Hospital-based tuberculosis control activities in five cities of Latin America

Bibliographic Data

ID14968655
AuthorsRalfh Moreno (Pan American Health Organization, Washington, DC, United States of America., corresponding author), Rafael Alonso Hernández (0000-0002-1233-9242, World Health Organization Regional Office for the Americas), Rafael Lopez (0000-0002-2807-7419, Pan American Health Organization, Washington, DC, United States of America.), Alfonso Tenorio (Pan American Health Organization, Washington, DC, United States of America.), Jorge Victoria (0000-0003-2948-4611, Pan American Health Organization, Washington, DC, United States of America.), Anna Volz (0000-0003-0444-1893, Pan American Health Organization, Washington, DC, United States of America.), Oscar Cruz (0000-0002-7661-0724, Secretary of Health of Bogotá, Bogotá, Colombia.), Oscar Andrés Cruz, Ernesto Moreno (0000-0002-2309-4826, Ministry of Health and Social Protection, Bogotá, Colombia.), Carlos Quijada (Ministry of Public Health and Social Welfare, Guatemala City, Guatemala.), Ana Hesse-de-Herrera (Ministry of Public Health and Social Welfare, Guatemala City, Guatemala.), Sarita Aguirre (0000-0002-8752-2762, Ministry of Public Health and Social Welfare, Asuncion, Paraguay.), Laedi Santos (Center for Epidemiological Surveillance, São Paulo, Brazil.), Laedi Alves Rodrigues dos Santos (0000-0003-3308-9366), Noemi Lima (Health Secretary of Guarulhos, Guarulhos, Brazil.), Neide Tanomaru (Health Secretary of Guarulhos, Guarulhos, Brazil.), Antonieta Alarcon (Ministry of Health, Lima, Peru.), Mirtha Del-Granado (Pan American Health Organization, Washington, DC, United States of America.)
Year2017
Volume41
Pages1
Publication date2017-06-19
Open AccessYes
TypeARTICLE
VenueRevista Panamericana de Salud Pública (JOURNAL)
Journal identifiersISSN: 1020-4989 • E-ISSN: 1680-5348
PublisherPan American Health Organization (PUBLISHER • US)
DOI10.26633/rpsp.2017.95
PMID31384249
OpenAlexW2735486540
LanguageEN
Citations received1
References cited12

Objective. To generate actionable insights for improving TB control in urban areas by describing the tuberculosis (TB) control activities of hospitals in five cities in Latin America . Methods. A descriptive study of hospital-based TB control activities was conducted in 2013–2015 using a cross-sectional survey designed by the Pan American Health Organization and administered in Guatemala City, Guatemala; Guarulhos, Brazil; Bogotá, Colombia; Lima, Peru; and Asunción, Paraguay. Data were analyzed using Chi-squared, Fisher exact tests, and the Mantel–Haenszel test for Risk Ratios, as necessary (P . Results. While variation among cities existed, most hospitals (91.3%) conducted acid-fast bacilli smears for TB diagnosis and had a quality control process (94.0%), followed national TB guidelines (95%), and reported TB cases to the respective health authorities (96%). Additionally, TB treatment was offered free of charge almost universally (97.1%). However, only 74.2% of hospitals were supervised by the national or local TB programs; 52.8% followed up on the outcome of referrals; and 39.1% offered full ambulatory TB treatment, with 68.7% using Directly-Observed Therapy . Conclusion. The study underscored strengths and weaknesses in specific areas for TB control activities in hospitals and highlighted the importance and complexity of coordinating efforts among private and public hospitals and the various stakeholders. Local TB programs and health authorities should use these results to enhance the quality of TB-related actions in hospitals in similar settings

Environmental health · Family medicine · Geography · Latin Americans · Political science · Public health · Tuberculosis · Tuberculosis control · Chronic Disease Management Strategies · Medicine · Nursing · Public Health and Environmental Issues · Tuberculosis Research and Epidemiology

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