Tuberculosis care cascade for the indigenous population in Colombia

An operational research study

Bibliographic Data

ID14969082
AuthorsJhon Edwin Polanco-Pasaje (0000-0002-7497-5607, Universidad de Antioquia, corresponding author), Iader Rodríguez-Márquez (0000-0002-2270-7088, Universidad de Antioquia), Kelly Yoana Tello-Hoyos (0000-0001-9976-442X, Secretaría de Salud Departamental, Gobernación del Cauca, Colombia.), Pilar Torres-Pereda (0000-0003-1869-2044, Instituto Nacional de Salud Pública, Cuernavaca, México.), Bertha Leonor Guzmán-Salazar (0000-0002-7345-5204, Secretaría de Salud Departamental, Gobernación del Cauca, Colombia.), Federico Pérez (0000-0003-2001-0057, World Health Organization Regional Office for the Americas), Freddy Pérez
Year2021
Volume45
Pages1
Publication date2021-02-23
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.2021.20
PMID33643402
OpenAlexW3129658926
LanguageEN
Citations received3
References cited23

Objective. Construct and evaluate the care cascade for pulmonary tuberculosis in the indigenous population of the department of Cauca (Colombia) and identify existing gaps. Methods. Mixed-methods sequential explanatory design. In the first phase, the pulmonary tuberculosis care cascade for the indigenous population of Cauca was evaluated. Data were obtained from secondary sources and all cases diagnosed from 1 January 2016 to 31 December 2017 were included. In the second phase, semi-structured interviews were done with nine program coordinators and 11 nursing auxiliaries to explain identified gaps. Absolute and percentage values were estimated for each of the steps and gaps in the care cascade. Quantitative and qualitative results were triangulated. Results. In 2016 and 2017, an estimated 202 patients with respiratory symptoms were expected to be positive and 106 cases of pulmonary tuberculosis were reported among the indigenous population of the department of Cauca. A gap of 47.5% was found for diagnosis, since only 52.5% of subjects were diagnosed in health services. This gap was explained by poor quality of samples and flawed smear techniques; flaws in correct identification of patients with respiratory symptoms; limited access to diagnostic methods, such as culture and molecular tests; and limited training and high turnover of personnel in health service provider institutions. Conclusions. The tuberculosis control program should focus actions on bridging the gap in case detection in the indigenous population

Biology · Environmental health · Extrapulmonary tuberculosis · Health care · Indigenous · Mycobacterium tuberculosis · Political science · Population · Pulmonary tuberculosis · Tuberculosis · Medicine · Pneumonia and Respiratory Infections · Respiratory viral infections research · Tuberculosis Research and Epidemiology

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