Volume 16, Issue 3 (Vol.16, No.3 2020)
irje 2020, 16(3): 181-191 |
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Ghaderi E, Hassanzadeh J, Rezaianzadeh A, Nasehi M, Barati H, Bazrafshan M, et al . Quantitative Evaluation of Public-Private Mix (PPM) Plan for Tuberculosis Combat Program in Iran. irje 2020; 16 (3) :181-191
URL: http://irje.tums.ac.ir/article-1-6656-en.html
URL: http://irje.tums.ac.ir/article-1-6656-en.html
E Ghaderi1 
, J Hassanzadeh * 2, A Rezaianzadeh3 , M Nasehi4 , H Barati5 , MR Bazrafshan6 , F Mazooji6 , M Ghorbanian6 , N Ghavidel7 , S Razi6
, J Hassanzadeh * 2, A Rezaianzadeh3 , M Nasehi4 , H Barati5 , MR Bazrafshan6 , F Mazooji6 , M Ghorbanian6 , N Ghavidel7 , S Razi6
1- Associated Professor, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
2- Full Professor, Biostatistics and Epidemiology Department, Shiraz University of Medical Sciences, Shiraz, Iran ,jhasanzad@sums.ac.ir
3- Full Professor, Biostatistics and Epidemiology Department, Shiraz University of Medical Sciences, Shiraz, Iran
4- Associated Professor, Epidemiology Department, Iran University of Medical Sciences, Tehran, Iran
5- General Practitioner and MPH, Health Deputy, Alborz University of Medical Sciences, Karaj, Iran
6- Diseases Control Expert, Health Deputy, Alborz University of Medical Sciences, Karaj, Iran
7- Research Assistant, Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
2- Full Professor, Biostatistics and Epidemiology Department, Shiraz University of Medical Sciences, Shiraz, Iran ,
3- Full Professor, Biostatistics and Epidemiology Department, Shiraz University of Medical Sciences, Shiraz, Iran
4- Associated Professor, Epidemiology Department, Iran University of Medical Sciences, Tehran, Iran
5- General Practitioner and MPH, Health Deputy, Alborz University of Medical Sciences, Karaj, Iran
6- Diseases Control Expert, Health Deputy, Alborz University of Medical Sciences, Karaj, Iran
7- Research Assistant, Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
Abstract: (2100 Views)
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.
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.
Type of Study: Research |
Subject:
Epidemiology
Received: 2021/01/6 | Accepted: 2020/08/31 | Published: 2020/08/31
Received: 2021/01/6 | Accepted: 2020/08/31 | Published: 2020/08/31
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