagegn Mulu 1, Feleke Mekonnen 1, Bayeh Abera 1

Introduction

Tuberculosis (TB) is curable bacterial infectious disease. Since its identification, the disease is causing significant morbidity and mortality globally. It kills around 5,000 people each day. From the total TB death, 98% of them live in developing world. In 2014, for example, there were 9.6 million new TB cases and 1.5 million TB deaths [1]. TB causes significant morbidity and mortality throughout the world. As a result, it was declared as global emergency by World Health Organization (WHO) since 1993 [2]. The impact of TB is more pronounced in developing than developed countries. In Africa, for example, 281 cases per 100, 000 population is reported in 2014 which is twice of the global average (133/100,000 population) on the same year [3].

As part of developing country, Ethiopia is highly affected by TB. Based on 2016 WHO report, the incidence of TB cases in Ethiopia in 2014 were 207 per 100, 000 population [3]. Moreover TB is the second cause of death in Ethiopia based on 2009/10 health & health related indicators of the Federal Ministry of Ethiopia [4].

Despite different prevention and control measures implemented, TB is still causing significant morbidity & mortality in Ethiopia. One of the contributing factors is compromised quality of care delivered for TB patients in different health facilities (HFs) [5-8]. But little is known in the current quality of care provided in public HFs of Debre Tabor town, Amhara regional state of Ethiopia. Thus the present study was conducted to determine the quality of care delivered for TB patients in the study area on the three aspects of quality of care (structure, process and outcome).

Materials and methods

Study design and setting

Health facility based cross sectional study was conducted in Debre Tabor Town of Amhara regional state, Ethiopia from January 1 to May 30, 2018. The town is located 100 km and 666 km away from regional capital Bahir Dar and country capital Addis Ababa respectively. Based on 2014 Central Statistics Agency (CSA) report, the town has a total population of 55, 596. The town has one public hospital namely Debre Tabor Hospital (DTH) and three public Health Centers (HC) namely Hidar 11 HC, Debre Tabor Health Center (DTHC) and Ginbot 20 HC. In all HFs, TB diagnosis, treatment and prevention service is given. The town also hosts different higher institutions which include Debre Tabor University, College of teacher education, Debre Tabor College of health science and others.

Population

Target population

All public HFs and HWs working in public HFs of South Gondar zone.

Study participants

All public HFs and HWs working in public HFs of Debre Tabor town and TB patients from two year document review of the HFs TB clinic.

Inclusion & exclusion criteria

For HWs, the following points were considered as inclusion and exclusion criteria.

Inclusion criteria

All HWs who worked at least for the past three months in his/her present...

Source Citation

Source Citation   

Gale Document Number: GALE|A627080098