Quantitative Evaluation of Public-Private Mix (PPM) Plan for Tuberculosis Combat Program in Iran
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 Organi...
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| Format: | Article |
| Language: | fas |
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Tehran University of Medical Sciences
2020-11-01
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| Series: | مجله اپیدمیولوژی ایران |
| Subjects: | |
| Online Access: | http://irje.tums.ac.ir/article-1-6656-en.html |
| _version_ | 1819125284243243008 |
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| author | E Ghaderi J Hassanzadeh A Rezaianzadeh M Nasehi H Barati MR Bazrafshan F Mazooji M Ghorbanian N Ghavidel S Razi |
| author_facet | E Ghaderi J Hassanzadeh A Rezaianzadeh M Nasehi H Barati MR Bazrafshan F Mazooji M Ghorbanian N Ghavidel S Razi |
| author_sort | E Ghaderi |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-22T07:37:41Z |
| format | Article |
| id | doaj.art-ea0182b421f14b9382133b8a88aba91f |
| institution | Directory Open Access Journal |
| issn | 1735-7489 2228-7507 |
| language | fas |
| last_indexed | 2024-12-22T07:37:41Z |
| publishDate | 2020-11-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | مجله اپیدمیولوژی ایران |
| spelling | doaj.art-ea0182b421f14b9382133b8a88aba91f2022-12-21T18:33:51ZfasTehran University of Medical Sciencesمجله اپیدمیولوژی ایران1735-74892228-75072020-11-01163181191Quantitative Evaluation of Public-Private Mix (PPM) Plan for Tuberculosis Combat Program in IranE Ghaderi0J Hassanzadeh1A Rezaianzadeh2M Nasehi3H Barati4MR Bazrafshan5F Mazooji6M Ghorbanian7N Ghavidel8S Razi9 Associated Professor, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran Full Professor, Biostatistics and Epidemiology Department, Shiraz University of Medical Sciences, Shiraz, Iran Full Professor, Biostatistics and Epidemiology Department, Shiraz University of Medical Sciences, Shiraz, Iran Associated Professor, Epidemiology Department, Iran University of Medical Sciences, Tehran, Iran General Practitioner and MPH, Health Deputy, Alborz University of Medical Sciences, Karaj, Iran Diseases Control Expert, Health Deputy, Alborz University of Medical Sciences, Karaj, Iran Diseases Control Expert, Health Deputy, Alborz University of Medical Sciences, Karaj, Iran Diseases Control Expert, Health Deputy, Alborz University of Medical Sciences, Karaj, Iran Research Assistant, Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran Diseases Control Expert, Health Deputy, Alborz University of Medical Sciences, Karaj, Iran 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.http://irje.tums.ac.ir/article-1-6656-en.htmltuberculosispublic-private mixcase detectionsocial marketingkaraj |
| spellingShingle | E Ghaderi J Hassanzadeh A Rezaianzadeh M Nasehi H Barati MR Bazrafshan F Mazooji M Ghorbanian N Ghavidel S Razi Quantitative Evaluation of Public-Private Mix (PPM) Plan for Tuberculosis Combat Program in Iran مجله اپیدمیولوژی ایران tuberculosis public-private mix case detection social marketing karaj |
| title | Quantitative Evaluation of Public-Private Mix (PPM) Plan for Tuberculosis Combat Program in Iran |
| title_full | Quantitative Evaluation of Public-Private Mix (PPM) Plan for Tuberculosis Combat Program in Iran |
| title_fullStr | Quantitative Evaluation of Public-Private Mix (PPM) Plan for Tuberculosis Combat Program in Iran |
| title_full_unstemmed | Quantitative Evaluation of Public-Private Mix (PPM) Plan for Tuberculosis Combat Program in Iran |
| title_short | Quantitative Evaluation of Public-Private Mix (PPM) Plan for Tuberculosis Combat Program in Iran |
| title_sort | quantitative evaluation of public private mix ppm plan for tuberculosis combat program in iran |
| topic | tuberculosis public-private mix case detection social marketing karaj |
| url | http://irje.tums.ac.ir/article-1-6656-en.html |
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