The Efficiency of Policy Management on Tuberculosis Prevention and Control in Phetchabun Province
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Abstract
Objectives: The present study investigated the efficiency of policy management on tuberculosis (TB) prevention and control in Phetchabun province.
Method: This study was an action research study. Seventy participants under tuberculosis protection and control were analyzed as qualitative data. TB patients who were registered between 2012 and 2015 were analyzed as quantitative data. Content analysis was used to describe the policy of management on TB prevention and control. Frequency and percentage were used to describe the efficiency of policy management on TB prevention and control.
Results: In Phetchabun province, the rate of active cases finding was on the rise from 49.85% in 2012 to 58.24% and 57.01% in 2015 and 2016, respectively. Mortality rates dropped from 12.68% in 2012 to 11.49%, 11.09% and 10.16% in 2013, 2014 and 2016, respectively. The percentage of hospitals passing the standard of TB clinic increased from 54.5% in 2012 to 100% in 2016. The success rate for treating new TB patients remained constantand below 80%.
Conclusion: This action research demonstrates the efficiency of policy management on TB prevention and control including development of quality of care on DOT standard, active case finding in community, integration between TB and HIV control, development of TB technician and standard laboratory, participation of community, and innovative development for TB convtrol. These measures will make effective policy management for TB prevention and control and therefore should be used to prevent and control TB, and to control risk factors for TB treatment failure.
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References
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